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

(919) 861-3284

Medical Review Unit

Used for: Physician completes and returns the Medical Report Form (DL-78) to the NC DMV Medical Review Unit for driving-ability evaluation; the unit lists the fax line 919-861-3284 as a submission channel and also accepts mailed submissions.

Fax destination details

Department
Medical Review Unit
Purpose
Physician completes and returns the Medical Report Form (DL-78) to the NC DMV Medical Review Unit for driving-ability evaluation; the unit lists the fax line 919-861-3284 as a submission channel and also accepts mailed submissions.
Form
DL-78 — Medical Report Form
Address
3112 Mail Service Center, Raleigh, NC 27697-3112
Voice phone
(919) 861-3809

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The form must be signed by both patient and physician, dated, and returned to the Medical Review Unit within 30 days; if more time is needed, contact (919) 861-3809. The submission is directed to the Medical Review Unit, 3112 Mail Service Center, Raleigh, NC 27697-3112.

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

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