Get Canada Sq-214-353 2017-2026

This guide provides step-by-step instructions on how to accurately complete the Canada SQ-214-353 form online. Whether you are a candidate or an eye care professional, this resource will help you navigate the form with clarity and confidence.

Follow the steps to successfully complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the candidate identification section. Provide your name, date of birth, address, city, province, and postal code. If applicable, indicate whether you have undergone vision correction surgery.
3. If you have undergone surgery, ensure to include the supplementary report filled out by your ophthalmologist and attach it with the SQ-214-353 form. Sign and date the candidate section.
4. Proceed to sections 2 and 3, which need to be completed by the ophthalmologist or optometrist. Begin with section 2, which addresses the visual examination. Report visual acuity measurements, specifying values with and without correction for each eye.
5. Assess the visual fields for each eye using the designated criteria. Indicate whether each question is answered with 'yes' or 'no', and provide any necessary additional details.
6. In the ocular motility section, answer questions regarding any anomalies in eye movement or binocular vision. Document results from the stereopsis test if applicable.
7. Complete the color perception assessment, providing results of the Ishihara, Dvorine, or HRR tests, noting errors if the Farnsworth D-15 test was administered. Include comments regarding any anomalies detected during the examination.
8. In the identification section for the ophthalmologist or optometrist, fill in their name, address, license number, specialty, and the date of the examination. Finally, ensure the designated professional signs and dates this section.
9. After completing all sections, review for accuracy, then save your changes, download, print, or share the filled form as needed.

Complete your documents online today to ensure a smooth application process.