CO DoR DR 2401 2017 free printable template

DR 2401 06/20/17 COLORADO DEPARTMENT OF REVENUE Division of Motor Vehicles P. O. Box 173350 Denver CO 80217-3350 Confidential Medical / Eye Examination Report For confidential use of the DMV in making decisions on the individual s Named Below qualifications as a driver. This opinion shall only be divulged to the applicant or driver or in a trial or proceeding concerning the individual s qualifications to receive or retain a driver s license. C. R*S* 42-2-111 and 42-2-112 Date Office Office...

How to fill out colorado dmv eye exam

How to fill out colorado dmv eye exam:

1. Visit the Colorado DMV website and locate the eye exam form.
2. Download and print the form or request a copy from your local DMV office.
3. Fill out your personal information, such as your name, address, and date of birth.
4. Complete the section regarding your visual acuity, which typically requires you to read a series of letters or numbers from a specific distance.
5. Enter any additional information requested, such as whether you wear corrective lenses or have any visual impairments.
6. Review the completed form to ensure accuracy and legibility.
7. Sign and date the form to verify your answers.
8. Submit the form to the Colorado DMV either in person or by mail, following their specific instructions.

Who needs colorado dmv eye exam:

1. Individuals applying for a driver's license in Colorado need to take the DMV eye exam.
2. Current drivers who are renewing their license may also be required to undergo an eye exam.
3. Individuals with medical conditions or visual impairments that may affect their ability to drive safely might be subject to a DMV eye exam as well.

Video instructions and help with filling out and completing colorado dmv eye exam form

Instructions and Help about colorado dr 2401 form

Hi my name is Dr Jeffrey GAZA I'm a certified medical exam Worth with the Department of Transportation I've been doing DoD physicals for about 23 years in Brighton Colorado and I want to put this video together real quick to talk about some disqualifying conditions specifically hearing and vision on this clip hearing and vision is often a reason why people feel fairly exams I wanted to talk about that with respect to hearing the examiner will be examining you in a city usually in a sitting position you will need to precede a force whisper on both ears of greater than or equal to five feet, so the examiner will be on one side of you with your opposite you're covered and will whisper something like a teen, and you will need to pick up on that number and report back to the examiner if you fail that in one of both years you need to you will need to do an audit metric potential to do an audit metric study which is with the headphones and if the headphones are used you need not having average dust philosophy of 40 decibels or greater with or without a hearing aid so if the hearing it is used you — for testing you must always use a hearing aid when you're also driving but if a hearing it is used there's special testing that needs to be done, and you need to know that because it often saves a lot of time if you can get that the audiometric evaluation done at a facility that has the special equipment to do that so if you suspect that you have an any hearing of problems at all with a hearing aid make sure you get that study done before you come in through your evaluation with the proper with appropriate paperwork make sure also that you have clean ears in that you should more specifically check the left ear the left ear is closer to the drivers window oftentimes there's a lot of wax that builds up more than left women right here sometimes and a lot of wax builds up there we need to see the tympanic membrane or inside the ear with wax build up we can't see that so that will save time as well you can get those cleaned out at your doctor's office or in my facility we do that, but you can use your own wax removal kit too to make sure the ears are clean with respect to vision you need to have a 20 40 in each eye with or without glasses on the Isabella chart that's the typical chart you find in your doctor's office, and it needs to be 20 40 if your vision is corrected in both eyes you need to have both honest at a 20 over 40 to 20 over 40 is the magic number also the examiner will be examining the field of vision the horizontal field of gauge gaze that is at 70 degrees no less than 70 degrees in both eyes you'll need to distinguish between red green and amber and color wheel its pretty simple test that most people do quite well with you need to have if you have a corrected vision in one or both eyes with a contact lens that's called monocular vision and that will not get you through the examination, so again that's just for having one contact in one eye to...

People Also Ask about colorado dmv eye exam form

What 5 procedures are in an eye exam?

Tests During Your Eye Exam Visual Acuity. This test measures the sharpness of your vision using an eye chart projected onto the wall. Visual Field. Pupillary Reactions. Cover Test. Alignment. Retinoscopy. Refraction.

What documents do I need to renew my Licence?

To apply in person at an NDLS centre you will need the following: Your current or most recent driving licence. Proof of your personal public services number (PPSN). Fully completed medical report form dated within one month, if required in your case.

What documents do I need to renew my drivers license in Colorado?

You'll need to do the following: Bring your expired license or permit. Know your Social Security number (it's a good idea to bring your Social Security card). Provide proof of your current residential address. Pay the Colorado license renewal fee of $21.00.

What do you need to bring to the Colorado DMV for a license?

What do I need to bring to the driver license office? Valid Colorado instruction permit. Your Social Security number. Proof of current physical Colorado address documents. Applicable fee.

Does Colorado DMV do eye exams?

The DMV's eye screening is basic and does not take the place of a professional evaluation, should one be required. Vision in either or both eyes must be at least the established minimum of 20/40.

Do I need an eye exam to renew my Colorado driver's license?

