Get Str1v Form

Filling out the Str1v Form online can seem daunting, but with a clear understanding of its components, it becomes manageable. This guide will provide you with step-by-step instructions to complete the form accurately and efficiently.

Follow the steps to successfully complete the Str1v Form online.

1. Press the ‘Get Form’ button to access and open the Str1v Form in your online editing interface.
2. Begin with Part A: About You. Fill out your title, surname, date of birth, first name(s), driver number, address, telephone numbers (home and mobile), postcode, and email. Use BLOCK CAPITAL letters and BLACK INK for clarity.
3. Move to Part B: About Your GP and Your Consultant. Enter the names and addresses of your general practitioner (GP) and any consultants you have seen. Include their telephone numbers and, if known, their email addresses. Make sure to note the dates you were last seen by both the GP and the consultant.
4. In Part C, list any additional clinics you are attending. Provide the name of the clinic, reason for attendance, date of birth of the relevant person, and date of your last appointment.
5. Complete the medical questionnaire regarding your fitness to drive. Answer each question regarding your medical history, such as having suffered a TIA or a stroke, and provide relevant dates and details of appointments.
6. List all current medications you are taking, including name, dosage, and the reason for taking them. Specify if any medication causes drowsiness or confusion when driving.
7. Address any other medical conditions or needs for rehabilitation. Indicate if you have had any seizure or epileptic attacks and provide the relevant dates.
8. Respond to questions about memory problems, episodes of confusion, or assistance needed for day-to-day living. Provide clear responses that reflect your current state.
9. In the consent section, read the information thoroughly before signing. Authorize your doctor and the Secretary of State to handle your medical information as necessary for the assessment.
10. Finally, review all information entered for accuracy. You can then save your changes, download the form, print it, or share it as required.

Complete your Str1v Form online today and ensure your medical information is processed efficiently.