Connecticut dmv medical 2025

1. Click ‘Get Form’ to open the Connecticut DMV Medical form in the editor.
2. Begin with Section (A) by entering your personal information, including your name, mailing address, date of birth, operator's license number, and phone number. Ensure all details are accurate.
3. Sign and date the authorization statement at the bottom of Section (A), confirming that you allow your medical examiner to conduct an examination and submit necessary records.
4. Move to Section (B) where your medical examiner will fill out clinical information. This includes examination dates and any conditions affecting your ability to drive safely. Make sure they complete all subsections based on their findings.
5. In Section (C), your medical examiner will provide condition-specific information. They should detail any known conditions and medications that may impact driving safety. Ensure they sign and date this section as well.

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