Form HSMV 72010. Report of Eye Exam - Florida
The Form HSMV 72010, known as the Report of Eye Exam, is a document issued by the Florida Department of Highway Safety and Motor Vehicles. This form is used to report the results of an eye examination conducted by a licensed eye care professional for individuals applying for or renewing their driver's license in Florida.
The main purpose of this form is to ensure that drivers meet the visual acuity requirements necessary for safe driving. It serves as a means to verify that an individual has undergone an eye exam and meets the visual standards set by the Department.
The form typically consists of the following sections:
- Driver's personal information (name, address, date of birth)
- Information about the eye care professional conducting the examination
- Results of the eye exam, including visual acuity measurements
- Signature of the eye care professional
When filling out this form, it is important to provide accurate personal information and ensure that the eye exam results are correctly recorded. The eye care professional should sign the form to validate the accuracy of the reported information.
Additionally, individuals need to attach a copy of the completed and signed form to their driver's license application or renewal. The form serves as proof that the required eye examination has been conducted.
An example of an application for this form would be a driver who is renewing their driver's license and needs to provide evidence of meeting the visual acuity standards. By completing the Report of Eye Exam form and attaching it to the renewal application, the driver can fulfill the requirement of providing the results of a recent eye examination.
A related form is the Medical Reporting Form (Form HSMV 72190), which is used to report medical conditions that may affect a person's ability to drive safely. While the Report of Eye Exam focuses specifically on assessing visual acuity, the Medical Reporting Form covers a broader range of medical conditions.