Massachusetts drivers who have had a seizure, syncope or other altered consciousness must surrender their license for six months. MAB108 is the physician's evaluation the RMV uses to restore, extend or shorten that period: the date and cause of the most recent episode, how the condition is controlled, the degree of impairment during episodes and the probability of recurrence, followed by a driving qualification certification.
A medical doctor licensed in Massachusetts completes the whole form after the patient signs the release, and certifies under the pains and penalties of perjury with an NPI, or Board of Registration number if there is no NPI.
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Loss of Consciousness Evaluation Form
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The RMV policy requires a driver who has had a seizure, syncope or other altered consciousness to surrender the license until episode-free for at least six months. The RMV can shorten or extend that period based on the physician's evaluation and recommendations.
Yes. The physician must specifically request the waiver, give explicit reasons, and supply all the information the form requires, including the date and cause of the last episode, how the condition is controlled and the probability of recurrence, with a certification that the condition and medications will not interfere with safe driving.
After six episode-free months, the RMV accepts either MAB108 or a written statement from the health care provider covering the same points: last episode date, cause, control and medications, degree of impairment, probability of recurrence, and a certification of fitness to drive.