NYS DMV Form DS-874C. Supplement to: Medical Examination of Driver Report Under Article 19-A

Supplement to: Medical Examination of Driver Report Under Article 19-A is a form issued by the New York State Department of Motor Vehicles (DMV). This form serves as a supplement to the Medical Examination of Driver Report under Article 19-A, providing additional information or updates regarding a driver's medical condition.

The form typically includes sections where the medical examiner can provide the driver's personal information, such as name and identification details. It may also include fields to document any changes in the driver's medical condition since the initial examination, update the status of existing medical conditions, or provide further details or clarifications related to the driver's health.

When completing this form, it is important for the medical examiner to accurately provide any relevant updates or additional information about the driver's medical condition. This form ensures that the driver's medical records remain current and comprehensive under Article 19-A regulations.

Application Example: A driver who previously underwent a medical examination under Article 19-A requires an update on their medical condition. The medical examiner completes Form DS-874C, providing the necessary driver information and documenting any changes or additional information related to the driver's health. This form helps maintain up-to-date and accurate medical records for the driver.

Related Forms: Form DS-874 - Examination to Determine Physical Condition of Driver is related to Form DS-874C, as it serves as the primary form for conducting the initial medical examination of a driver under Article 19-A regulations.