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/ProgramOlder Drivers Safety OHIO — Ohio
Source: State Agency/ProgramTo prevent these crashes, Ohio has state and local programs and resources that can help older adopt strategies to stay safe on the road, as well as find alternatives to driving if they can no longer do so safety.
Veterans Transportation Program (VTP) — National
Source: State Agency/ProgramVA’s Veterans Transportation Program (VTP) offers Veterans many travel solutions to and from their VA health care facilities. This program offers these services at little or no costs to eligible Veterans.
Veterans Transportation Service (VTS) — National
Source: State Agency/ProgramVeterans Transportation Service (VTS) is working to establish Mobility Managers at each local VA facility to help Veterans meet their transportation needs.
Assisting Aging Drivers During and After Their Decision to Retire from Driving — Michigan
Source: State Agency/ProgramResource page that provides links to other pages related to older driver safety
Mobility 21 Southern California — California
Source: State Agency/ProgramMobility 21 is a coalition that brings together public, business, and community stakeholders to pursue regional solutions to the transportation challenges facing California counties
Aging Drivers: Discussing Competency — Michigan
Source: State Agency/ProgramKeeping Aging Drivers Safe: Discussing Competency provides medical professionals with a better understanding of how to communicate effectively with patients who may be facing cognitive issues that affect their ability to drive safely
Aging Drivers: Request for a Driver Evaluation — Michigan
Source: State Agency/ProgramKeeping Aging Drivers Safe: Request for a Driver Evaluation explains how to fill out and submit a request for a driver evaluation using the Request for Driver Evaluation form (DA-88).
Aging Drivers: Physician's Statement of Examination — Michigan
Source: State Agency/ProgramKeeping Aging Drivers Safe: Physician's Statement of Evaluation shows healthcare professionals how to fill out and submit the Physician's Statement of Examination (DA-4P) when requesting a driver evaluation for a patient.
Professional Corner- Safe driver smart options — Michigan
Source: State Agency/ProgramThis website provides information and resources for these professionals that address the concerns aging drivers face and help keep them independent and mobile for as long as safely possible.