Get Eye Exam Card 3x5.doc. Annual Reports And Recommended Budget For Fiscal Year 2010-2011 - Dmv Ri

Filling out the Eye Exam Card is a vital step in ensuring you meet the vision requirements for driving in Rhode Island. This guide provides clear, step-by-step instructions to assist you in completing the form accurately and efficiently.

Follow the steps to effectively complete the Eye Exam Card.

1. Press the ‘Get Form’ button to access the Eye Exam Card and open it in your preferred document editor.
2. Begin by entering your name in the space provided for the applicant's name.
3. Fill in your age accurately in the designated field.
4. Complete your address in the appropriate section, ensuring all details are current.
5. Sign your name in the signature field to verify that the information provided is correct.
6. For the visual acuity section, provide the appropriate readings for your right eye, left eye, and both eyes without prescription (RX), with an old RX, and with a new RX.
7. In the visual fields section, indicate the degrees for nasal and temporal fields for each eye. Ensure that you total the values correctly.
8. For color vision, select whether your vision is present or absent for red, green, and yellow.
9. Indicate whether you experience diplopias by checking the appropriate box for present or absent, along with whether it is corrected.
10. Answer the question regarding whether glasses are needed for driving by checking 'Yes' or 'No'.
11. After completing the examinations, indicate the recommended duration for the next vision check.
12. The final step involves a licensed practitioner certifying the examination, including their signature, date, and recommendation regarding the issuance of a license.
13. Once all sections are filled, save your changes, then download or print the form as needed for submission.

Complete your Eye Exam Card online today to ensure a smooth application process.