Form P-142D Diabetes Medical Report - Connecticut

Form P-142D Diabetes Medical Report - Connecticut

What Is Form P-142D?

This is a legal form that was released by the Connecticut Department of Motor Vehicles - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form P-142D?
A: Form P-142D is the Diabetes Medical Report in Connecticut.

Q: Who uses Form P-142D?
A: Form P-142D is used by individuals with diabetes in Connecticut.

Q: What information does Form P-142D require?
A: Form P-142D requires information about the individual's diabetes diagnosis, treatment plan, medication, and any complications.

Q: Is Form P-142D mandatory?
A: It is important to consult with a healthcare provider or the Connecticut Department of Motor Vehicles to determine if Form P-142D is mandatory in your specific situation.

Q: How often should Form P-142D be updated?
A: Form P-142D should be updated as changes occur in the individual's diabetes diagnosis, treatment, or medication.

Q: Can healthcare providers assist in completing Form P-142D?
A: Yes, healthcare providers can assist in completing Form P-142D and providing the necessary medical information.

Q: Does Form P-142D affect driving privileges?
A: Form P-142D is used to assess an individual's ability to operate a vehicle safely, and it can impact driving privileges based on the information provided.

Q: Why is Form P-142D important?
A: Form P-142D is important because it helps ensure the safety of both the individual with diabetes and other drivers on the road by evaluating the individual's medical fitness to drive.

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Form Details:

  • Released on August 1, 2017;
  • The latest edition provided by the Connecticut Department of Motor Vehicles;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form P-142D by clicking the link below or browse more documents and templates provided by the Connecticut Department of Motor Vehicles.

Download Form P-142D Diabetes Medical Report - Connecticut

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  • Form P-142D Diabetes Medical Report - Connecticut, Page 1
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