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Get and Sign Vision Test for Driver's License 2018-2022 Form

Get and Sign Vision Test for Driver's License 2018-2022 Form

Use a driver vision test 2018 template to make your document workflow more streamlined.

LICENSED PHYSICIAN AUTHORIZED TO PRACTICE UNDER CHAPTER 458 459 OR 463 FLORIDA STATUTES OR A LICENSED PHYSICIAN AT A FEDERALLY ESTABLISHED VETERANS HOSPITAL AND CERTIFY THAT I HAVE PERSONALLY EXAMINED THE EYES OF Patient s Name Date of Birth AND THAT A TRUE RECORD OF THIS EXAMINATION APPEARS ON THE FORM BELOW AND THAT SAID PATIENT SIGNED ABOVE IN MY PRESENCE* Physician s License Signature of Physician Date of Exam Business Address Telephone NOTE The Report of Eye Exam HSMV 72010 must be used if...
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