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TLC Medical Certification Form Medical Exam Requirement This form must be completed, signed, and stamped by a licensed physician. No other form can be used or will be accepted. The date of the examination
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How to fill out tlc medical certification form

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How to fill out tlc medical certification form

01
Obtain a copy of the TLC Medical Certification Form from the TLC website or from a licensed medical provider.
02
Fill out your personal information including name, address, TLC license number, and contact information.
03
Provide details about your medical history including any existing health conditions and medications you may be taking.
04
Complete the section regarding the medical examination conducted by a licensed healthcare provider.
05
Sign and date the form to certify that all information provided is accurate.

Who needs tlc medical certification form?

01
Individuals who are applying for or renewing their TLC license.
02
Drivers of taxis, limousines, and other for-hire vehicles in New York City.
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The TLC Medical Certification Form is a document required by the Taxi and Limousine Commission (TLC) to verify that drivers meet the necessary medical standards to operate a vehicle safely.
Anyone applying for a TLC driver's license or renewing an existing license is required to file the TLC Medical Certification Form.
To fill out the TLC Medical Certification Form, individuals must provide personal information, have a licensed healthcare provider complete the medical section, and ensure all required signatures are included.
The purpose of the TLC Medical Certification Form is to ensure that drivers are physically fit to operate a taxi or for-hire vehicle, thereby promoting public safety.
The form must report information such as the driver's medical history, physical examination results, and any medical conditions that could affect driving ability.
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