Form DL-043A template
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Vision Screening Form
This document outlines the results of a vision screening for Maryland driver's license applicants, detailing their visual acuity with and without corrective lenses, field of vision, color vision capabilities, and compliance with MVA's vision requirements. The form includes sections for both drivers and patients, with fields for full names, Maryland driver's license numbers, and results of both MVA and ophthalmologist/optometrist examinations.
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