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Dmv medical evaluation form 2025

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The document is a Driver Medical Evaluation form used by the California Department of Motor Vehicles (DMV) to assess a driver's medical fitness to operate a vehicle. It includes instructions for both the driver and the medical professional, requiring detailed health history, current medical conditions, and evaluations related to various health issues that may affect driving safety. The form emphasizes confidentiality of medical information and outlines the responsibilities of both parties in providing accurate information for licensing decisions.

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Click ‘Get Form’ to open the DMV Medical Evaluation form in our editor.
Begin by filling out Section 1, which requires your personal information such as name, address, and driver license number. Ensure all details are printed legibly.
In Section 1, answer the health history questions honestly. If you answer 'Yes' to any question, provide a detailed explanation in the space provided.
Sign and date Section 3 to authorize your medical professional to share relevant health information with the DMV.
Once completed, save your form and share it with your medical professional for them to fill out Sections 5-13.
After your medical professional completes their sections, review the entire document for accuracy before submission.

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Versions	Form popularity	Fillable & printable
2020	4.9 Satisfied (46 Votes)
2010	4.2 Satisfied (53 Votes)

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What is a general medical evaluation?

A general medical exam is important for early detection of potential health issues, preventive care, and monitoring chronic conditions. It typically includes a review of your medical history, a physical examination, and screenings/tests based on your age, gender, and risk factors.

What does a medical evaluation consist of?

The Form DS-326, also known as a Driver Medical Evaluation (DME), is a form prepared by the DMV that is provided to medical professionals for the purpose of documenting a drivers physical or mental health.

What is the DS 326 form?

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.

What is included in a full medical assessment?

A healthcare provider will check your general health, which includes your: Skin. Eyes and ears. Nose and mouth. Heart. Lungs. Abdomen. Feet. Nervous system.

What happens during a medical evaluation?

In general, the standard physical exam typically includes: Vital signs: blood pressure, breathing rate, pulse rate, temperature, height, and weight. Vision acuity: testing the sharpness or clarity of vision from a distance. Head, eyes, ears, nose and throat exam: inspection, palpation, and testing, as appropriate.

dmv physician reporting form california

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What does it mean to be medically evaluated?

The term medical evaluation means key components performed by a physician including history, examination, and medical decisionmaking focused on symptomatic and related body systems for the purpose of diagnosing the etiology of hearing loss and related physical conditions, and for identifying appropriate treatment and

What medical condition is unable to drive?

Contact Contact us by email: dmv.sm.cdlmedcertunit@dmv.ny.gov. Mailing Address: Medical Certification Unit. PO Box 2601. Albany, NY 12220-0601. Contact us by fax: 518-486-4421 or 518-486-3260.

Dmv medical evaluation form 2025

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