What do I need to renew my driver license or ID card online? Coloradans who are between 21 and 80 must attest that they have had an eye examination within one year before the renewal, if renewing electronically.

For pdfFiller’s FAQs

What is colorado dmv eye exam?

The Colorado DMV (Department of Motor Vehicles) eye exam is a test conducted by the DMV to assess an individual's visual acuity and peripheral vision. This exam is part of the requirements for obtaining a driver's license or renewing an existing license in the state of Colorado. The DMV typically uses a Snellen chart or a similar visual acuity test, where individuals are asked to read letters or numbers from a specific distance. The purpose of the eye exam is to ensure that drivers have adequate vision to safely operate a motor vehicle.

Who is required to file colorado dmv eye exam?

In the state of Colorado, all new applicants for a driver's license or identification card, as well as individuals renewing their license or ID who are 65 years of age or older, are required to take a vision test. This test is administered by the Colorado Division of Motor Vehicles (DMV).

How to fill out colorado dmv eye exam?

To fill out the Colorado DMV eye exam, follow these steps: 1. Download and print the Colorado DMV eye exam form from the official DMV website. You can find it under the Driver's License Forms section. 2. Read the instructions provided on the form carefully to understand the requirements and how to complete it. 3. Locate a qualified eye care provider, such as an optometrist or ophthalmologist, to perform the eye exam. Make sure they are licensed to practice in Colorado. 4. Schedule an appointment with the eye care provider for the eye exam. 5. Visit the eye care provider and bring the eye exam form with you. 6. The eye care provider will conduct various tests, such as visual acuity tests, peripheral vision tests, and color vision tests, to assess your vision. 7. Based on the results of the tests, the eye care provider will complete the necessary sections of the eye exam form. This may include recording your visual acuity measurements, any corrective lenses required, and their contact information. 8. Review the completed form for accuracy and make sure all required sections are filled out. 9. Sign the form, certifying that the information provided is true and accurate. 10. Submit the completed eye exam form to the Colorado DMV. You can typically mail it or bring it in person to your local DMV office. Check the instructions or contact the DMV directly to confirm the submission process. It is important to note that the requirements and procedures for the eye exam may vary between states, so it's always best to refer to the specific instructions provided by your state's DMV.

What is the purpose of colorado dmv eye exam?

The purpose of the Colorado DMV (Department of Motor Vehicles) eye exam is to assess an individual's visual acuity, peripheral vision, and depth perception. This test ensures that drivers possess adequate vision to operate a vehicle safely on the road. By measuring the clarity and sharpness of their vision, the Colorado DMV can determine if a person meets the visual requirements needed for a driver's license. This helps to promote road safety by ensuring that drivers have sufficient vision capabilities while operating a vehicle.

What information must be reported on colorado dmv eye exam?

The information that must be reported on a Colorado DMV eye exam typically includes: 1. Visual acuity: The visual acuity is measured using a Snellen chart, and the results of the examination must be reported. This may include the ability to read letters or numbers at a certain distance. 2. Field of vision: The examiner may conduct a test to determine the extent of the individual's field of vision, and the results of this test should be reported. 3. Depth perception: Depth perception helps determine the ability to perceive the relative distance of objects. This may be assessed as part of the eye exam, and the findings should be included in the report. 4. Color vision: Color vision deficiency or color blindness may be assessed during the eye exam, and the results (such as the ability to differentiate between certain colors) should be reported. 5. Prescription lenses: If the individual requires corrective eyewear, the prescription details, such as the strength of the lenses needed, should be reported. This information helps determine if the individual is eligible for a driver's license with or without corrective lenses. It is important to note that specific reporting requirements may vary, so it is advisable to consult the guidelines provided by the Colorado DMV or the relevant licensing agency for accurate and up-to-date information.

What is the penalty for the late filing of colorado dmv eye exam?

There is no specific penalty listed for the late filing of a Colorado DMV eye exam. However, if you fail to submit the required eye exam within the specified timeframe, your driver's license may be suspended or not renewed until the exam is completed and submitted. It is important to comply with all DMV requirements and deadlines to avoid any inconvenience or potential penalties. It is recommended to contact the Colorado DMV directly for more accurate and up-to-date information regarding this matter.

How do I edit colorado dmv eye exam form straight from my smartphone?

You may do so effortlessly with pdfFiller's iOS and Android apps, which are available in the Apple Store and Google Play Store, respectively. You may also obtain the program from our website: https://edit-pdf-ios-android.pdffiller.com/. Open the application, sign in, and begin editing colorado drivers license form for eye exam right away.

Can I edit dr2401 on an iOS device?

You can. Using the pdfFiller iOS app, you can edit, distribute, and sign dr 2401 colorado form. Install it in seconds at the Apple Store. The app is free, but you must register to buy a subscription or start a free trial.

How do I fill out colorado dmv dr 2401 on an Android device?

Use the pdfFiller mobile app to complete your eye exam report form colorado department revenue on an Android device. The application makes it possible to perform all needed document management manipulations, like adding, editing, and removing text, signing, annotating, and more. All you need is your smartphone and an internet connection.