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Get the free VISION FORM TO: - www ksrevenue

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PLEASE RETURN COMPLETED VISION FORM TO:PH: Telephone: (785) 3688971 FAX: FAX: (785) 2965857STATE OF KANSAS DIRECTOR OF VEHICLES MEDICAL/VISION UNIT 915 HARRISON STREET PO BOX 2188 TOPEKA KS 666012188
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- Individuals with visual impairments or eye conditions seeking assistance or support
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The Vision Form is used to report information related to vision and eye health.
Vision care providers and individuals with vision impairments are required to file Vision Form.
To fill out the Vision Form, individuals must provide information related to their vision health and any treatments received.
The purpose of the Vision Form is to gather data on vision impairment and eye health to monitor trends and improve healthcare services.
Information such as visual acuity, eye conditions, and treatments received must be reported on Vision Form.
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