Client Resources
 

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The Safe Driver: Evaluation Request 

Fill out this form and e-mail it back to: MarcSamuels@TheSafeDriver.com 
 

The Safe Driver: Physician Referral

Print out this form, have your physician fill it out, and fax it to the number included on the form to request services.
 
Edward Brodd, MS, RKT, CDRS  - 650-690-6618
Driver Rehab Services, LLC - Provides CDRS services & equipment in the Bay Area.
 
DMV Self Referral 
Fill this form out and return to a local DMV to request a re-evaluation of your driving skills.
 

DMV Driver Safety Offices
For a full list of CA DMV Safety offices. It is always best to call for an appointment first. 

 

DMV Request for Re-examination
This is a form to fill out if you have concerns regarding the driving 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 Evaluation
DMV form, which physician completes, that includes health and medical information (only required upon DMV request). 

 
 
Wonderful FREE screening tool developed by AAA

 

The Association for Driver Rehabilitation Specialists (ADED)

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.

 

Preparing for your Supplemental Driving Performance Evaluation PDF (or DMV Link)

Guide from the CA DMV telling you how to prepare and what to expect during your driving test if you have a medical issue (testing at the DMV Safety Office).

How to Prepare for Your DMV Driving Test‏ (CA DMV link)
 
 

Report of Vision Examination

DMV form to be filled out by you and your vision specialist if requested by the DMV.
 

Reporting lapses of consciousness

DMV regulation about reporting, including dementia – Alzheimer’s.
 

Confidential Morbidity Report

State of California Mandatory reporting form filled out by medical providers if there may be issues with your ability to drive. (CA Department of Public Health - Lapse of consciousness or control)  

 

Vision Conditions and Actions

DMV tables that outline physical and mental conditions by definition and severity and what actions they are expected to take in responses to assure safety behind the wheel.
 

Assessment of Readiness for Mobility Transition (ARMT)

Free tool to help evaluate emotional and attitudinal readiness to cope with driving cessation.
 
 

Senior Transportation Options -The Berverly Foundation 

Wonderful resources related to alternate transportation in your area.



 
 
 
*** Additional Resources for Seniors ***
 

Senior Health Issues

Senior Citizen Resource Guide – helpful information for senior citizens to help learn about various health issues.

Vision Information – information about the need for good vision to maintain your drivers license and how it is tested.

Staying Healthy as a Senior – tips and resources for senior citizens on how to stay healthy.

Age Related Links – useful site aimed at helping seniors remain healthy and being safe drivers.

Aging and Driving Concerns

Effects of Aging on Driving Ability (PDF) – article discussing the effects that aging has on driving ability and reflects.

Vision, Aging and Driving – helpful information on the problems associated with aging and in particular, driving issues.

Mature Drivers – information about how the changes due to age and even technology can be a problem for senior citizens.

Aging and Driving Performance (PDF) – study outlining the factors in driving pertaining to the elderly.

Aging and Driving (PDF) – article discussing the technical problems with vision in the elderly.
 

Senior Safe Driving Tips

Injury Prevention – tips and recommendations on how to keep senior citizens safe when driving.

Senior Driver Overview – information and a brief overview of driving for senior citizens.

Coping with Illness and Age – helpful resources and suggestions on how to deal with illness and age.

Safe Driving – resourceful site providing a variety of resources for safe driving.

Driving Tips for Senior Citizens – basic tips that can be utilized by senior citizen drivers.

Senior Citizen Driving – information for older drivers to deal with the challenges of aging.
 

Unsafe Driving Problems

Senior Driving – helpful guide for seniors on being a safe driver.

Older Driver Safety – useful government information aimed at helping older drivers be safe.

Elderly Driving – helping to show senior citizens on being safer drivers regardless of age and abilities.

Weather and Driving Conditions

Safe Winter Driving – common sense tips on how to drive safely during the winter.

Winter Driving Tips – helpful tips for drivers to navigate the roads safely during the winter.

Driving in Bad Weather (PDF) – informative article outlining common sense practices for safe driving in bad weather.

Driving Hazards and Safety – useful suggestions on how to drive in bad and hazardous conditions.
 

Time for Senior Citizens to Stop Driving

Driving Decision – information to help senior citizens make the decision to stop driving.

Stopping Driving – helpful article that helps seniors make a decision about continuing to drive.

Senior Driving Safety discussion of self-evaluation and driving skills for senior citizens along with alternatives to driving.

Senior Driving – useful topics are covered providing information on when senior citizens should stop driving.
 

Senior Driving Resources

Driving Skills Resources – useful information and resources that are helpful to senior citizen drivers.

Resource Guide – information to assist senior citizens in being safer drivers.

Assessing Older Drivers – assessment information and resources to determine the abilities of elderly drivers.

Senior Safety Resources – information for seniors to remain safe both on and off the roadways.

Elderly Drivers – overview of the problems associated with drivers who are limited physically or mentally.

Resources for Older Drivers – helpful collection of resources that can be used by older drivers.

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