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MEDICAL REVIEW REQUEST MED 3 05/10/2013 Purpose Use this form to request the Department of Motor Vehicles DMV to conduct a medical review of a licensed driver. Instructions Print or type all information* Complete form in its entirety. Mail completed form to Medical Review Services at the above address or fax to Medical Review Services at 1-804-367-1604. DRIVER INFORMATION GENDER DRIVER NAME last first middle MALE DMV CUSTOMER NUMBER VEHICLE PLATE NUMBER BIRTHDATE mm/dd/yyyy FEMALE TELEPHONE NUMBER If you change either your residence/home address or mailing address to a non-Virginia address your driver s license or photo identification ID card may be canceled* RESIDENCE/HOME ADDRESS CITY STATE ZIP CODE MAILING ADDRESS if different from above address REQUESTER INFORMATION Based on my observation I believe the driver named above should be given the following tests Medical Examination Vision Examination Knowledge Examination I understand that the Department of Motor Vehicles may have addit....

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A fit note must be issued by a healthcare professional, which could be a doctor, nurse, pharmacist, physiotherapist or occupational therapist. You do not always need to see them in person to get one.

You can get a sick note for mental health issues like depression, work related stress, and anxiety.

This can only be obtained from a medical professional, usually your doctor. All you need to do is make an appointment, and you'll be assessed and given a sick note. The document will either say you are not fit to work, or it will say you are fit to work with reasonable adjustments.

You should seek the help of medical professionals such as a psychotherapist, psychologist, or psychiatrist if you experience prolonged periods of a low mood, aversion or disinterest in activities or work, disruptions to your sleep, or thoughts of suicide or self-harm.

How long can you be signed off work with stress? If you are off work for fewer than seven days, you don't need a sick note for stress and depression. You can 'self-certify'—which means filling in a form when you return to work. This applies to any sickness, not just mental health issues.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232