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Get IL DSD DC-163 2010

Dical Report Per 625 ILCS 5/6-908 of the Driver’s License Medical Review Law and 625 ILCS 5/2-123(j), all medical statements or reports received by the Secretary of State shall be confidential. This information will be disclosed only as authorized by the above-referenced statutes as now or hereafter amended. SECTION I — To be Completed by Driver (Please print or type) Pursuant to 92 Illinois Administrative Code 1030.16, please complete the following information and sign the medical agreemen.

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