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The medical review unit is responsible for investigating reports of drivers and license applicants who have a medical condition (mental or physical) that may interfere with the safe operation of a motor vehicle. The medical review program requires you to submit information related to your physical and mental fitness to operate a motor vehicle. This form is to be used by concerned citizens to report a driver who appears to be unable to drive safely
Am i permitted to make a report to the dmv if i have a patient whose medical condition could affect his or her driving Both law enforcement, and medical practitioners may submit your license for review by the medical review program If your patient consents in writing, you may disclose his or her protected health information.
Use this form to report medical, physical, mental or a combination of such conditions to the medical review unit
Please complete the information below and have your physician/physician assistant/nurse practitioner complete the statement on page 2. To our driver license customer The new york physician's statement for medical review unit is a form used by medical providers in the state of new york to submit a statement to the medical review unit for review of medical services that have been provided.
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