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This form is to be used ONLY as a supplement to the Medical Examination form (DS-874), and should be attached to that form when completed. Medical Examination Report Form.INSTRUCTIONS TO MEDICAL EXAMINER: The complete standards and instructions for conducting this examination are found in Section 6. 10 of the Commissioner's. MEDICAL EXAMINATION REPORT OF DRIVER UNDER ARTICLE 19-A dmv.ny.gov. If you have received a request for a medical review, it means we received information regarding your ability to safely operate a motor vehicle. SUPPLEMENT TO: Medical Examination of Driver Report Under Article 19A. Pamphlet with list of medical conditions that can affect driving as well as driving evaluation and driver training programs. Pursuant to Section 302. An examination for an ambulance driver certificate is conducted at the field offices of the.