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Get and Sign Illinois Secretary of State Medical Report Fill and Sign Form
Musculoskeletal d Seizures e Diabetes f Dizzy/Fainting Spells g Alcohol/Drug Abuse h Developmental i Mental j Other Condition s condition a LIST ALL current medications and dosages including medications prescribed by another physician. DRIVER ANALYSIS DIVISION 2701 S. DIRKSEN PARKWAY SPRINGFIELD IL 62723 217-782-7246 ILSOS.GOV Office of the Secretary of State Driver Services Department Medical Report For Conditions That May Impair Driving Safely Please see guidelines at ilsos. If medications...
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