Client Resources
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Fill this form out online.
Physician Referral
Print out this form, haveyour MD fill it out, and fax it to the number included on the form to request services.
DMV Self Referal
Fill this form out and return to a local DMV to request a re-evaluation of your driving skills.
DMV Driver Safety Offices
Full list of CA DMV Saftey offices. It is alwaysbest to call for an appointment first.
DMV Request for Re-examination
This is a form to fill out if you have concerns regarding thedriving safety of another individual. This alerts the DMV to your concerns and may prompt them to re-evaluate that driver's safety or other actions.
Driver Medical Evlaluation
DMV form, which MD completes,that includes health and medical information (only required upon DMV request).
* Roadwise Review Online* - Wonderful FREE screening tool developed by AAA
Their links include: Associations
Corporate Members
Government Sites
Mobility Equipment Dealer Members
Rebate Programs
Resource Sites
Eldersafety.org provides you with information, training, and resources to help you improve the safe mobility of seniors in your community.
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Resources
