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Chapter 9: Medicals

01/06/2009
10:49 AM

Section A.  Class D Medical Reports
Section B.  Special Instances
Section C.  Class D Vision Report 
Section D.  Medical Actions
Section E.  Readers for Customers with Disabilities
Section F.  Customers Requiring Additional Road Testing
Section G.  Mailing Procedures for Medical Report
Section H.  Medical Condition/Disease Codes
Section I.  Answers to Common Medical Questions

 

Section A: Class D Medical Reports

Revised June 20, 2013

 

Issuance of a Class D New Mexico Driver’s License, Permit or Provisional License with a Medical Report

For some time there have been multiple Medical Report forms in use, due to problems getting a new, revised form with instructions approved for use. A new revision (MVD-10124 Rev 06/13) has now been approved and posted on the Internet and intranet forms pages. The old form (Rev. 09/01) may still be accepted.

DO NOT
issue a Commercial Drivers
License (CDL) using a Class D
Medical Report.

Procedures for the Issuance of a First Time, Renewal or Replacement Driver's License or Permit with a Class D Medical Report

Upon return of the Medical Report, if the applicant's physician or other licensed health care provider:

  • has answered "Yes" to question #8, "From a medical standpoint only, is the patient capable of safe and competent driving?" or
  • has answered question #10 with a number of years (1 year or 4 years) as the next recommended interval for medical report review,

the customer meets New Mexico state standards and has passed the medical screening. Issue a drivers license, following the procedures below. If no recommended interval is specified, issue a one-year license. If the recommended interval is more than two years, issue a four-year license.

Note: All Medical Reports must be faxed to the Driver Services Bureau’s Medical Unit in Santa Fe at (505) 827-0977 for review and possible referral to the Medical Review Board. There will be rare occasions when the Medical Review Board’s evaluation concludes that the customer should not be licensed. In those cases, the customer will be notified by the Driver Services Bureau and his or her license will be canceled, subject to a hearing if so requested by the driver.

  1. Verify Customer’s Personal Information on Medical Report
     All information needs to legible.
     Applicants name must be their legal name (matches name on driver’s license).
     Correct mailing address
     
  2. Verify Physician Information on Medical Report
     Name of Physician 
     Complete Address and Phone Number provided
     Date of Visit
     Signature of Physician

    If any of the above information is missing, return the Medical Report to the customer for completion.
    DO NOT PROCESS THE DRIVER’S LICENSE.
     
  3. Inform Customer
    At the time of issuance, inform the customer that a current (new) Medical Report must be submitted upon renewal or replacement of the driver’s license. Once a customer has a medical action placed on his or her record, it is mandatory that a new Medical Report be completed prior to the issuance of a new driver's license.
     
  4. Preparation of Medical Report
    In the “Division Use Only” space of the Medical Report, check the box that designates what type of license you issued and record your MVD Field Office Number. The current form only lists Permit, Regular or Commercial. Write in what has been issued (e.g. Provisional License) if it is not listed.

    Make two copies of the Medical Report: a) to place as documentation for the Drivers Application; and b) to keep as a copy for your records. All original Medical Reports must be faxed to the Medical Unit in Santa Fe at (505) 827-0977 on a DAILY BASIS.

    The Medical Unit will update the customer's record to reflect the new medical action.

 

Section B: Special Instances

Revised August 22, 2012


Special instances that do not require a Medical Report or that require additional documentation with a Medical Report

When a customer has a medical condition, which does not limit his ability to operate a motor vehicle, (such as a missing limb, partial paralysis, or a deformed limb), provided there is no other health problem, a Road Test may be administered instead of requiring a Medical Report.

If the decision is made to require only a Road Test, write a description of the customer’s medical condition on the front of the Driver’s Application in the space provided.

Example:  “Amputee with no other health problem,” or “Permanent paralysis of left arm with no other health problem.”

Issue the Driver’s License with the appropriate restriction(s), if applicable. (Refer to Chapter 2 Section H for a complete list of restrictions)

Submit customer’s Road Test with the Driver Application.

If the driver is unable to wear a seatbelt

If a physician states that a driver is unable to wear a seatbelt, the driver will need to carry the physician’s statement to that effect with him whenever he is riding in a Motor Vehicle, either as driver or passenger, including when the driver is taking the road test for issuance of a New Mexico driver's license.

 

Section C: Class D Vision Report

Revised June 20, 2013

 

A revised Vision Report form (MVD-10125 REV. 06/13) has now been approved and posted on the Internet and intranet forms pages. The old Visual/Ocular Report (Rev 05/04) may still be accepted.

Issuance of a Class D New Mexico Driver’s License, Permit or Provisional License with a Vision Report.

New Mexico standards for vision are 20/40 or better in at least one eye, with or without glasses.

