New Mexico's Motor Vehicle Division uses this eye examiner's report when a driver's vision is in question, and whether the person keeps a license depends on what it says. The ophthalmologist or optometrist records acuity, visual fields, diplopia and progressive conditions, then recommends restrictions, testing and a renewal interval. The report becomes part of the driver's record.
The driver fills in the applicant block (name, contact details, Social Security number and New Mexico license number); an ophthalmologist or optometrist completes the physician's report, items 1 to 10, and signs with a license number.
Download the current version from the source each time; forms change without notice.
Vision Report
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Item 9 offers corrective lenses, daylight hours only, or none. Item 8 asks whether, from a medical standpoint only, the patient is capable of safe and competent driving, and a 'no' needs an explanation on the back or a separate sheet. Item 10 then sets the recommended renewal interval or a denial.
Yes. The instructions ask for every applicant item, including the SSN, and state that it is confidential and will not be printed on the driver's license or permit. The applicant block also asks for the New Mexico driver's license number, date of birth and contact details, starting with the last name.
MVD lists three routes: mail to the Driver's Bureau of the Motor Vehicle Division, upload through MVDOnline.com under E-services, Forms, Submit Medical Documentation, or an appointment at the nearest MVD office. Every section must be typed or clearly printed and completed before it goes back.