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Click ‘Get Form’ to open the il driving physical form in the editor.
Begin by entering your name in the 'Instructor/Applicant Name' field at the top of the form.
In the section regarding medical history, provide details about any history of Epilepsy, Heart Disease, or Fainting Spells as required.
Fill out the vital signs fields including Heart Rate, Blood Pressure, and Pulse Rate. Ensure accuracy for each measurement.
Indicate whether you have normal use of both arms, hands, legs, feet, and eyes by answering 'yes' or 'no' and providing additional remarks if necessary.
Complete the hearing assessment section by selecting your hearing results and acuity readings with and without glasses.
Sign in the presence of your examining physician where indicated. The physician will also need to sign and date the form.
Once completed, save your document and follow instructions to mail it to the Office of the Secretary of State.
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