(1) Recommendations by the Board as to whether an applicant or licensed driver who suffers from loss of consciousness can safely operate a motor vehicle will depend upon consideration of the Medical Report, HSMV 72423, effective 07/18, incorporated by reference in Fl. Admin. Code R. 15A-5.004, and Loss of Consciousness Follow-Up Form, HSMV 72117, effective 07/18, http://www.flrules.org/Gateway/reference.asp?No=Ref-09590, herein incorporated by reference, from their treating physician indicating the cause of the loss of consciousness.
Copies of the forms are available on the Department’s website.

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    (2) Applicants or licensed drivers who may have experienced a loss of consciousness as a result of hypoglycemia must provide a Medical Report, HSMV 72423, effective 07/18, incorporated by reference in Fl. Admin. Code R. 15A-5.004, and/or Diabetes/Hypoglycemia Follow-Up Form, HSMV 72112, effective 07/18, http://www.flrules.org/Gateway/reference.asp?No=Ref-09589, herein incorporated by reference, from their treating physician for consideration by the Board. If the hypoglycemic episode resulted in a motor vehicle crash, the applicant or licensed driver must present a Diabetes Form, HSMV 72118, effective 07/18, http://www.flrules.org/Gateway/reference.asp?No=Ref-09588, herein incorporated by reference, from their treating physician. Copies of the forms are available on the Department’s website.
Rulemaking Authority 322.02(6), 322.125(7), 322.126(1) FS. Law Implemented 322.05(7), (10), 322.125(1), (2), (3), 322.126(1), 322.221(2)(c) FS. History-New 6-27-82, Formerly 15A-5.05, Amended 7-31-18.