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  7. Physical Examination Report

Physical Examination Report | Washington

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

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Driving License Application Forms

In most countries, it's mandatory to have a driving license before you can hit the road. Getting a driving license is an important milestone for anyone who wants to drive a car.

Physical Examination Report is one of Driving License Application forms that are documents used to gather information from people who want to apply for a driving license. It usually contains fields for the applicant's name, date of birth, ID number, contact information, as well as their driver's license history and experience.

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