Form MED 4. Vision Screening Report - Virginia

Form MED 4 - Vision Screening Report is used to provide the Virginia Department of Motor Vehicles (DMV) with vision screening information from an ophthalmologist or optometrist. This form is a crucial part of the driver's license application process as it verifies that the applicant meets the vision requirements necessary for safe driving.

The parties involved in this form include the applicant for a driver's license and the licensed eye care professional (ophthalmologist or optometrist) responsible for conducting the vision screening. The form consists of sections where the eye care professional must record the results of the vision screening, including visual acuity and any prescribed corrective lenses.

Important fields in this form include the applicant's personal information, the eye care professional's details, and the recorded vision screening results. Accurate reporting of the vision screening is crucial for determining the applicant's eligibility for a driver's license.

An example scenario for using this form would be a person applying for their first driver's license in Virginia. As part of the application process, the applicant would visit an ophthalmologist or optometrist to undergo a vision screening. The eye care professional would complete Form MED 4, providing the DMV with the necessary vision screening information to verify the applicant's visual acuity meets the required standards for safe driving.

When completing this form, it is essential for the eye care professional to conduct a thorough and accurate vision screening, as the results directly impact the applicant's ability to obtain a driver's license. Additionally, applicants should follow their eye care professional's advice regarding the need for corrective lenses to ensure safe driving.

Related forms or alternatives for similar purposes may include vision screening report forms used in other states or countries. However, the content and requirements of such forms may differ, as each jurisdiction may have specific standards for vision requirements in the driver's license application process.