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Get DR 2401 Confidential Medical Examination Report. If You Are Using A Screen Reader Or Other
Ient Section is to be completed by the Driver/Patient. 1. The Driver/Patient should fill in their Name, Address, Customer Identification Number, if known, and Date Of Birth. 2. The Driver/Patient should sign this section. The Physician/Ophthalmologist section is to be completed by a Physician (MD or DO), Physicians Assistant (PA) or an Ophthalmologist/Optometrist (OD). 1. The form is valid for 180 days from the date of the examination. 2. If the Require DMV retesting in one year? question.
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Medical examination report sample FAQ
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New Colorado residents must provide TWO DOCUMENTS for proof of residency, an original or certified US birth certificate OR valid passport (unexpired), and proof of Social Security Number. Proof of residency documents must include the applicant's name and physical address.
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Coloradans who are between 21 and 80 must attest that they have had an eye examination within one year before the renewal, if renewing electronically. The self attestation is part of the onscreen process and doesn't require a supporting document to be uploaded.
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Vision requirements include: Minimum visual acuity of 20/40 with or without corrective lenses. A driver with acuity between 20/41 and 20/70 is limited to daylight driving only. At least 140 degree peripheral vision (the ability to see to the side) with or without corrective lenses.
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By law, you must file a Medical Report Form, completed by your physician, if: You have any medical or mental condition that may result in a loss of consciousness or any loss of ability to safely drive a vehicle, or. You take any medications that may impair your ability to drive.
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Take the written exam or show proof obtained from a driving school that you have taken and passed the written test there. Pay the Instruction Permit fee ($16.80 as of 08/30/2018). Fees may be paid with cash, personal check or credit card (Visa, MasterCard, American Express, Discover Card).
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If the applicant does proceed, but subsequently fails without eye glasses or contact lenses, the individual may return at a later date with the eye glasses or contact lenses to retake the vision screening.
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Illinois MVR Report MVR Online offers businesses, insurance providers and government entities an automated way to order driver's records online. The Illinois MVR reports can be used for pre-employment screening, insurance underwriting and/or ongoing risk management. The MVR price includes the Illinois DMV fee.
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Illinois Reporting In order to retain a driver's license, a person with epilepsy is required to authorize his/her physician to "report immediately any change" in their condition which would impair the ability to safely operate a motor vehicle.
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