VA DMV MED 2 2020 free printable template

MED 2 (11/25/2020)CUSTOMER MEDICAL REPORT Purpose:Use this form to request medical information from your physician, physician assistant or nurse practitioner. Instructions: Follow the detailed INSTRUCTIONS

How to fill out VA DMV MED 2

How to fill out VA DMV MED 2

1. Obtain the VA DMV MED 2 form from the Virginia Department of Motor Vehicles website or local DMV office.
2. Carefully read the instructions provided with the form.
3. Fill out the personal information section, including your name, address, and contact details.
4. Complete the medical history section, providing accurate information regarding any medical conditions.
5. Ensure you have your healthcare provider complete the certification section, if required.
6. Review the form for any errors or missing information.
7. Sign and date the form where indicated.
8. Submit the completed form to your local DMV office either in person or by mail.

Who needs VA DMV MED 2?

1. Individuals applying for a driver's license or ID card who have certain medical conditions.
2. Drivers who need to certify their medical fitness to ensure safe operation of a vehicle.
3. Healthcare providers who are required to complete the certification for their patients.

Instructions and Help about VA DMV MED 2

People Also Ask about

Do you lose your driving licence after a seizure?

If you've had a single seizure for the first time, you must stop driving and tell the driving agency. You may be able to get your licence back after 6 months, as long as you stay seizure free. If you had more than one seizure within a 24 hour period, this also counts as a single seizure.

What is a medical road test in Florida?

The DHSMV established Florida's Medical Review Program to evaluate a driver's mental and physical ability to operate a motor vehicle safely. The Medical Review Program reviews approximately 12,000 new cases each year.

Can you drive in Virginia after a stroke?

If a driver suffers a Cerebral Vascular Accident (CVA), the driver's privilege to operate a motor vehicle will be suspended for six months. This six-month suspension period may be shortened if DMV receives information from the driver's health care provider indicating that the driver has fully recovered.

Can people with epilepsy drive in Virginia?

If you have a history of seizures, you and your doctor must complete a Customer Medical Report (MED-2) before DMV can issue you a Virginia driver's license. Once DMV receives the medical report, a review will be conducted to determine if it's safe for you to operate a motor vehicle.

Can you drive in VA with epilepsy?

DMV's Seizure/Blackout Policy, established by our Medical Advisory Board, states that a person must be seizure-free or blackout-free for at least six months to establish medication and regain proper medical control before driving.

Can I still drive if I have epilepsy?

When you can drive depends on the type of seizures you have now, the type of seizures you have had previously, and what type of licence you have. You must also meet all normal driving requirements and these two conditions: You must follow your doctor's advice about your treatment and check ups.

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What is VA DMV MED 2?

VA DMV MED 2 is a medical report form used by the Virginia Department of Motor Vehicles (DMV) to evaluate an individual's medical condition related to their ability to safely operate a motor vehicle.

Who is required to file VA DMV MED 2?

Individuals who have certain medical conditions that may affect their driving ability are required to file VA DMV MED 2, including those who have experienced seizures, strokes, or other significant medical issues.

How to fill out VA DMV MED 2?

To fill out VA DMV MED 2, individuals should complete the form by providing personal information, details about their medical condition, and any relevant medical history. It may require additional information from a licensed healthcare provider.

What is the purpose of VA DMV MED 2?

The purpose of VA DMV MED 2 is to assess the medical fitness of individuals to drive safely, ensuring that drivers do not pose a risk to themselves or others on the road due to medical conditions.

What information must be reported on VA DMV MED 2?

The information that must be reported on VA DMV MED 2 includes the individual's name, address, date of birth, driver’s license number, medical history, specific medical conditions, and the name of the healthcare provider who completed the form.