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- Click ‘Get Form’ to open the medical report 2013 form in the editor.
- Begin with SECTION I, where you will enter your personal information. Fill in your name, driver's license number, address, date of birth, and gender. Ensure all fields are completed accurately.
- Sign the Agreement/Release of Information section to authorize your physician to share necessary medical details with the Secretary of State.
- Move to SECTION II for the medical professional's input. This section must be filled out by an MD/DO or qualified medical professional. They will assess your fitness to drive and complete various health condition questions.
- In SECTION III, if applicable, the medical professional will evaluate any mental health disorders and provide necessary details regarding medications and conditions.
- Complete any additional information in SECTION IV as required by your healthcare provider.
- Finally, ensure that the medical provider signs and dates the form in SECTION V before submitting it.
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