Navigating the requirements stipulated by the New York State Department of Motor Vehicles, particularly concerning the medical examination of drivers, involves understanding specific forms such as the DS-874C. This form serves a supplementary role, expressly designed to augment the Medical Examination form (DS-874), dedicated to drivers under Article 19-A. It's essential for providing additional space for both driver and examining medical staff comments that go beyond the scope of the primary medical examination report. Though its use is not mandatory, the DS-874C becomes crucial when the need arises to elaborate on health history, physical examination details, or to add further medical examiner's certification and remarks. It's designed to ensure that nothing significant concerning the driver's health status is overlooked or remains unreported. Consequently, when this supplementary form is applied, it must be attached to the already completed DS-874 form, emphasizing the interconnectedness of these documents. Notably, the DS-874C on its own does not serve as a valid medical report, highlighting its role as part of a comprehensive process to ensure the health and safety of drivers navigating New York State's roads.
| Question | Answer |
|---|---|
| Form Name | Form Ds 874C |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | ds874c dmv new york form |
NewYork State Department of Motor Vehicles |
SUPPLEMENT TO: Medical Examination of Driver Report UnderArticle
Driver Last Name
Driver First Name
M.I. |
Client ID # |
|
|
Date
This form is to be used ONLYas a supplement to the Medical Examination form
Continued from item 8 on form
HEALTH HISTORY(additional driver and/or medical examiner comments and information)
PHYSICALEXAMINATION (additional comments)
MEDICALEXAMINER’S CERTIFICATION & REMARKS(additional remarks)
When used, this form MUST BEATTACHED to the completed form
This form, by itself is NOT a valid Medical Report.