Form MED 3. Medical Review Request - Virginia

Form MED 3 - Medical Review Request is used to request the Virginia Department of Motor Vehicles (DMV) to conduct a medical review of a licensed driver. The primary purpose of this form is to address concerns about a driver's medical fitness to operate a motor vehicle safely. The form is typically used when there are doubts or questions regarding a driver's physical or mental conditions that may affect their ability to drive safely.

The parties involved in this form include the licensed driver or concerned parties, such as family members or medical professionals who believe the driver's medical condition warrants a review. The form consists of sections where the requester must provide the driver's details, describe the medical condition or concern, and submit supporting medical documentation or statements.

Important fields in this form include the driver's personal information, a detailed description of the medical condition or concern, and any relevant medical documentation. The accuracy and completeness of the information provided are crucial for the DMV's medical review process.

An example scenario for using this form would be a family member expressing concern about an elderly relative's declining health and cognitive abilities affecting their driving. The concerned family member would complete Form MED 3, describing the relative's condition and providing medical reports from their physician. The DMV would then conduct a medical review to determine if the elderly driver is still fit to drive or if restrictions need to be imposed on their driving privileges for safety reasons.

When filling out this form, it is essential to provide as much relevant information and medical documentation as possible to support the request. This ensures a thorough and accurate evaluation of the driver's medical condition by the DMV.

Related forms or alternatives for similar purposes may include medical review request forms used in other states or jurisdictions. However, each state may have its unique form with specific requirements and guidelines for initiating a medical review of a driver's fitness to drive.