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Quartely Endocrinologist Evaluation Form for Exempted Drivers

About this Document

Checklist to be completed for Federal Diabetes Exemption Program.

DOT is committed to ensuring that information is available in appropriate alternative formats to meet the requirements of persons who have a disability. If you require an alternative version of files provided on this page, please contact

If you have questions related to the application process outlined in this document, please call 703-448-3094.

Sincerely yours,
Christine A. Hydock
Chief, Medical Programs Division


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