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 of last contact with both, and any known NHS numbers or email addresses.
4. In Part C, provide information about other clinics you are attending by listing the clinic names, departments, reasons for attendance, and dates last seen.
5. Complete the questionnaire regarding your medical fitness to drive by answering all relevant questions accurately. Ensure you provide detailed information where required.
6. Finally, read and sign the Applicant’s Declaration section to confirm that all provided information is true and that you agree to abide by the statements listed.

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