PA DOT Form DL-120 DS. Cardiovascular Form

The DL-120 DS Cardiovascular Form is a document used by the Pennsylvania Department of Transportation (PennDOT) for individuals to report cardiovascular conditions that may affect their ability to safely operate a motor vehicle. This form is designed to gather information about the individual's medical history, medications, and any restrictions or limitations related to their cardiovascular health.

Important fields on the DL-120 DS form include personal information such as name, address, date of birth, and driver's license number. The applicant is required to provide details about their cardiovascular condition, including diagnoses, treatments, and medications. They must also indicate any restrictions or limitations recommended by their healthcare provider, such as restrictions on driving at night or long distances.

It is important for the applicant to accurately fill out the DL-120 DS form as it helps PennDOT evaluate the individual's fitness to drive and determine if any additional requirements or restrictions are necessary. This ensures the safety of both the driver and other road users.

Application examples and use cases for the DL-120 DS form include individuals who have recently experienced a cardiovascular event, such as a heart attack or stroke, and need to inform PennDOT about their condition. It is also applicable for those with existing cardiovascular conditions that have changed or worsened over time.

There are no directly related or alternative forms to the DL-120 DS Cardiovascular Form within the Pennsylvania Department of Transportation. However, individuals with other medical conditions may be required to submit additional medical forms or documentation, depending on their specific circumstances.