Content of vision report

The vision report required by Section 14-45a-2 shall be on a form or in a format as required by the commissioner, and contain the following information: (a) The person's name and address; and (b) The date of the examination; and (c) The name, address, license number and signature of the doctor of medicine, opthalmologist or optometrist; and (d) The best corrected visual acuity; and (e) The extent of the horizontal visual field; and (f) The presence of any medically induced blind spots; and (g) The need for glasses or contact lenses; and (h) A statement as to whether or not the operator has a vision condition which is deteriorating including a diagnosis and prognosis; and (i) A recommendation for the commissioner's consideration relating to a vision examination or visual screening on a regular basis; and (j) If the report is submitted by an optometrist, whether or not the person has been referred to the appropriate physician because of a detected or suspected medical condition.