Get Medical Report Form ( Dl-78 ) - North Carolina Department Of ... - Ncdot

Filling out the Medical Report Form (DL-78) is an essential step for individuals whose ability to operate a motor vehicle is under review. This guide provides step-by-step instructions to assist users in completing the form accurately online.

Follow the steps to successfully complete the Medical Report Form.

1. Click ‘Get Form’ button to obtain the Medical Report Form and open it in the editing platform.
2. Begin by entering your personal information at the designated fields, including your name, address, city, state, and zip code.
3. Provide your customer number, which is essential for identification purposes.
4. Sign the authorization section, granting your physician permission to perform necessary evaluations related to your health.
5. Take the form to a physician who is licensed to practice medicine in North Carolina or any state in the U.S. Ensure the physician completes the relevant sections based on your medical history.
6. Review the sections completed by your physician, including any necessary comments on conditions that may affect your driving ability.
7. Ensure that the physician signs and dates the form after filling it out.
8. After the form is completed, make sure it is mailed to the appropriate address: Medical Review Branch, Division of Motor Vehicles, 3112 Mail Service Center, Raleigh, NC 27699-3112.
9. You may also need to keep copies for your records before submitting.
10. Finally, save your changes, download the completed form, print it, or share it as needed.

Complete your Medical Report Form online to help expedite your medical evaluation process.