Indiana drivers who need a bioptic telescopic lens to drive start with this certificate. A low vision specialist evaluates the applicant against the BMV's bioptic standards, completes the certificate and refers the applicant to a BMV-approved bioptic rehabilitation program. After training, the rehabilitation center notifies the BMV and the applicant takes the BMV driving skills test.
An optometrist or ophthalmologist, acting as the low vision specialist, completes the vision certification.
Download the current version from the source each time; forms change without notice.
Certificate of Vision for Bioptic Drivers
If your copy of the form is a fillable PDF, upload it once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.
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Vision no poorer than 20/200 with best ordinary spectacle correction, at least 20/40 through a bioptic telescope of up to 4X magnification, full peripheral fields of at least 120 degrees, recognition of red, green and yellow signals, and adequate cognitive and perceptual skills.
The low vision specialist refers the applicant to a BMV-approved bioptic rehabilitation program for an initial assessment. When training is finished, the center notifies the BMV, the file goes to the Senior Driver Examiner, and the applicant takes the BMV driving skills test.