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Specifies validity for 12 months, states the form becomes void if altered, and lists minimum visual acuity standards with and without corrective lenses. Includes structured sections for driving restrictions, permanent sight impairment, and recommended recheck intervals. Requires completion by a licensed eye care professional, including certifications that screening meets acuity standards without telescopic attachments and that the applicant’s responses and signature were recorded in the professional’s presence.",{"@graph":69,"@context":122},[70,84,105],{"@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":20,"@type":76,"position":81},"https://docshare.wps.com/document/exam/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/south-carolina-dmv-vision-screening-form-eye-care-professional-section/435021/",{"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/south-carolina-dmv-vision-screening-form-eye-care-professional-section/435021.png","ImageObject",300,407,{"name":92,"@type":93},"Olivia Brown","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-21","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"How long is the vision screening form valid?","Question",{"text":112,"@type":113},"The form is valid for 12 months from the date of vision screening.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What minimum vision acuity standards must applicants meet?",{"text":117,"@type":113},"Applicants must meet the DMV minimum visual acuity requirements for a non-commercial license, including criteria such as 20/70 or better in at least one eye and specific conditions when one eye is worse than 20/200.",{"name":119,"@type":110,"acceptedAnswer":120},"Who must complete and sign the form?",{"text":121,"@type":113},"A licensed eye care professional must complete the professional section, answer the questions, and certify that the applicant met the standards and signed in the professional’s presence. 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Is a corrective lens, such as a conventional type spectacle or a contact lens, needed to operate a motor vehicle?   ..........  Yes  No  \n2. Is the applicant’s vision worse than 20/200 in one eye? ................................................ ....................... . ................................. ....  Yes  No  \n3. Should the applicant be restricted to daylight driving only?   ........................................................... ................    Yes  No  \nSECTION B – PERMANENT SIGHT IMPAIRMENT  \n4. a) Does the applicant have a permanent sight impairment? ................................................................................ .......................  Yes  No  \nb) If yes, which eye?    Right  Left  \nSECTION C – RECHECK VISUAL FITNESS  \n5. Indicate when the applicant’s eyes should be rechecked to determine visual fitness to operate a motor vehicle.  \n in 6 months  in 1 year  in 2 years  in 5 years  Other (Comments)  \nComments:    \nI,   Professional No.   being licensed to practice Printed Name of Licensed Eye Care Professional  \n   in the state of   , certify that I have performed a vision screening of the eyes of the above named person. This is a true record of this screening and the applicant met the visual acuity standards without the use of a telescopic lens or other attachment. I further certify that I have answered all of the questions above and that he or she signed in my presence.  \nSignature of Licensed Eye Care Professional Screening Date Telephone Number  \nBusiness Address City State Zip Code  \nVerify that the applicant is not applying for a CDL.  \nINSTRUCTIONS TO APPLICANT OR DRIVER  \nThe simple eye test given by the Department of Motor Vehicles (DMV) determines if an applicant may have 20/40 vision or better. If unable to pass DMV’s vision screening you must have your eyes screened by an eye care professional to determine if your eyes meet the Department’s vision screening requirements. Therefore, you are being asked to have your eyes screened by an eye care professional to determine if your sight can be improved by glasses or treatments. If glasses will make you a safer driver, your license will permit you to drive only while wearing them.  \nPlease do not ask the Department of Motor Vehicles to recommend an eye care professional as they are forbidden to do so.  \nIf you have any questions about ","cbCaic8WOA85CCsu","https://ap.wps.com/l/cbCaic8WOA85CCsu","pdf",311841,"English","# Vision Screening Form Instructions\n## Eligibility, Validity, and Standards\n## Section A - Driving Restrictions\n## Section B - Permanent Sight Impairment\n## Section C - Recheck Visual Fitness\n# Instructions to Applicant or Driver\n# Explanation for Eye Care Professional\n# Mailing Medical Information","[{\"question\":\"How long is the vision screening form valid?\",\"answer\":\"The form is valid for 12 months from the date of vision screening.\"},{\"question\":\"What minimum vision acuity standards must applicants meet?\",\"answer\":\"Applicants must meet the DMV minimum visual acuity requirements for a non-commercial license, including criteria such as 20/70 or better in at least one eye and specific conditions when one eye is worse than 20/200.\"},{\"question\":\"Who must complete and sign the form?\",\"answer\":\"A licensed eye care professional must complete the professional section, answer the questions, and certify that the applicant met the standards and signed in the professional’s presence. No recommendations are provided by DMV personnel.\"}]","South Carolina DMV Vision Screening Form - Eye Care Professional Section | PDF",1790671473]