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Physical Examination Report | Washington (Russian)

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

The document is a medical report for a driving license application, requesting information about the patient's health condition from healthcare professionals. Failure to submit this report may result in suspension of driving privileges by the Department of Licensing (DOL). The form includes personal details of the driver, such as name, date of birth, contact information, and driver's license number. Healthcare providers are required to grant access to their medical records for the past three months to DOL, specifying if the patient has experienced any loss of consciousness or control, medical conditions that may impact driving ability, and their current condition. If a condition is present, additional details like medication usage, stability, and the healthcare provider's opinion on the person's ability to drive safely are required. The form also asks for the healthcare provider's name, professional license number, address, telephone number, fax number, and email.

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Driving License Application Forms

Physical Examination Report is one of Driver's license forms that are documents used to apply for a driver's license or to request various services related to driver's licenses. These forms are typically provided by the department or agency responsible for issuing driver's licenses in a specific jurisdiction, such as the Department of Motor Vehicles (DMV) in the United States.

Common driver's license forms include:

Driver's License Application: This form is used to apply for a new driver's license or to renew an existing one. It typically requires personal information such as name, address, date of birth, and Social Security number.

Identification Documents: Some jurisdictions require specific identification documents to verify the applicant's identity and residency. These may include forms such as a birth certificate, passport, or social security card.

Vision Examination: Many driver's license applications require a vision examination form, where an authorized medical professional or eye care specialist certifies that the applicant meets the minimum vision requirements for driving.

Driver's Education Forms: In some cases, individuals may need to provide proof of completing a driver's education course, such as a driver's education completion certificate or a form signed by an instructor.

Medical Evaluation: Certain medical conditions may require additional forms to be completed by a healthcare professional. These forms verify the applicant's physical and mental fitness to drive.

Address Change Form: If a driver's license holder moves to a new address, they may need to fill out an address change form to update their driver's license information.

Driver's license forms can be obtained from the local DMV office or downloaded from their website. It is important to carefully complete and submit the required forms along with any supporting documents to ensure a smooth application or service process.

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