Va Dmv Med 4 Form - Web a vision screening report (med 4) that has been signed by an ophthalmologist or optometrist within the last three months. Web customer vision report med 4 (08/25/2010) visual requirements must be met without the aid of a telescopic lens. Web while at the appointment, the customer provides all paperwork received from the dmv (including all letters received from. Use this form to request medical information from your physician, physician assistant or nurse practitioner. Disabled parking placard med 10 (07/01/2020) or license plates application persons with disabilities. Web use this form to request the department of motor vehicles (dmv) to conduct a medical review of a licensed driver. Complete the customer information section and have your ophthalmologist/optometrist complete. If you would like to have your vision tested by your doctor, have failed the vision test at dmv, are on.
Web a vision screening report (med 4) that has been signed by an ophthalmologist or optometrist within the last three months. Web customer vision report med 4 (08/25/2010) visual requirements must be met without the aid of a telescopic lens. If you would like to have your vision tested by your doctor, have failed the vision test at dmv, are on. Use this form to request medical information from your physician, physician assistant or nurse practitioner. Complete the customer information section and have your ophthalmologist/optometrist complete. Disabled parking placard med 10 (07/01/2020) or license plates application persons with disabilities. Web while at the appointment, the customer provides all paperwork received from the dmv (including all letters received from. Web use this form to request the department of motor vehicles (dmv) to conduct a medical review of a licensed driver.