DR 2401 Confidential Medical Examination Report If you are using a screen reader or other assistive -2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with the Driver/Patient Section. Fill in your Name, Address, Customer Identification Number (if known), and Date of Birth. Ensure all fields are completed accurately.
3. Sign the Driver/Patient section to confirm your understanding of the medical examination process.
4. Proceed to the Physician/Ophthalmologist section. This part must be filled out by a qualified medical professional. They will assess your fitness to operate a vehicle.
5. The physician should complete all required fields, including selecting one fitness to operate option and signing the form. Remember, alterations may invalidate the report.
6. Ensure that the examination date is valid within 180 days from submission and that all necessary observations are documented.

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