
Confidential medical information DR1 ONLINE (Rev Apr 12) PART A: ABOUT YOU Please answer the questions on this form in BLOCK CAPITAL letters using BLACK INK Title: Surname: Date of Birth: (Mr, Mrs,.
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How to fill out the Dr1 Form online
The Dr1 Form is a crucial document for assessing your medical fitness to drive. Filling it out online can streamline the process, ensuring your information is submitted accurately and efficiently. This guide provides a step-by-step approach to help you complete the form with confidence.
Follow the steps to successfully complete the Dr1 Form online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- In Part A, provide your personal information. Fill in your title, surname, date of birth, first name(s), driver number, address, telephone numbers (home and mobile), postcode, and email address. Use block capital letters and black ink for clarity.
- In Part B, enter details about your general practitioner (GP) and consultant. Include their names and addresses, telephone numbers, and, if applicable, email addresses. Also, indicate the dates when you were last seen by both the GP and the consultant regarding your condition.
- In Part C, detail any other clinics you are attending. Provide the name of the clinic, the reason for your attendance, date last seen, and reference number if applicable.
- Proceed to the questionnaire section that assesses your medical fitness to drive. Answer all questions honestly and thoroughly, particularly those regarding alcohol and drug use, and provide specific dates when relevant.
- Make sure to sign the Driver Declaration at the end of the form, confirming that the information is accurate to the best of your knowledge.
- Complete the consent section, providing your authorization for the release of medical information. Ensure to sign and date this section as well.
- Finally, after reviewing your completed form, save the changes, and decide whether to download, print, or share the form as needed.
Complete your Dr1 Form online today to ensure a smooth and efficient assessment of your fitness to drive.
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