CO DoR DR 2401 2020 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 the Colorado DMV eye exam:

1. Begin by scheduling an appointment at your local Colorado DMV office.
2. On the day of the appointment, arrive at the DMV office and check in with the staff.
3. Inform them that you would like to take the Colorado DMV eye exam.
4. The staff will guide you to the designated area for the eye exam.
5. Sit in front of the eye exam machine and follow the instructions provided by the staff.
6. Typically, you will be asked to read lines of letters or numbers displayed on a screen.
7. Adjust the focus of the exam machine as necessary to see the letters or numbers clearly.
8. Continue reading the lines until the staff determines that you have completed the exam.
9. If you pass the eye exam, the staff will provide you with the necessary documentation or instructions to proceed with your DMV requirements.
10. If you do not pass the eye exam, you may be required to visit an eye care professional and obtain corrective eyewear or treatment.
11. After completing the necessary steps, you will be able to continue with your DMV application or requirements.

Who needs the Colorado DMV eye exam:

1. Individuals who wish to obtain or renew their driver's license in the state of Colorado.
2. Individuals who are applying for a commercial driver's license (CDL) in Colorado.
3. People who have had a change in their vision and need to update their driver's license status.
4. Those who have had their driver's license suspended due to vision-related issues and need to reinstate it.

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

Instructions and Help about colorado dmv eye test chart 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.

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What is colorado dmv eye exam?

The Colorado DMV eye exam is a vision screening test that is administered by a DMV-approved vision specialist. The test evaluates a person's visual acuity, peripheral vision, and depth perception. The exam is typically conducted at the DMV office when a person applies for or renews their driver's license.

What information must be reported on colorado dmv eye exam?

The Colorado DMV requires that eye exam results include the following: -Your visual acuity score -Your peripheral vision score -Whether or not you are able to distinguish colors correctly -Your near-vision measurement -The results of any additional tests conducted by the examiner

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

The Colorado DMV does not assess any penalty for late filing of a DMV eye exam. However, it is highly recommended to renew your license on time to avoid any potential problems with the DMV or law enforcement.

Who is required to file colorado dmv eye exam?

In Colorado, individuals who are applying for a new driver's license or renewing an existing license are required to file a DMV (Department of Motor Vehicles) eye exam. This ensures that they meet the minimum visual acuity standards set by the state for driving. Additionally, individuals with certain medical conditions or vision impairments may also be required to file a DMV eye exam when renewing their license.

How to fill out colorado dmv eye exam?

To fill out the Colorado DMV eye exam, follow these steps: 1. Obtain the DMV eye exam form: Request the eye exam form from your local Colorado DMV office. You may also be able to download and print the form from the Colorado DMV website. 2. Schedule an eye exam: Make an appointment with an optometrist or ophthalmologist to have your eyes examined. Ensure that the eye exam is conducted by a licensed eye care professional who can fill out the form. 3. Attend the eye exam: On the day of your appointment, bring the eye exam form with you. The eye care professional will conduct various tests to assess your vision, such as reading an eye chart and determining your visual acuity. 4. Vision test results: Once the examination is complete, the eye care professional will provide you with the results. They will fill out the necessary information on the eye exam form, including your visual acuity measurements and any corrective lenses required, if applicable. 5. Review the form: Go through the form to ensure all the information provided by the eye care professional is accurate and complete. Make sure your personal information, such as your name and identification number, is correctly entered. 6. Submit the form: Take the completed eye exam form to your local Colorado DMV office. They will update your records with the information from the eye exam and use it to determine if you meet the vision requirements for obtaining or renewing a driver's license. Note: It's always a good idea to check the Colorado DMV website or contact your local office for specific instructions and any additional requirements for your eye exam form.

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 and determine if they meet the minimum vision requirements for obtaining or renewing a driver's license in the state of Colorado. The exam helps ensure that drivers have adequate vision to operate a motor vehicle safely on the roads.

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