Form dl 129 2026

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The document is a Loss of Consciousness and/or Awareness Form used by the Bureau of Driver Licensing in Pennsylvania. It requires healthcare providers to provide detailed patient information, including medical history related to loss of consciousness or awareness, diagnostic tests performed, and treatment details. The form aims to assess whether a patient's medical condition may impair their ability to drive safely.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the patient information. Fill in the driver's license number, height, sex, last name, first name, eye color, date of birth, telephone number, and email if applicable.
Complete the street address section accurately. Remember that a P.O. Box can be included but cannot be the only address provided.
In the medical history section, detail how long you have been treating the patient and list any diagnosed diseases or conditions.
Answer questions regarding episodes of loss of consciousness or awareness. Provide dates for any episodes and describe diagnostic tests performed along with their results.
Indicate whether the patient is on medication and if it affects their ability to drive safely. Provide additional details as necessary.
Finally, fill in your health care provider information including your name, specialty, license number, address, and contact details before signing and dating the form.

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2012	4.8 Satisfied (266 Votes)

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Is it secure to sign my pa dl 129 electronically?

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How do you edit dl 121 form on iOS?

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What to expect when my medical condition has been reported to PennDOT?

PennDOT will review the information it has received and may contact you to obtain further information. Based on all the information submitted, PennDOT makes the decision to place restrictions on the persons driving, recall the license, ask the person to complete a drivers examination or no action may be taken.

Can you get your license when you have seizures?

Every state regulates drivers license eligibility of persons with certain medical conditions. The most common requirement for people with epilepsy is that they be seizure free for a specific period of time and submit a physicians evaluation of their ability to drive safely.

Do doctors report seizures to DMV PA?

83.4(a) states that a person who has a seizure disorder will not be qualified to drive unless a licensed physician reports that the person has been free from seizure for at least 6 months immediately preceding, with or without medication.

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How long after a seizure can you drive in Pennsylvania?

Seizure Disorder/Epilepsy 83.4(a) states that a person who has a seizure disorder will not be qualified to drive unless a licensed physician reports that the person has been free from seizure for at least 6 months immediately preceding, with or without medication.