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.
Search the ChORUS Library
Tips for Your Search
To start, enter a keyword or phrase to find library resources of interest and select “Apply”. Your search results will appear. To filter your results, select one or more filter options from the filter categories (i.e., Audience, Type, Source, etc.). You can choose one or more filters from one or more categories. If you select more than one filter, resources will appear for both of your choices. For example, if you select Individuals and Law Enforcement as Audiences and Screening and Testing as a Topic you will yield a list of all screening and testing materials associated with both audiences.
Physicians Reporting form — New York
Source: State Agency/ProgramSocial Media Messaging for Older Drivers — National
Source: Nonprofit OrganizationThis is the social media messaging for older drivers.
Social Media Messaging for Medical Professionals — National
Source: Nonprofit OrganizationThis is the social media messaging for medical professionals
ChORUS Medical Professionals Resource — National
Source: Nonprofit OrganizationChORUS developed a helpful resource with links and definitions of additional resources you can use when talking to your patience about older driver safety and how you can expand you knowledge on the topic.
When to Yield: Questions and Answers about Dementia — Virginia
Source: State Agency/ProgramThis booklet reviews the many hard decisions involved with dementia and driving and gives you approaches, including a sample "safe driving agreement" for dealing with this difficult topic.
Driver Safety for All Ages — National
Source: State Agency/ProgramPresentation presented by the Georgia Department of Driver Services Medical Review Unit.
Pedestrian Bicycle Safety Resources for Older Americans Month — National
Source: Nonprofit OrganizationMedical Professionals Resources for Older Americans Month — National
Source: Nonprofit OrganizationHow to Use these Resources to Strengthen Professional and Community Partnerships — National
Source: Nonprofit OrganizationChORUS developed ideas on activities and event using the OAM resources that will increase older driver traffic safety within your community.
Social Media Messaging for Medical Professionals — National
Source: Nonprofit OrganizationThis is the social media messaging for Medical Professionals.