25cc2599_Affairs_Forms_and_Publications__Description
[Form] Loss of Consciousness Form [Instructions] This form is to be completed by your physician when the Registry has a question concerning your medical/physical qualification for driving related to loss of consciousness or altered consciousness . Additionally, this form may be used to regain your driving privilege after the voluntary surrender of your license. PLEASE NOTE: If your license is in revoked or suspended status, then your doctor may need to review documentation concerning your license status prior to this form being accepted. If your license is revoked or suspended, then please consult with a hearing officer or Driver Control staff prior to having this form completed. [Description] 
This form is to be completed by your physician when the Registry has a question concerning your medical/physical qualification for driving. Additionally, this form may be used to regain your driving privilege after the voluntary surrender of your license. PLEASE NOTE: If your license is in revoked or suspended status, then your doctor may need to review documentation concerning your license status prior to this form being accepted. If your license is revoked or suspended, then please consult with a hearing officer or Driver Control staff prior to having this form completed.
Massachusetts RMV - Medical Affairs Forms and Publications
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