nc dmv patient information of medical report form

How do I request a driver be medically evaluated in NC?

Although anyone may request that a driver be medically evaluated, the requests to the N.C. Division of Motor Vehicle's Medical Review Program typically come from: Anyone requesting that a driver be medically evaluated must complete and sign the Request for Medical Evaluation form.

What is a certified medical status for a commercial driver?

Commercial drivers operating in certain types of commerce are required to obtain a "certified" medical status and maintain the status to avoid losing their commercial driver license. There are four commerce types, two of which require a certified medical status.

Where do I Mail my medical review form?

Please mail the completed form to the Division of Motor Vehicles Medical Review Unit, 3112 Mail Service Center, Raleigh, NC 27697-3112.

Where can I get a copy of my dot medical examiner certificate?

3126 Mail Service Center. Raleigh, NC 27697-3126 . For DOT medical examiner's certificates that are only valid with a vision, diabetes or a skills performance evaluation variance, the Federal Motor Carrier Safety Association will provide a copy of that variance to NCDMV.

Where do I send my DOT medical card in NC?

You can also send your DOT certificate the NC DMV by email to cdlmedical@ncdot.gov. Of course, you can hand deliver your DOT certificate to your local NCDMV office.

How do I submit a DOT physical to NC DMV?

You have a choice of either via traditional mail, email, fax or you may deliver the NC DOT physical and health card to the DMV personally. You may also fax your NC DOT medical health card to 919-861-3915. The DMV of NC also accepts submission of the NC medical card at cdlmedical@ncdot.gov.

Who needs a DOT medical card in North Carolina?

North Carolina CDL Requirements Drivers operating in non-excepted types of commerce will be required to submit a current DOT medical examiner's certificate to the NC DMV to obtain a “certified” medical status as part of their driving record.

How long after a seizure can you drive in NC?

You may have to be seizure-free for at least 6 months to 1 year before you can get a driver's license.

How do I submit a medical certificate?

Respected Sir/Madam, I would like to submit my medical certificate to you. (Describe what actually happened). From last one week I was absent due to an accident which I had last (Date).

What is form MCSA 5875?

About the Medical Examination Report (MER) Form, MCSA-5875: The Federal Motor Carrier Safety Administration requires that interstate commercial motor vehicle drivers maintain a current Medical Examiner's Certificate (MEC), Form MCSA-5876 to drive.

What qualifies for a medical card in NC?

Only people diagnosed by a doctor with a “debilitating medical condition” including cancer, epilepsy, positive HIV or AIDS status, or post traumatic stress disorder would qualify for a medical marijuana card, according to the bill.

What does a NC DOT physical consist of?

The DOT physical comprises of tests, measurements and evaluations, including: Blood pressure and pulse rate. Your MinuteClinic provider will check your blood pressure and pulse to measure your systolic and diastolic pressure levels, as well as testing for irregular heart rate. Urinalysis.

What happens if your CDL medical card expires in North Carolina?

If the federal Department of Transportation medical examiner's certificate has expired, you must obtain a new one and provide it to NCDMV. If the variance has expired, you must renew it with the Federal Motor Carrier Safety Administration.

How long do you have to be seizure-free to drive in NC?

Driver Information By StateLawNorth CarolinaDMV Appeal of License DenialYesDoctors to Report EpilepsyNoPeriodic Medical Updates Required After LicensingAt discretion of DMVSeizure-Free Period6 months

Can you drive while taking anti seizure medication?

To drive, you must meet all normal driving requirements and must have been completely free of seizures for one year, with or without taking anti-epileptic drugs (AEDs). Different regulations may apply if your seizures do not affect your consciousness (see below).

What is a medically restricted Licence?

After informing the DVLA of changes to your medical condition, your licence type may change depending on fitness to drive criteria. In some cases, a medically restricted driving licence will be issued. These can last for one, two or three years and are then renewed subject to a medical review.

Who can request a driver to be medically evaluated?

Although anyone may request that a driver be medically evaluated, the requests to the N.C. Division of Motor Vehicle's Medical Review Program typically come from: Physicians who notify NCDMV about patients who they feel might be at risk to themselves or others.

What are the health problems that police officers see in a car wreck?

Law enforcement officers who have observed drivers with poor driving habits related to health problems, such as poor vision, slow reaction time, reports of blackouts, falling asleep or seizures. Wreck reports related to a medical condition that might have contributed to a motor vehicle accident.

Can you request a medical evaluation for a driver?

Anyone requesting that a driver be medically evaluated must complete and sign the Request for Medical Evaluation form. Anonymous requests are NOT accepted. This recommendation must only be made in the interest of public safety.

What is the NC Medical Review Unit?

Division of Motor Vehicle's Medical Review Unit Program evaluates drivers when there are concerns that certain medical conditions might have an impact on their ability to safely operate a vehicle.

What does a medical professional do with a driver's license?

A staff of licensed medical professionals conducts thorough reviews of medical records and statements in conjunction with driving records and decides what , if any, restrictions should be placed on a driver license.