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North Carolina Division of Motor Vehicles – Medical Review Unit fax number

(919) 733-9569

Medical Review Unit

Used for: Submission of physician-completed Medical Report Form for driving privilege review (DL-78); may be mailed to the Medical Review Unit or faxed to the provided number for processing.

Fax destination details

Department
Medical Review Unit
Purpose
Submission of physician-completed Medical Report Form for driving privilege review (DL-78); may be mailed to the Medical Review Unit or faxed to the provided number for processing.
Form
DL-78 Medical Report Form — DL-78 Medical Report Form
Address
MEDICAL REVIEW UNIT, 3112 MAIL SERVICE CENTER, RALEIGH, NC 27697-3112
Voice phone
(919) 861-3809

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Physician completes the Medical Report Form for the patient and returns it to the DMV Medical Review Unit; must be signed and dated; can be mailed to 3112 Mail Service Center, Raleigh, NC 27697-3112 or faxed to 919-733-9569; for questions, contact (919) 861-3809.

Official form instructions are published as a downloadable file on the organization's website.

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