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Get Ophtalmology Examination Report Form Class 3 - Ccaa
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How to fill out the Ophtalmology Examination Report Form Class 3 - CCAA online
Completing the Ophtalmology Examination Report Form Class 3 - CCAA is a vital step in the medical evaluation process for aviation personnel. This guide will provide you with clear, step-by-step instructions to ensure you fill out the form correctly and efficiently.
Follow the steps to complete the Ophtalmology Examination Report Form online.
- Press the ‘Get Form’ button to obtain the form and open it in your preferred online editor.
- Begin by entering the requested information in Section 1, which identifies the state to which the application is made. Fill in the applicable state where you will submit your application.
- In Section 2, select the appropriate category for the medical certificate by ticking the relevant box, whether it is for initial certification, renewal, or revalidation.
- Proceed to Sections 3 and 4 to enter your surname and forenames, along with your date of birth in Section 6. Ensure that the names match your official identification.
- Fill out Section 7 by identifying your gender. Choose 'Male' or 'Female' as applicable.
- In Section 12, write the reference number if applicable, or leave it blank if this is your initial application.
- Section 301 requires your consent to share your medical information. Read the statement carefully and provide your signature and the date, allowing the examiner to release your information as stated.
- In Section 302, mark the type of examination by ticking the appropriate box based on your situation — whether it is initial, revalidation, or special referral.
- Enter any significant ophthalmological history in Section 303, providing details if there are specific concerns or prior referrals.
- Complete Sections 304-311 by reviewing each aspect of your ophthalmological examination. Mark each item as normal or abnormal based on the evaluation.
- Proceed to Sections 314-320 to record your visual acuity, refraction, and intra-ocular pressure results. Ensure that you provide and record each measurement accurately.
- In Section 321, the examiner provides any remarks or additional recommendations related to the examination results.
- Finally, have the ophthalmology examiner sign the report in Section 322 and fill out their identifying details. Enter the date and place of the examination in Section 323.
- Once you have completed all sections, save your changes. You can then download, print, or share the completed form as required.
Start filling out the Ophtalmology Examination Report Form Class 3 - CCAA online now for an efficient submission process.
When writing visual acuity test results, specify the measurements for each eye and include whether corrective lenses were used during the examination. It is important to mention any discrepancies between the two eyes. By using the Ophtalmology Examination Report Form Class 3 - CCAA, you can present these results in a professional and organized manner.
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