Vision Screening Form {DL-043A} | Pdf Fpdf Docx | Maryland

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Vision Screening Form {DL-043A} | Pdf Fpdf Docx | Maryland

Last updated: 5/20/2024

Vision Screening Form {DL-043A}

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Description

DL-043A - VISION SCREENING FORM. This form is used in the Maryland Department of Transportation Motor Vehicle Administration to document the results of a vision examination for individuals seeking a Maryland driver's license. The form is completed by an ophthalmologist or optometrist who assesses the individual's visual acuity and field of vision. The form specifies the visual requirements for obtaining an unrestricted or restricted driver's license in Maryland, such as having binocular vision and a visual acuity of at least 20/40 in each eye. The specialist records whether corrective lenses are needed, if the individual meets the field of vision requirements, and if any optical or medical conditions might prevent the granting of a license. www.FormsWorkflow.com

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