If the customer is not able to pass the vision test in the MVD field office, provide the customer with the Vision Report form (MVD-10125 Rev 06/13) to be completed by his or her ophthalmologist or optometrist and returned to the field office.

DO NOT
issue a Commercial Drivers
License (CDL) using a Class D
Vision Report.

Upon return of the Vision Report, do not issue a license if:

  • the customer’s visual acuity is not 20/40 or better in at least one of the six boxes under visual acuity, or
  • the ophthalmologist or optometrist has checked "Deny" in response to question #10.

Do issue a license if:

  • the customer’s visual acuity is 20/40 or better in at least one of the six boxes under visual acuity, and
  • the ophthalmologist or optometrist has checked "Yes" in response to question #8.

Issue a driver's license following the procedures below. If the recommended interval is two years or less, or if no recommended interval is specified, issue a one-year license. If the recommended interval is more than two years, issue a four-year license.

Note: All Vision Reports must be faxed to the Driver Services Bureau’s Medical Unit in Santa Fe at (505) 827-0977 for review and possible referral to the Medical Review Board. There will be rare occasions when the Medical Review Board’s evaluation concludes that the customer should not be licensed. In those cases, the customer will be notified by the Driver Services Bureau and his or her license will be canceled, subject to a hearing if so requested by the driver.

  1. Verify customer’s personal information on Vision Report
    ? All information must be legible.
    ? Applicant's name must be his or her legal name (matches name on drivers license).
    ? Correct mailing address
     
  2. Verify ophthalmologist/optometrist information on Vision Report
    ? Name of ophthalmologist or optometrist
    ? Complete address and phone number provided
    ? Date of Visit
    ? Signature of ophthalmologist/optometrist 

    If any of the above information is missing, return the Vision Report to the customer for completion.
    DO NOT PROCESS DRIVER’S LICENSE.

 

Section D: Medical Actions

Revised August 22, 2012


Medical Actions

Once a customer has a Medical Action of any kind (except a VI1) on his/her license, a current (new) Medical Report must be submitted each time the customer renews or replaces his or her license. If there is a VI1, but the driver passes the eye test, issue the license.

A Medical Report or Vision Report is only valid for half the time period for which the license issued.

 

For example:

  1. John Doe was issued a four-year license in 2007. A Medical Action was placed on his record for Diabetes. In 2008, he has lost his license and is in your office to obtain a replacement. Because the four-year term of Mr. Doe’s license is less than half over (it has been less than two years since his four-year license was issued) the Medical Report is still valid. You can issue a new license without requiring a new Medical Report.
     
  2. Mary Ann was issued a four-year license with a Medical Action in 2005. In 2008 she lost her license. Because Mary Ann's license is more than two years old, and more than halfway to its expiry date, a new Medical Report will be required before she can be issued a new, replacement drivers license.
     
  3. Frank is 77 years old and (because he is over age 75) gets his license renewed every year. His current license was issued in December 2007 and lost it in March of 2008. Because Frank’s license is only for one year, his Medical Report is only valid for six months. Fortunately for Frank, it has only been three months, so his Medical Report is still valid and he can be issued a replacement license. But, if he lost his license in June 2008, more than six months after issuance, he would have to get a new Medical Report.

 

Section E: Readers for Customers with Disabilities

Revised July 22, 2008


If a customer requests that someone read the written test for him or her, specific documentation must be provided and approved by the Field Office Manager prior to scheduling a reader for the customer.

If the customer meets the requirements below, the reader must be a MVD Agent, not a family member or friend.

The disability must be covered by the Americans with Disabilities Act (ADA).

Illiteracy does not fall under the category of a disability and is not covered by the ADA.

The disability must be documented by the customer’s medical provider or a school administrator. Acceptable documentation is typically a letter on the medical provider’s or school’s letterhead explicitly stating that the customer has a disability that is covered by the American Disabilities Act.

We will also accept (PQU#69) the statement of a New Mexico Division of Vocational Rehabilitation (DVR) counselor, on DVR letterhead, that a customer has a disability covered by the Americans with Disabilities Act (ADA) and must have the driver’s license written exam read to him or her.

 

Section F: Customers Requiring Additional Road Testing

Revised March 27, 2008


At times customers may be required to submit to a Road Test in order to reinstate their driving privileges.

In some situations, you may provide them with the testing and they fail. Or you may not feel comfortable providing a Road Test due to the customer’s medical condition.

Some field offices have developed a working relationship with the local sheriff or police chief and are able to have a local law enforcement officer assist with the Road Test. In other circumstances, you may need to consult with your Bureau Chief to determine the best course of action.

Adaptive Driving Program

In the past there was another option. The Adaptability School of Driving in Albuquerque was state-certified to provide New Mexico Road Tests to customers with disabilities or medical conditions. This was the only program in the state, other than law enforcement, whose road testing we were able to accept. Unfortunately, that school has gone out of business.

