This form is provided for use by a physician, physician assistant, or nurse practitioner to report an individual whose driving ability may be affected due to some physical or mental health.
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Physicians Reporting form — New York
Source: State Agency/ProgramHelping older drivers fight distracted driving: NCSU researchers target ‘Attention Failure’ — National
Source: NewsResearcher From North Carolin State University and Texas Tech have developed a straightforward questionnaire that older adults can use to assess their attentional performance during driving
When to Yield: Questions and Answers about Dementia — Virginia
Source: State Agency/ProgramThis booklet reviews the many hard decisions involved with dementia and driving and gives you approaches, including a sample "safe driving agreement" for dealing with this difficult topic.
Driver Safety for All Ages — National
Source: State Agency/ProgramPresentation presented by the Georgia Department of Driver Services Medical Review Unit.
Reporting an Unsafe Driver — Arizona
Source: State Agency/ProgramArizona DOT has posted reporting unsafe driver requirements for law enforcement and physicians and others on how you can report an Unsafe driver in your area.
Clinicians Guide to Assessing and Counseling Older Drivers Overview — National
Source: State Agency/ProgramThis includes selection and highlights from the Clinicians Guide to Assessing and Counseling Older Road Users.
Helping Elders Retire From Driving — National
Source: NewsToday’s Geriatric Medicine published an article on how caregivers, family members, and physicians can help elders retire from driving.
Medical Reporting/Medical Review Process — Florida
Source: State Agency/Programf your state is looking to create a state resource page for Older Drivers, please use these as examples.
Oregon: DMV At-Risk Driver Program — Oregon
Source: State Agency/ProgramOregon's DMV resource for helping seniors stay safe and mobile
Aging and Adult Services — North Carolina
Source: State Agency/ProgramThe Division of Aging and Adult Services works to promote independence and enhance the dignity of North Carolina's older adults and their families through a community based on services and benefits.