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Mation. Complete form in its entirety. Mail completed form to Medical Review Services at the above address, or fax to Medical Review Services at 1-804-367-1604. DRIVER INFORMATION SEX DRIVER NAME (last, first, middle) BIRTHDATE (mm/dd/yyyy) MALE DMV CUSTOMER NUMBER VEHICLE PLATE NUMBER FEMALE TELEPHONE NUMBER ( ) If you change either your residence/home address or mailing address to a non-Virginia address, your driver's license or photo identification (ID) card may be canceled. RESIDENC.
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Fitness FAQ
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DMV's Seizure/Blackout Policy, established by our Medical Advisory Board, states that a person must be seizure-free or blackout-free for at least six months to establish medication and regain proper medical control before driving.
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If you have a history of seizures, you and your doctor must complete a Customer Medical Report before DMV can issue you a Virginia driver's license. Once DMV receives the medical report, a review will be conducted to determine if it's safe for you to operate a motor vehicle. If it is, you're free to get your license.
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DMV Motor Carrier Services Phone: (804) 249-5130 Email: mcsonline@dmv.virginia.gov Page 2 > Must be covered under a TNC insurance policy meeting the requirements of Va.
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Return the completed MED 2 to DMV by faxing it to DMV Medical Review Services at (804) 367-1604.
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Gather the following to provide to DMV for review. You may fax the information to (804) 367-6693.
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