North Carolina's DMV Medical Review Unit mails this packet to a driver whose fitness to drive is under review, naming the condition of concern. The physician completes the general history and opinion page plus only the condition sections that apply, such as vision, cardiovascular, diabetes, neurologic or respiratory, and a DMV-approved medical advisor reviews it to make a recommendation.
The driver completes the consent page; a physician licensed in North Carolina or another US state completes the history, opinion and relevant condition sections, signing as MD, NP or PA, and an ophthalmologist or optometrist completes the vision page.
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Medical Report Form
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Thirty days. The Medical Review Unit's cover letter says that if the completed Medical Report Form is not received within that time, the driver license will be canceled until it arrives. Drivers who need more time are told to contact the unit as soon as possible.
The signature line on the general page asks the signer to indicate MD, NP or PA, while the instructions direct the driver to a physician licensed in North Carolina or any other US state. The vision section is completed by a licensed ophthalmologist or optometrist.
No. Complete the general history and opinion page, then only the sections for conditions marked yes, such as cardiovascular, endocrine, neurologic or substance abuse. The physician also gives an overall assessment of the patient's condition and any medications that may increase driving risk.