Follow the steps to fill out the Dds Mr 274 online:

1. Press the ‘Get Form’ button to access the Dds Mr 274 form and open it within the designated online editor.
2. Begin by entering the patient information in the appropriate fields. This includes the last name, first name, middle initial, date of birth in mm/dd/yyyy format, physical street address, city, state, driver's license number, and zip code.
3. In the patient attestation section, the user should provide authorization to a licensed optometrist or ophthalmologist. Ensure the examining professional's name is correctly completed.
4. The licensed optometrist or ophthalmologist will complete the report on visual examination section, providing details on visual acuity, horizontal field of vision, and whether the measurement was taken at 20 feet.
5. Complete the binocular vision, monocular vision, and horizontal perception sections, filling in the necessary degrees and making selections for any applicable questions (e.g., monocular vision).
6. The vision report physician's statement must be filled out by the examining professional, confirming details such as double vision and potential restrictions.
7. Finally, the physician acknowledgment section should be completed. The examining professional must enter their name, practice name, license number, address, and signature.
8. Once all sections are completed, users can save changes, download, print, or share the filled-out Dds Mr 274 as needed.

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