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8669 NW 36 St, #130 Miami, FL 331666672 (800) 4439353 extension 273 Email certification aws.org VISUAL ACUITY FORM Member #: Order #: Site Code: Date: Last Name: First Name: MI: Applicant This form.

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Visual acuity is expressed as a fraction. The top number refers to the distance you stand from the chart. This is often 20 feet (6 meters). The bottom number indicates the distance at which a person with normal eyesight could read the same line you correctly read.

A visual acuity test can help diagnose common conditions that affect your vision, including: Nearsightedness (myopia). Farsightedness. Astigmatism. Presbyopia. Color blindness.

Record the lowest line the patient is able to read, including the number of mistakes made on that line. For example, right eye, 20/20 means the patient can read the 20/20 line with no mistakes. Left eye, 20/25 –1 means the patient can read the 20/25 line with one mistake. Visual acuity is recorded as a fraction.

– if your visual acuity is 6/5 you can see a line of letters from 6 metres , which someone with normal eyesight can only see when they are 5 metres away. If you can't see the 6/6 line without glasses, you might require spectacles. Your optometrist will place lenses in front of your eyes until the chart becomes clearer.

The visual acuity is then recorded as Test distance (m)/Letter size read (M units). For example, if the patient could read the 32 line at 1 meter, their acuity would be recorded as 1/32. 1/32 is equal to a Snellen acuity of 20/640. You can use Snellen equivalent numbers with a LogMAR chart.

For example, 20/20 (6/6) is considered normal. 20/40 (6/12) indicates that the line you correctly read at 20 feet (6 meters) away can be read by a person with normal vision from 40 feet (12 meters) away.

The visual acuity test is used to determine the smallest letters you can read on a standardized chart (Snellen chart) or a card held 20 feet (6 meters) away. Special charts are used when testing at distances shorter than 20 feet (6 meters). Some Snellen charts are actually video monitors showing letters or images.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232