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- Completed by an driver training instructor applicant's family physician
- The top portion of this form which includes the applicant's name and address, can be partially completed on-line by the applicant prior to printing. The remainder of the evaluation form (Part A, B, C, D and E) must be completed by the applicant's family physician
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This PDF document includes 4 pages (Important Notice to Physician & Instructor Applicant (MD13) and Medical Form). All pages of this document must be printed and presented to the applicant's family physician
Important Printing Instructions:
This document contains legal size (8 1/2 x 14 ) pages. Please insert legal size paper into your printer tray before printing.
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