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Official NCDMV: Requests for Medical Evaluations

    https://www.ncdot.gov/dmv/license-id/license-suspension/medical-review-program/Pages/medical-evaluation-requests.aspx
    Although anyone may request that a driver be medically evaluated, the requests to the N.C. Division of Motor Vehicle's Medical Review Program typically …

Medical Review Program Forms - NCDOT

    https://www.ncdot.gov/dmv/license-id/license-suspension/medical-review-program/Pages/medical-review-forms.aspx
    Official NCDMV: Medical Review Program Forms Medical Review Program Forms Medical Report Form Vision Report Form Seatbelt Waiver Form Bioptic Driver …

Medical Review Program - NCDOT

    https://www.ncdot.gov/dmv/license-id/license-suspension/medical-review-program/Pages/default.aspx
    Medical Review Program. The N.C. Division of Motor Vehicle's Medical Review Unit Program evaluates drivers when there are concerns that certain medical conditions might …

Driver License Forms - NCDOT

    https://www.ncdot.gov/dmv/downloads/Pages/driver-license.aspx
    Form Number Form Name DL-22: Authority to Release Confidential Medical Report & Release of Claim : DL-77: Vision Report : DL-77BT: Bioptic Driver Form : DL-79: …

N C D M V Request for Driver Re-Examination

    https://www.ncdot.gov/dmv/downloads/Documents/medical-request.pdf
    provided, the DMV Medical Review Unit will investigate and take action as necessary. Unsigned forms will not be accepted as a proper request and will not be acted upon. Due …

Instructions for Completing Medical Report - NCDOT

    https://www.ncdot.gov/dmv/downloads/Documents/DL-78.pdf
    1. In order to be reviewed, the form must be signed and dated by you and your medical provider. 2. Take this form to a physician licensed to practice medicine in the State of …

Official NCDMV: Frequently Asked Questions

    https://www.ncdot.gov/dmv/license-id/license-suspension/medical-review-program/Pages/frequently-asked-questions.aspx
    How can I obtain a copy of my medical record? Complete and mail a notarized Authority to Release Confidential Medical Report and Release of Claim form , …

Medical Examination Report - DMV

    https://cdn.dmv.com/images/medical-examination-report-form-nc.pdf
    Medical Examination Report - DMV

North Carolina DMV Forms (Renewals, Power of …

    https://www.dmv.org/nc-north-carolina/forms.php
    Medical self-certification for a NC commercial driver's license. Get Form MVR-1 Title Application Submit this form to the North Carolina Division of Motor Vehicles to apply for …



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