Hospital emergency physicians in Connecticut can use this one-page report to tell DMV about a patient with a chronic health problem that will significantly affect safe driving, or with recurrent unconsciousness not controlled by treatment. Section 14-46 of the General Statutes authorizes the report, and DMV uses it only to determine whether the person is eligible to drive.
The emergency department physician completes the entire form: patient details, exam date, license number, whether the patient holds a CDL or passenger endorsement, impairment type, comments, and a signed certification with hospital, specialty and license number.
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Hospital ER Physician's Impaired Driver Report
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No. Under Section 14-46 of the Connecticut General Statutes, any physician may report a person with a chronic health problem that will significantly affect safe driving, or with uncontrolled recurrent unconsciousness. The P-142ER is the form for emergency room physicians who choose to report.
The report is for the information of the Commissioner in enforcing motor vehicle laws and is used solely to determine whether the person may operate a motor vehicle in Connecticut. Further medical information is collected on the P-142M Medical Form, which may be referred to the Medical Advisory Board.