Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to access the HI DoT DOT-H2058 document and open it for editing.
2. Begin by entering the applicant's full name in the designated field at the top of the form, ensuring it is accurate and clearly stated.
3. Input the driver's license number and telephone number for easy identification and contact purposes.
4. Complete the section indicating how long the medical examiner has treated the applicant, along with the applicant’s age and sex.
5. Provide the date of the last examination in the specified section, ensuring to include any applicable medical conditions that need addressing.
6. Answer the series of questions regarding the applicant's medical history, including loss of consciousness, physical impairments, cognitive issues, and substance abuse, selecting ‘Yes’ or ‘No’ as appropriate.
7. For any conditions indicated, include detailed descriptions that clarify how these may affect the applicant’s ability to drive safely.
8. Complete the medication section with relevant details about any medications the applicant is currently prescribed, including dosages and schedules.
9. Review the summary section where the medical examiner provides their opinion on whether the applicant is capable of safe driving and recommends appropriate licensing periods.
10. Lastly, the licensed medical examiner must sign, date, and include their medical license number to validate the report before submitting it.
11. Once everything is filled out, you can save changes, download, print, or share the form as needed for submission.

Complete the HI DoT DOT-H2058 online to ensure a smooth review process related to driving eligibility.