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STATE OF CONNECTICUT DEPARTMENT OF MOTOR VEHICLES 60 STATE STREET, WETHERSFIELD, CT 061611013 DRIVER SERVICES DIVISION ct.gov/dmvMEDICAL FORM P142M Rev. 718Department of Rehabilitation Services/ Driver.

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How to fill out the CT DMV P-142M online

The CT DMV P-142M is a medical form used to assess an individual's ability to safely operate a motor vehicle. This guide will provide clear, step-by-step instructions on how to complete this form online, ensuring that users can easily navigate through each section, regardless of their experience level.

Follow the steps to complete the CT DMV P-142M form effectively.

  1. Click ‘Get Form’ button to obtain the CT DMV P-142M and open it in the editor.
  2. In Section (A), fill in your personal information, including your full name, mailing address, date of birth, and phone number. Ensure all details are accurate to avoid processing delays.
  3. Continue in Section (A) by providing your operator's license number. Sign and date the authorization statement to allow your medical examiner to conduct the examination and share relevant medical records.
  4. In Section (B), your medical examiner will complete the clinical information section. They should indicate if they are your primary care provider and document any conditions that could impact your ability to drive safely.
  5. Your medical examiner will also complete additional subsections in Section (C), listing any specific health conditions and relevant medication that may affect your driving capabilities.
  6. Once all sections have been filled out, review the form for any errors or missing information. Ensure all required signatures, including that of your medical examiner, are provided.
  7. Finally, after confirming that the form is complete and accurate, you can save your changes, download the document, print it for submission, or share it as necessary.

Complete your CT DMV P-142M form online today for a hassle-free experience!

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Related content

DMV Medical Form P-142M - CT.gov
P-142M Rev. 7-18. This patient has been referred to the DMV concerning his or her ability...
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© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
CT DMV P-142M
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