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Dmv health questionnaire 2025

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The document is a Health Questionnaire form from the California Department of Motor Vehicles (DMV) that applicants must complete to assess their medical qualifications for obtaining or renewing a driver's license. It includes a series of health-related questions regarding vision, hearing, physical impairments, diabetes, cardiovascular issues, respiratory conditions, mental health, substance use, and alcoholism. Applicants are required to answer 'yes' or 'no' and provide explanations for any affirmative responses. The form must be submitted every two years.

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Click ‘Get Form’ to open the DMV Health Questionnaire in our editor.
Begin by entering your personal information in the 'PLEASE TELL US ABOUT YOURSELF' section. Fill in your full name, address, date of birth, driver license number, and daytime phone number.
Proceed to the 'HEALTH QUESTIONS' section. For each question, check either 'YES' or 'NO'. If you answer 'YES' to any question, provide additional details in the space provided at the bottom of the form.
If applicable, include your physician's name, date of last visit, office address, and phone number. Ensure all fields are completed accurately.
Finally, review your responses for accuracy and sign the document. Save your changes before submitting it as required by the DMV.

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Versions	Form popularity	Fillable & printable
2016	4.6 Satisfied (34 Votes)
2011	4 Satisfied (30 Votes)

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How to get a Maryland driving record?

You can request your driving record online, pay the required fee using either American Express, Discover Card, MasterCard, Mobile Wallet Pay, Visa, or an electronic check and it will be mailed to the address on record at the MVA or you can download and print the record online, or.

How do I get a copy of my driving record in Maryland?

You can fill out an MVA Request for Record (form #DR-057) at any MVA branch office when you present valid identification and pay the required fee, or.

Where can I get a Maryland drivers handbook?

Please study the Maryland Drivers Manual and practice with the Maryland Online Driver Test Tutorial to prepare for the knowledge test before coming in to the MVA to apply for your learners permit. The manual can be downloaded or pick up a copy at any MVA branch office (subject to availability).

What information is contained on your Maryland driving record?

What information shows up on Maryland driving records? Drivers license status and class, motor vehicle violation history, accident history, and DUI history are generally the types of information that show up on Maryland driving records.

How much does it cost to get your driving record in Maryland?

The fee for obtaining your record is $15 for a certified copy or $12 for a non-certified copy.

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Can you drive in Maryland after a stroke?

In some states, it is illegal to drive after a stroke without your doctors consent. Maryland law, for example, requires drivers to self-report medical conditions such as traumatic brain injury and stroke.

How do I remove restrictions from my Maryland drivers license?

How can I have my driving restriction removed? You may inquire about removing a restriction in person or by mail to the MVA division or branch office that imposed the restriction.

Who reports seizures to DMV in Maryland?

Maryland law requires drivers to report any medical condition affecting their ability to safely operate a vehicle to the Maryland Department of Transportation Motor Vehicle Administration (MDOT MVA).

Dmv health questionnaire 2025

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Got questions?

How to get a Maryland driving record?

How do I get a copy of my driving record in Maryland?

Where can I get a Maryland drivers handbook?

What information is contained on your Maryland driving record?

How much does it cost to get your driving record in Maryland?

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People also ask

Can you drive in Maryland after a stroke?

How do I remove restrictions from my Maryland drivers license?

Who reports seizures to DMV in Maryland?

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