Get Dmv Vision Test Form

Filling out the DMV Vision Test Form online is a straightforward process that ensures you provide the necessary information for your driver's license application or renewal. This guide will walk you through each section of the form to help you complete it accurately and efficiently.

Follow the steps to fill out the DMV Vision Test Form online

1. Press the ‘Get Form’ button to access the DMV Vision Test Form and open it in your preferred online editor.
2. Carefully enter the patient's last name, first name, and middle initial in the specified fields.
3. Input the patient’s date of birth in the format of month, day, and year.
4. Select the patient’s sex by marking either Male or Female.
5. Provide the patient’s complete address, including street number and name, apartment number (if applicable), city, state, and zip code.
6. Record the date of the examination using the month, day, and year format.
7. For optometrists or ophthalmologists, input the best vision test score using the Snellen chart for both the right and left eyes, and if applicable, for both.
8. Indicate whether the patient wore corrective lenses to achieve a Snellen Test score of 20/40 with a check in the YES or NO box.
9. Obtain the patient’s signature in the designated area where they should sign their full name.
10. The provider should print their name and title in the appropriate box.
11. Fill in the address of the provider, including street number and name, city, state, and zip code.
12. Optometrists or ophthalmologists must check whether this report is valid for 12 months or 6 months.
13. The provider must sign their name in the designated space and include their professional license number.
14. Review all information to ensure accuracy, then save the completed form to your device, and you may print or share it as necessary.

Start filling out the DMV Vision Test Form online today to streamline your application or renewal process.