Get Vision Screening Documentation - Indiana State Forms

Completing the Vision Screening Documentation - Indiana State Forms online is a straightforward process that ensures your eligibility for necessary credentials. This guide will walk you through each section of the form, providing clear instructions to facilitate accurate completion.

Follow the steps to efficiently fill out the form.

1. Press the ‘Get Form’ button to access the form and open it in the editor.
2. Begin by completing Section A, which is intended for the applicant. Fill in your name (last, first, middle), date of birth (mm/dd/yyyy), driver's license or identification card number, and the date of your credential application (mm/dd/yyyy). Ensure all information is accurate.
3. Next, move to Section B. This section requires the completion by a licensed ophthalmologist or optometrist. They must fill in their name, telephone number, license number, and business address (number and street, city, state, and ZIP code).
4. Proceed to Section C, where the ophthalmologist or optometrist will document the vision screening results. They will select the appropriate visual acuity measurements for each eye and any restrictions based on the results.
5. Ensure that the ophthalmologist or optometrist signs and dates the form in the designated area. As the credential applicant, you will also need to sign the form and include the date.
6. After all sections have been completed, review the form to confirm all information is correct. Users can then save changes, download, print, or share the form as needed.

Complete the Vision Screening Documentation online to ensure a smooth credential application process.