PD-1

The Physician's Statement for Medical Review Unit (Form PD-1) is a legal document used by the New York State Department of Motor Vehicles to evaluate whether a driver’s medical, physical, or mental condition affects their ability to safely operate a motor vehicle. It must be completed by a licensed physician, physician assistant, or nurse practitioner based on an examination conducted within 120 days of submission. The form requires detailed information regarding the patient's diagnosis—such as epilepsy, dementia, stroke, or sleep disorders—including the frequency of symptoms, dates of the last episode, and whether any incidents resulted in loss of consciousness or motor vehicle accidents.

The medical professional must provide their expert opinion on whether the patient’s condition requires a DMV evaluation, prevents safe driving (justifying a license suspension), or does not interfere with safe operation. In addition to clinical findings and treatment plans, the form captures essential patient identifiers and the practitioner's certification. Information from emergency care personnel is explicitly noted as unacceptable, and the DMV reserves the right to request additional information from specialists after reviewing the submitted statement.