Hawaii's county examiners of drivers require this medical report when an applicant's physical or mental fitness to drive is in question. The examining doctor reports on loss of consciousness, physical impairments, cognitive or psychological conditions with MMSE or MoCA scores for dementia, substance use, vision and medications, then gives a safe-driving opinion and recommends a license validity period.
The applicant signs the release authorization and the notice on page 1, and the reason for the report must be filled in before the exam. A licensed medical doctor, or another competent authority acceptable to the examiner of drivers, completes the Physician's Report and certification.
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Medical Report
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A licensed medical doctor, or another competent authority acceptable to the examiner of drivers. The examiner certifies being a licensed medical provider who has determined the applicant's physical and mental ability to drive, and gives a medical license number and specialty.
Six months. The date of examination must be within 6 months of when the county examiner of drivers receives the report, and the applicant must submit it within 30 calendar days of receiving the form or risk cancellation of the license.
Section G asks whether the person is capable of safe driving: yes with no road test, yes but road test recommended, no, or other. You also say whether to grant the maximum licensing period for the applicant's age or a reduced validity period in years.