Fep1 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Part A: About You. Fill in your title, surname, first name(s), date of birth, driver number (if known), address, telephone numbers, and email using BLOCK CAPITAL letters and BLACK INK.
3. Proceed to Part B: About Your GP and Your Consultant. Enter your GP’s name and address, consultant's details, dates last seen by both, and their email addresses if known.
4. In Part C, provide information about other clinics you are attending. Include the clinic name, department, reason for attendance, and relevant dates.
5. Complete the questionnaire sections regarding your medical history related to driving fitness. Answer all questions accurately based on your condition.
6. Finally, sign the declaration section confirming the accuracy of your information before submitting the form through our platform.

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