This form is provided for use by a physician, physician assistant, or nurse practitioner to report an individual whose driving ability may be affected due to some physical or mental health.
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Physicians Reporting form — New York
Source: State Agency/ProgramReporting an Unsafe Driver — Arizona
Source: State Agency/ProgramArizona DOT has posted reporting unsafe driver requirements for law enforcement and physicians and others on how you can report an Unsafe driver in your area.
Pocket Guide Screening and Management of Age Related Driving Impairment — National
Source: ExpertThis reference tool includes information on who to screen and how to report drivers with medical conditions. It also provides a listing of tests recommended by the American Geriatric Society to determine driving fitness.
Driver Medical review Process in States — National
Source: Nonprofit OrganizationAAA Foundation for Traffic Safety has a database showing each state's Driver Licensing Policies and Practices affecting order and Medically- At-Risk drivers.
Senior Driver Safety — Florida
Source: State Agency/ProgramOur mission is to make it easy for you to complete your Florida DMV needs online.
Medical standards for passenger (Class D) and motorcycle (Class M) driver's licenses — Massachusetts
Source: State Agency/ProgramLearn about the Registry of Motor Vehicles' current medical policies relating to passenger vehicle and motorcycle driver's licenses.
Governor Highway Safety Association — National
Source: Professional AssociationGovernors Highway Safety Associaton. The State's Voice on Highway Safety.
Clinicians Guide to Assessing and Counseling Older Drivers Overview — National
Source: State Agency/ProgramThis includes selection and highlights from the Clinicians Guide to Assessing and Counseling Older Road Users.
Medical Reporting/Medical Review Process — Florida
Source: State Agency/Programf your state is looking to create a state resource page for Older Drivers, please use these as examples.
10 Warning Signs a Driver May Have Alzheimer’s Disease — National
Source: Professional AssociationInternational Association of Chiefs of Police has a pocket card on the ten warning signs a driver may have with Alzheimer’s Disease and ten steps on how to interact with someone that may have Alzheimer’s Disease.