Get Dg1v Medical Questionnaire Form

Filling out the Dg1v Medical Questionnaire Form online is an important step in ensuring your fitness to drive is accurately assessed. This comprehensive guide will walk you through each section of the form, providing clear and supportive instructions to help you complete it confidently.

Follow the steps to complete the Dg1v Medical Questionnaire Form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin with Part A: About you. Fill in your title, surname, first names, date of birth, driver number, address, telephone numbers (home and mobile), postcode, and email address. Ensure that all entries are in BLOCK CAPITAL letters and use BLACK INK.
3. Move to Part B: About your GP and your consultant. Enter the name and address of your general practitioner (GP) and any consultants you have seen. If applicable, include their telephone numbers, email addresses, and the dates you last visited them for the current condition.
4. In Part C, provide details of other clinics you are attending. Include the name of the clinic, the reason for attendance, date of birth, driver number, date last seen, and any reference numbers.
5. Proceed to the questionnaire section. Answer each question regarding your medical history, including any substance use, medications, and health conditions. Make sure to provide as much detail as possible for accurate assessment.
6. Complete the driver declaration by verifying that the information you have provided in Questions 1 – 10 is correct to the best of your knowledge. You must sign and date this section.
7. Review the consent section carefully. Authorize the release of your medical information as necessary for your fitness to drive assessment by signing and dating the consent form.
8. Check all pages for completeness. It is essential to include all required details, including the full name, address, and telephone number of your GP and consultants to avoid delays.
9. Upon final review, save your changes to the form. You may choose to download, print, or share the completed form as needed.

Complete your Dg1v Medical Questionnaire Form online today to ensure your fitness to drive is assessed without delay.