Form DL-177 Medical Information Request - Texas

What Is Form DL-177?

This is a legal form that was released by the Texas Department of Public Safety - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form DL-177?
A: Form DL-177 is a Medical Information Request form specific to Texas.

Q: What is the purpose of Form DL-177?
A: The purpose of Form DL-177 is to request medical information from a healthcare provider for driver licensing purposes.

Q: Who needs to complete Form DL-177?
A: Form DL-177 needs to be completed by an individual who is applying for or renewing a Texas driver's license and has a medical condition that may affect their ability to drive safely.

Q: What information is required on Form DL-177?
A: Form DL-177 requires the applicant's personal information, details about their medical condition, and authorization for the healthcare provider to release medical information to the Texas DPS.

Q: Are there any fees associated with Form DL-177?
A: There are generally no fees associated with Form DL-177. However, there may be charges for medical records requested by the Texas DPS.

Q: How should I submit Form DL-177?
A: Form DL-177 should be submitted in person at your local Texas DPS office.

Q: What happens after submitting Form DL-177?
A: After submitting Form DL-177, the Texas DPS will review the medical information provided and determine if any additional actions, such as a medical evaluation or driving test, are necessary.

Q: Is Form DL-177 confidential?
A: Yes, the information provided on Form DL-177 is confidential and protected under the Texas Public Information Act and Health Insurance Portability and Accountability Act (HIPAA).