STARTING THE PROCESS
(Click BLUE form titles below to view or print)
 
1 - Download, fill out, and e-mail or mail back the following form: - Driver Evaluation Request -
(if you prefer to fill it out by hand then you can download the document here and mail it back)
 
2 - Contact your physician and request a referral/prescription for a 'Drivers Evaluation'.  To simplify the process you can also print out our pre-printed 'Physician Referral' form and provide it to the doctor for their convenience. The return fax number is on the form.

3 - Review and return the following two forms:
(This can be done via e-mail, fax or/and provided at the time of service)


Once the Physician Referral & Driver Evaluation Request are received you will be contacted
to arrange an appointment date & time.

www.TheSafeDriver.com