Mass RMV - Request for Medical Evaluation

Form Request for Medical Evaluation serves as a form to be completed when requesting a medical evaluation for a person believed to be no longer physically or medically capable of operating a vehicle safely.

This form is used to initiate a process where an individual's medical condition is assessed to determine if they are still fit to drive. It's a crucial step in ensuring road safety by identifying potential risks posed by drivers with medical conditions.

For instance, if a family member notices that an elderly relative is experiencing health issues that might affect their ability to drive safely, they can initiate a medical evaluation using this form.

Form Structure

This form involves the concerned individual (or their family member) as the requester, medical professionals responsible for evaluating the person's medical condition, and the RMV as the overseeing authority. The form typically consists of sections to provide the individual's information, details about their medical condition, and reasons for the evaluation request.

How to Fill Out and Submit the Form

The requester needs to complete the relevant sections of the form, providing accurate details about the individual's medical condition and reasons for the evaluation request. The completed form is then submitted to the RMV for further action.

When filling out the form, it's important to provide as much relevant information as possible to help medical professionals make an informed assessment. Additionally, any supporting medical documentation should be included.

Related forms or alternatives might include forms related to driver's license renewals, where individuals might need to disclose any changes in their medical conditions that could affect their driving ability.