Form DL-102BD Pennsylvania

Bioptic Lens Vision Examination

This form is for an optometrist or ophthalmologist to complete before prescribing a bioptic telescopic lens. The following are requirements the patient must meet: - Visual acuity: at least 20/200 in best corrected eye - Field of vision: at least 120° in horizontal meridian - Color vision: sufficient for traffic signals and road signs - Telescope correction: no greater than 6X, firmly fixed or permanently attached to glasses - Bioptic telescope mounting: left, right, or both lenses - Power of telescope: specified - Possession of prescription lens: minimum three months - Date of prescription: provided The healthcare provider's information is also required: - Name and specialty - License number - Street address, city, state, zip code - Telephone and fax numbers

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Driving License Application Forms

In most countries, it's mandatory to have a driving license before you can hit the road. Getting a driving license is an important milestone for anyone who wants to drive a car.

Form DL-102BD is one of Driving License Application forms that are documents used to gather information from people who want to apply for a driving license. It usually contains fields for the applicant's name, date of birth, ID number, contact information, as well as their driver's license history and experience.

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