Medicinska procjena vozača predložak
S tradicionalnim skupom značajki za pregled i ispunjavanje PDF dokumenta, u kombinaciji s prednostima web aplikacije i responzivnog izgleda, možete ispuniti Medicinska procjena vozača u nekoliko minuta.

Koristite ovaj obrazac ako se od vas traži medicinska procjena.
This form is for a medical evaluation to determine if an individual is capable of safely operating a motor vehicle. The form includes applicant information such as name, driver license number, mailing address, and date of birth. A qualified medical professional must fill out the form, indicating one of three options: the patient is not medically capable of operating a motor vehicle, the patient's previous medical disorder no longer exists or is controlled, or the patient can operate a motor vehicle with specific restrictions. The form includes spaces for restrictions such as automatic transmission, no interstate driving, daylight driving only, speed limits, prosthetic aid, special adaptive devices, and other restrictions. The form may be mailed, faxed, or emailed to the Wyoming Department of Transportation. The form is confidential and will only be used to determine eligibility/restrictions for licensing.
S tradicionalnim skupom značajki za pregled i ispunjavanje PDF dokumenta, u kombinaciji s prednostima web aplikacije i responzivnog izgleda, možete ispuniti Medicinska procjena vozača u nekoliko minuta.
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