Get Fjso Form 7566 April 2010

Completing the Fjso Form 7566 online can streamline the process of assessing eye and vision readiness for military personnel. This guide provides clear, step-by-step instructions to help users navigate each section of the form with confidence.

Follow the steps to successfully complete the form online.

1. Press the ‘Get Form’ button to access the form and open it in your preferred editing interface.
2. Enter the service member's full name in the designated field (Last, First, Middle Initial).
3. Fill in the date of birth in the specified format (YYYY-MM-DD).
4. Indicate the unit of assignment in the corresponding field.
5. Provide the complete unit address in the relevant section.
6. Select the branch of service from the options provided.
7. Complete the examination results section by entering the requested information, including visual acuity results for both eyes.
8. Input the date of spectacle prescription in the specified format (YYYYMMDD).
9. Record the date of vision screening, also in the (YYYYMMDD) format.
10. Detail the uncorrected and best-corrected distance visual acuity for both eyes.
11. If applicable, provide near visual acuity details for individuals over 45 years old.
12. Enter any spectacle prescription in the specified minus cylinder format, noting bifocal requirements if necessary.
13. Measure and document pupillary distance for far and near vision.
14. Indicate any ocular conditions that may pose problems in austere environments and provide details if applicable.
15. Confirm whether medication is needed and provide details if applicable.
16. Indicate if the patient has undergone any refractive surgical procedures, including specifics if necessary.
17. Fill in the doctor’s printed name and license number.
18. Provide the doctor’s address and contact information, including phone or email.
19. Obtain the doctor's signature to validate the form.
20. Once completed, save your changes, download, print, or share the form as needed.

Complete your Fjso Form 7566 online today for timely assessment and readiness.