[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-442055-105":59,"doc-detail-442055-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","report-of-eye-examination-florida-driver-license","Report of Eye Examination - Florida Driver License","","Florida Department of Highway Safety and Motor Vehicles eye examination report authorizes an optometrist or ophthalmologist to conduct a vision test and submit examination results and recommendations to the Division of Motorist Services. The form includes patient identification, eye specialist certification, examination date, corrective lens issuance, and a vision table for distant vision. It also contains attention and instructions for applicants and eye specialists, plus Florida minimum visual standards, licensing thresholds, visual field requirements, and guidance on corrective lenses, restrictions, and rechecks.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/report-of-eye-examination-florida-driver-license/442055/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/report-of-eye-examination-florida-driver-license/442055.png","ImageObject",300,407,{"name":92,"@type":93},"Aran","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"Who is authorized to perform the eye examination on the applicant’s behalf?","Question",{"text":113,"@type":114},"The form authorizes the printed doctor’s full name to give the vision examination and submit the report and recommendations to the Division of Motorist Services.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What distant vision fields and entries are recorded on the form?",{"text":118,"@type":114},"The form records vision uncorrected and vision with best correction for the right eye, left eye, and both eyes in a patient vision table.",{"name":120,"@type":111,"acceptedAnswer":121},"What are the Florida minimum visual standards mentioned in the report?",{"text":122,"@type":114},"The form states standards for referrals and passing ranges (including 20/40, 20/70, and worse thresholds), a minimum acceptable visual field of 130 degrees, and that telescopic lenses are not recognized for meeting visual standards in Florida.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},442055,1790915732,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":81,"preview_page_count":4},137455076865,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES  \nREPORT OF EYE EXAMINATION  \nI hereby authorize (PRINT DOCTOR’S FULL NAME)  to give me this vision examination and to submit this report and recommendations to the Division of Motorist Services.  \nApplicant’s Signature   Florida Driver License Number    \nApplicant’s Address, Street & Number  City and State    \nCERTIFICATION OF EYE SPECIALIST  \nI AM LICENSED TO PRACTICE OPHTHALMOLOGY/OPTOMETRY AND CERTIFY THAT I HAVE PERSONALLY EXAMINED THE EYES OF  \n OPTOMETRIST  \nPrint Patient’s Name   Date ofBirth    OPHTHALMOLOGIST  \nTHAT A TRUE RECORD OF THIS EXAMINATION APPEARS ON THE FORM BELOW, AND THAT SAID APPLICANT SIGNED ABOVE IN MY PRESENCE.  \nExam Date   Signature of Eye Specialist   Physician License Number:   Business Address   Form not valid after (1) year from exam date Telephone    \nDate Corrective Lenses Issued:   Signature of Eye Associate:    \nBusiness Address:    \nTelephone Number:    \nTable 1: Patient Vision  \n\n| DISTANT VISION ONLY | RIGHT EYE | LEFT EYE | BOTH EYES |\n| --- | --- | --- | --- |\n| VISION UNCORRECTED | 20/ | 20/ | 20/ |\n| VISION WITH BEST CORRECTION | 20/ | 20/ | 20/ |\n\nYES NO  \n1.  \n2.  \n3.  \n4.  \n5.  \n6.  \n7.  \n8.  \nWill lenses improve applicant’s acuity? Are they being fitted?   \nIn your opinion, would the wearing of corrective lenses be advisable for driving purposes?  \nIf not, why?   Is there evidence of eye disease or injury that would affect the driving ability? If so, please  \ndescribe:  Can it be compensated for?  In your opinion, should the patient be restricted to “Daylight Driving Only?”  \nDo you recommend that a driver license be denied on visual grounds? If so, upon what grounds?  \nDoes applicant meet the required minimum of 130 degrees of uninterrupted horizontal visual field? If not, a charted field must be submitted. Either a Goldmann kinetic III-4e or equivalent or a Humphrey Esterman program is required. Static automated 30 degree and 60 degree fields are NOT acceptable.  \nShould patient have vision checked more frequently than the driver license renewal period?  \nIf yes, medical reason must be listed:   How often?  On the basis of your clinical observation, visual or otherwise, do you recommend applicant be required to pass a driving test? If yes, please explain:   \n*NOTE: IF THERE IS ANY IMPROVEMENT WITHOUT ADVERSELY AFFECTING THE PATIENT’S CONDITION, CORRECTIVE LENSES MUST  \nBE WORN.  \nATTENTION ALL APPLICANTS  \nALL APPLICANTS WHO FAIL TO MEET MINIMUM VISION REQUIREMENTS MUST TAKE THIS FORM TO THEIR EYE SPECIALIST, AFTER IT IS COMPLETED, THIS FORM MUST BE RETURNED TO THE DRIVER LICENSE EXAMINING OFFICE.  \nINSTRUCTIONS TO THE EYE SPECIALIST  \nAll applicants for licenses and persons being re-examined are given simple vision tests by driver license examiners; but when more accurate measurements are needed, when an improvement in vision would add to safety, or when unusual eye defects are found, the person is asked to visit an eye specialist. A report from such specialist is particularly valuable if the fitness of a driver is questioned in court, or following a crash. In some cases, examinations by more than one specialist are requested as stated in the next paragraph.  \nA difference of more than 20 points between the eye specialist’s readings and the examiner’s readings will warrant referral to a second eye specialist ONLY if that difference results in the applicant not meeting the minimum vision standards for licensing in Florida. No recommendations or suggestions as to which specialist to visit are given by the driver license examiners. Only reports from licensed eye specialists will be acceptable. The eye specialist assumes no responsibility in making this report other than that of representing the facts.  \nFLORIDA MINIMUM VISUAL STANDARDS FOR LICENSING  \nAll drivers are required to have the best possible vision  \nWorse than 20/40…In either eye, with or without corrective lenses, are referred to a licensed eye specialist for pos","cbCaivkYJA5sCRLL","https://ap.wps.com/l/cbCaivkYJA5sCRLL","pdf",158220,"English","# Applicant Authorization\n# Certification of Eye Specialist\n## Table 1: Patient Vision\n# Eye Specialist Instructions\n# Florida Minimum Visual Standards for Licensing","[{\"question\":\"Who is authorized to perform the eye examination on the applicant’s behalf?\",\"answer\":\"The form authorizes the printed doctor’s full name to give the vision examination and submit the report and recommendations to the Division of Motorist Services.\"},{\"question\":\"What distant vision fields and entries are recorded on the form?\",\"answer\":\"The form records vision uncorrected and vision with best correction for the right eye, left eye, and both eyes in a patient vision table.\"},{\"question\":\"What are the Florida minimum visual standards mentioned in the report?\",\"answer\":\"The form states standards for referrals and passing ranges (including 20/40, 20/70, and worse thresholds), a minimum acceptable visual field of 130 degrees, and that telescopic lenses are not recognized for meeting visual standards in Florida.\"}]","Report of Eye Examination - Florida Driver License | PDF",1790698804]