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  • Ct P-40 2017

Get Ct P-40 2017-2026

INITIAL MEDICAL REQUEST P40 REV. 82017STATE OF CONNECTICUT DEPARTMENT OF MOTOR VEHICLES DRIVER SERVICES DIVISION ct.gov/dmvDRIVER 'S LICENSE NUMBERNOYESCDL/PS Address incident of MAIL TO: DMV, Driver.

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How to fill out the CT P-40 online

The CT P-40 form is an essential document for individuals referred to the DMV Driver Services Division regarding their ability to operate a motor vehicle safely. This guide provides clear, step-by-step instructions on how to complete the form online, ensuring accuracy and compliance.

Follow the steps to complete the CT P-40 form online.

  1. Press the ‘Get Form’ button to access the CT P-40 online form. This will open the form in the editor, where you can begin filling it out.
  2. Enter the driver's license number in the appropriate field. Indicate if the patient has a commercial driver's license (CDL) or a public service (PS) designation.
  3. Fill in the patient's name, date of birth, and telephone number. Ensure that the address fields are complete with street, city, state, and zip code.
  4. In the section regarding the patient's medical history, check all relevant conditions that may affect their ability to operate a motor vehicle. This includes various medical categories such as neurological, cardiovascular, and others.
  5. Provide the details of the treatment by indicating the condition, the start date of treatment, and the date of the last examination.
  6. If applicable, include information about any other physician who has treated the patient, including their name, address, and specialty.
  7. Answer the question regarding the assessment of the patient's ability to operate a vehicle. Indicate if a road test or evaluation for special equipment is necessary.
  8. The medical professional must certify their examination of the patient, fill in their details including name, specialty, and license number, and provide their signature and date of report completion.
  9. Once all the fields are filled out accurately, you can save changes to the form. It is advisable to download or print the completed form for your records before submitting it online.

Take the next step in managing your medical documentation by completing the CT P-40 form online today.

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