Form 1528-2025

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4.8 out of 5

130 votes

The document is a Physician's Statement form (Form 1528) from the Missouri Department of Revenue, intended for evaluating a patient's fitness to operate a motor vehicle. It includes sections for patient information, medical history, and physician assessments regarding various health conditions that may affect driving ability. The form requires the physician to determine if the patient is capable of driving safely and responsibly, and it allows for recommendations on restrictions or further evaluations if necessary.

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Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (130 Votes)
2012	4.4 Satisfied (288 Votes)

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