Form BMV 6317 template
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Vision Screening Referral
The document is a form issued by the Ohio Department of Public Safety's Bureau of Motor Vehicles (BMV) to individuals who did not pass the preliminary vision screening for renewing their driver license. The recipients are required to undergo further vision testing at a driver license exam station or with a licensed ophthalmologist or optometrist and return the completed form within 30 days. The form includes spaces for reporting visual acuity without and with lenses, visual field results, and certification by the vision specialist.
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