Get 4504 Tangent Screen 15 Degree Form 85 X 11 Vertical

The 4504 Tangent Screen 15 Degree Form is essential for visual assessments. This guide provides clear instructions on how to complete the form online, ensuring accuracy and ease of use.

Follow the steps to successfully complete the form online.

1. Click the ‘Get Form’ button to access the 4504 Tangent Screen 15 Degree Form and open it in the online editor.
2. In the first section, fill in your name, date, and age. Ensure all information is accurate as it is critical for record-keeping.
3. Indicate the corrected vision for your left eye by entering the corresponding measurement next to 'O.S.' and for the right eye next to 'O.D.'.
4. Complete the section for 'Test Objects' by specifying the size and color used during the visual assessment.
5. Document any observations regarding blind spots, central fields, and scotomas in the respective fields to provide a comprehensive analysis.
6. Fill in the fields for cooperation, fixation, reliability, and fatigue based on the performance of the person undergoing the visual assessment.
7. Use the notes section to provide any additional pertinent information that may influence the assessment results.
8. Finally, enter the examiner's name to validate the form. Review all entries for accuracy.
9. After completing the form, you may save changes, download, print, or share the document as required.

Complete your document online today with ease and confidence.