Select language

Physical Examination Report | Washington

  1. Language English
  2. Country USA
  3. Activity Driver's License
  4. State Washington
Physical Examination Report | Washington

This document is a Physical Examination Report for a driver required by the Department of Licensing (DOL) to assess their medical condition and determine if it could affect their ability to safely operate a motor vehicle. The report includes patient information such as name, date of birth, daytime telephone number, driver license number, and consent for release of medical information. The report asks questions about loss of consciousness or control, medical conditions that may impact driving, and the current status and control of the person's condition. If a medical condition is identified, additional information such as type, control status, and advice to drive are required. The medical provider is also asked to provide their name, professional license number, address, telephone number, fax number, and email. The report concludes with the medical provider certifying the accuracy of the provided information under penalty of perjury.

HOW TO

How to fill out Physical Examination Report for free, online in 3 easy steps:

  1. 1
    Open form template in editor
    Click on the “Get this template” button.
  2. 2
    Fill out Physical Examination Report
    Wait a moment and you will be redirected to our online PDF Filler app.
  3. 3
    Download file
    Download your completed Physical Examination Report for free. You can also save it to a cloud storage.
Formize PDF Filler app
ABOUT

Driving License Application Forms

Physical Examination Report is one of Driver's license forms that are documents used in the process of obtaining or renewing a driver's license, which is an official government-issued document that permits individuals to operate a motor vehicle on public roads. These forms may vary depending on the jurisdiction, but they generally include the following:

Application Form: This form is used to apply for a driver's license and typically asks for personal information such as name, address, date of birth, and Social Security number.

Identification Documentation: Along with the application form, individuals are usually required to provide specific identification documents to prove their identity, residency, and legal presence in the country. These may include a valid passport, birth certificate, Social Security card, or other government-issued identification.

Proof of Residency: Many jurisdictions require applicants to provide proof of residency, such as a utility bill, lease agreement, or bank statement, to verify their address.

Medical Examination Form: Some jurisdictions may require a medical examination to ensure that the applicant meets the necessary physical and mental requirements for safe driving. A medical professional typically completes this form.

Driver's Education Completion Form: For first-time drivers, completion of a driver's education program may be required. A form or certificate indicating successful completion is often necessary to apply for a driver's license.

Vision Test Form: A vision test is commonly conducted during the driver's license application process. An eye care professional or authorized personnel will assess the applicant's visual acuity and complete the required form.

These forms are typically available at the local Department of Motor Vehicles (DMV) or equivalent government agency responsible for driver licensing. It's important to check the specific requirements and forms applicable to your jurisdiction, as they can vary.

FEATURES

PDF Filler

The easiest way to fill Physical Examination Report online

  • Quickly fill out Physical Examination Report
    Looking for a way to quickly fill Physical Examination Report online? With our online free PDF form filler, you’ll know how to how to edit and fill this pdf document in less than a minute.
  • Easy to use online PDF editor
    Fed up with printing out PDF files so you can edit them, before rescanning and sending them back? Edit PDF documents for free online. Use our online pdf editor to save time and paper.
  • Great tools, all platforms
    Wondering how to fill in Physical Examination Report on a Mac, or maybe how to use a PDF filler free? Our online PDF tools work on all platforms.
  • Secure file storage
    Completed "Physical Examination Report" files are stored in a secured database managed by Amazon Cloud hosting. You can delete your files from our system anytime. In any case, these files are automatically deleted after 24 hours.
  • Chat with Physical Examination Report
    Chat with "Physical Examination Report" on Chatize that is a free PDF reader assistant. Ask questions and get answers from "Physical Examination Report". Just click on Chat With Document button above.

Delete filling session

Delete the selected filling session? In this case, your progress in completing the form will be lost.

Delete editing session

Delete the selected editing session? In this case, your progress in creating and editing the form will be lost.