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VISUAL ACUITY RECORD 8669 NW 36 St, # 130 Miami, FL 331666672 (800) 4439353 or (305) 4439353, ext. 273 Last name Certification # (if applicable) First name Member # (if applicable) Is scheduled to
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How to fill out visual acuity record
How to fill out a visual acuity record:
01
Start by recording the date of the visual acuity test at the top of the record.
02
Indicate the patient's name and any other relevant identification information, such as age or date of birth.
03
Write down the type of visual acuity test used, whether it is Snellen, E-chart, or any other method.
04
Record the distance between the patient and the eye chart, as this can affect the results. Common distances are 6 meters or 20 feet.
05
Note the patient's unaided vision, meaning their visual acuity without wearing corrective lenses.
06
If the patient wears glasses or contact lenses, document their corrected visual acuity by having them wear their prescribed lenses during the test.
07
Use the chart or chart projector to evaluate the patient's visual acuity for each eye separately. This is usually done by asking the patient to identify letters or symbols of varying sizes.
08
Record the patient's visual acuity for each eye in the appropriate columns of the visual acuity record.
09
If the patient requires different correction for distance and near vision, document the near visual acuity separately.
10
Finally, document any additional notes or observations that may be relevant to the visual acuity test.
Who needs a visual acuity record:
01
Optometrists or ophthalmologists use visual acuity records to assess a patient's visual acuity and determine their prescription for corrective lenses.
02
Patients who have vision problems or are experiencing changes in their visual acuity may need a visual acuity record to monitor their eye health and track any improvements or deterioration in their vision.
03
Visual acuity records may also be necessary for legal or occupational requirements, such as obtaining a driver's license or fulfilling job criteria for certain professions that require good vision.
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What is visual acuity record?
Visual acuity record is a documentation of an individual's ability to see clearly and identify letters or symbols at a specified distance.
Who is required to file visual acuity record?
Commercial drivers are required to file visual acuity record as part of their medical examination for a commercial driver's license.
How to fill out visual acuity record?
Visual acuity record can be filled out by a qualified medical professional during a comprehensive eye examination.
What is the purpose of visual acuity record?
The purpose of visual acuity record is to ensure that commercial drivers have adequate vision to safely operate a motor vehicle.
What information must be reported on visual acuity record?
Visual acuity record must include details of the individual's visual acuity measurements, any corrective lenses used, and the date of examination.
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