Colorado DR 2401 Form PDF Details

The Colorado DR 2401 form is the state's official Confidential Medical Examination Report. Licensed physicians, physician assistants, and nurse practitioners use this form to evaluate a driver's medical fitness. The Colorado Department of Revenue Division of Motor Vehicles uses the examination results to make driver licensing decisions.

What the DR 2401 Medical Examination Covers

The medical examination covers a range of health conditions that affect safe driving. A physician reviews each of the following areas during the evaluation:

The form also includes a driving history section. The patient completes this section with details about their daily driving habits and one-way distance to work. This information gives the physician a complete picture before finalizing the examination report.

Driving Restrictions the Physician Can Recommend

When the medical examination shows a condition that limits safe vehicle operation, the physician may recommend specific driving restrictions. Common restrictions include daylight driving only and no highway driving. Recommendations are tailored to the individual patient's health conditions and driving needs.

For related Colorado Department of Revenue vehicle forms, see also the Colorado DR 2395 form and the Colorado DR 2489A form.

QuestionAnswer
Form Name Colorado DR 2401 Form
Form Length 2 pages
Fillable? No
Fillable fields 0
Avg. time to fill out 30 sec
Other names dr2401, colorado dmv eye exam form, colorado 2401, dmv eye exam form
Issuing Agency Colorado Department of Revenue, Division of Motor Vehicles
Who Completes It Licensed physician, physician assistant, or nurse practitioner
Form Purpose Confidential Medical Examination Report for driver license evaluation