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Click ‘Get Form’ to open the MV3644 in the editor.
Begin by entering your personal information in the 'APPLICANT' section, including your name, operator license number, address, birth date, and contact details.
Select the appropriate license type from the options provided. This is crucial for determining your eligibility.
In the 'HEALTH CARE PROFESSIONAL' section, ensure that all relevant health information is filled out accurately. This includes diagnoses, medications, and any medical conditions that may affect driving ability.
Complete sections A through G as applicable. Each section addresses different health aspects; make sure to provide detailed responses where required.
Finally, have the health care professional sign and date the form in Section G to validate your submission.
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For which of the following reasons may your license be suspended or revoked?
Reasons for Suspended and Revoked Licenses Driving without valid insurance. Drug and alcohol-related driving offenses. Non-payment of traffic fines. Other unpaid fees or fines.
What medical condition keeps you from driving?
Some neurological conditions, including Parkinsons disease and multiple sclerosis, can affect your nervous system and driving abilities. Strokes and transient ischemic attacks (TIAs) can also affect your ability to operate a motor vehicle.
Can you drive in Wisconsin after having a seizure?
Medical conditions can cause symptoms that interfere with a persons functional ability to drive safely. Examples of such symptoms include: Seizure (per state statute: a driver who has a seizure cannot operate a motor vehicle until they are minimally 90 days past the date of the episode)
What is MV2488 form wisconsin?
The Division of Motor Vehicles also provides a Statement of Vehicle Transfer (MV2488) for this purpose. Completing this DMV form will help eliminate your liability if the new owner fails to properly register the vehicle. These forms are available at DMV Service Centers and at our department.
Can a doctor restrict your license?
While a doctor cannot revoke your drivers license on their own, their report of a medical condition can set the revocation process in motion.
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A person cannot drive for 3 months after any episode of altered consciousness or loss of bodily control caused by a neurological condition, and there are no exceptions to this rule.
Can a doctor take away a drivers license in Wisconsin?
In Wisconsin, a driver license can only be immediately cancelled when a medical professional (MD, DO, PA-C, or APNP) reports or supplies information to the DMV indicating that a driver is unsafe to drive.
Related links
Wis. Admin. Code Department of Transportation Trans 112.01
MV 3644 Medical Examination Report. A sample copy of these forms may be obtained, free of charge, from the Wisconsin Department of Transportation, Bureau of
MV3644 - 2 4/2023. Driver License Number: SECTION B MENTAL/EMOTIONAL. YES NO. 1. Mental/emotional disorder? If yes, What diagnosis? 2. Has the person been
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