However, a new "Adaptive Driving Program" is currently in the works under the umbrella of the State of New Mexico Governor’s Commission on Disability (GCD). Unlike the Adapt Ability School of Driving, which was a for-profit operation, the new Adaptive Driving Program is expected to provide its services for free to those who need them. We will let you know when the new program is up and running.

 

Section G: Mailing Procedures for Medical and Vision Reports

Revised June 20, 2013

 

Mailing Procedures for All Medical Reports

 

All Medical and Vision Reports that are received in the Field Office are to be faxed to the Medical Unit in Santa Fe at (505) 827-0977 on a daily basis.

 

Fax, do not mail the Medical and Vision Reports to the Medical Unit in Santa Fe.

 

Section H: Medical Condition/Disease Codes

Revised June 20, 2013

 

Medical Condition/Disease Codes

Medical Code   Disease/Condition
AL-1 Alcoholism
NE-1 Neurological
PS-1 Psychological
CA-1 Cardiovascular
DR-1 Drug Addiction
LC-1 Lapses of Consciousness
OR-1 Orthopedic
VI-1 Vision Acuity
DA-1 Diabetic  
EP-1 Epilepsy
HY-3 Medically qualified for only 3 months - CDL
HY-6 Medically qualified for only 6 months - CDL
HY-1 Medically qualified for only 1 year - CDL

 

 

Section I: Answers to Common Medical Questions

Revised June 20, 2013

 

Answers to Common Questions

  1. When I try to renew a customers drivers license, another window pops up stating that this customer has a medical action on his/her record. What do I do now?
     
    • The customer has a Medical Action on his motor vehicle record which possibly requires a new Medical Report. Refer to the examples under Renewals for the time frame a Medical Report or a Vision Report is valid.
       
    • If the customer needs a new Medical/Vision Report, do not process the transaction. Instead give the customer the proper form for him to take to his physician to complete.
       
    • If the customer has the proper form and it meets the requirements for issuance under either Medical or Vision, then you may certify the driver and issue a license. Mail the original to the Medical Unit in Santa Fe and a copy needs to be included with your drivers’ application documentation.
       
  2. The customers’ Medical Report states that he can get an eight-year license. Can I give it to him/her?
     
    • No. The customer may receive a four-year, but not an eight-year license. A driver with a medical condition is only able to receive a one-year or a four-year license.
       
  3. A customer claims that he no longer requires a Medical/Vision Report as he no longer has the previous condition. What is the procedure to get a medical action removed from a customer’s record?
     
    • The customer will need to have his physician state on the physicians’ letterhead that the customer is no longer being treated for the previous condition and therefore no longer has the previous condition. The letter needs to be sent to the Medical Unit in Santa Fe for further review. If the letter meets all the requirements, the medical condition will be removed from the customers’ record.
       
  4. How long is a Medical or Vision Report valid?
     
    • A Medical Report or a Vision Report is valid for half the length of the license. If a license is issued for four years, the Medical/Vision Report is valid for two years. If a license is issued for one year, the Medical/Vision Report is valid for six months.
       
  5. Is a Medical or Vision Report required for each renewal or replacement?
     
    • Yes, on a renewal, except in the case of a Vision Report when the applicant is able to pass the eye test. For replacement see question #4 for the length of time a Medical or Vision Report remains valid. Anytime a driver has a Medical Action, that driver will continue to need a Medical or Vision Report to address that specific condition, unless the physician recommends that it be removed from the driver’s Motor Vehicle record.
       
  6. A customer came in to the office with an Approval Letter from the Medical Unit. What does it mean and what do I do now?
     
    • The Approval Letter is to inform the customer that his/her Medical Report or Vision Report has been approved. They are then to take the letter to an MVD Field Office for issuance of a license. 
       
    • Approval Letters are issued by various people within the Medical Unit. They are not signed. Instead they bear the initials of the person issuing the Approval Letter. If you have any questions regarding the validity of an Approval letter, contact the Medical Unit.
       
  7. The physician left the length of time for a license to be issued blank, can I issue a license?
     
    • Yes. If the physician answered "Yes" to question #12 (capable of safe and competent driving) on the Medical Report or answered "No" to question #7 (driving hazard) on the Vision Report, issue a one-year license.
       
  8. If a customer comes in to the field office with an Approval Letter and restrictions for Daylight Driving, Corrective Lenses, and Yearly Renewal, do I need to place them on the license?
     
    • No. The Medical Unit updates the customer’s record with all the necessary restrictions prior to the Approval Letter being mailed to the customer.
       
  9. What if the customer can pass the Vision Test on our Vision Machine the next time they are in the office for a renewal?
     
    • If the customer is able to pass the field office vision exam, a license may be issued without a Vision Report, even if the customer has a previous vision action on his or her record.
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