MV-80U.1

The New York State DMV form MV-80U.1, titled Physician's Statement for Medical Review Unit, is a critical document used to evaluate a driver’s medical fitness when they have conditions that may cause a loss of consciousness, awareness, or body control. This form is typically required when a motorist has experienced episodes such as fainting, seizures, or heart-related incidents, or if a police report suggests a medical condition contributed to a crash. It must be completed by a licensed physician, physician assistant, or nurse practitioner based on an examination conducted within the last 120 days.

The statement captures detailed medical data, including specific diagnoses (e.g., epilepsy, stroke, or sleep disorders), current medications, and results of relevant diagnostic tests like EEGs or MRIs. Most importantly, it requires the medical professional to provide a formal opinion on whether the patient's condition prevents or interferes with the safe operation of a motor vehicle. This information is reviewed by the DMV Medical Review Unit to determine if a driver’s license should be issued, renewed, restricted, or suspended to ensure public road safety. Failure to submit the form when requested or a finding that a driver is medically unfit can lead to an administrative license suspension.