• Driver Medical Form

  • Completing this Driver Medical Form is for the benefit of assessing and treating a driver should an emergency arise. By completing this form, you acknowledge that you have willingly and truthfully completed all the designated fields as requested by the CARS Tour. 

    CARS Tour will mantain the privacy of the Drivers and not disclose any of the information from this Driver Medical Form to any other party unless deemed necessary for proper treatment in the event of a medicial situation as part of a CARS Tour releated event. 

  • Are you allergic to any medication?*
  • Are you now on any prescribed medication on a permanent or semi-permanent basis?*
  • Are you now on any prescribed medication on a permanent or semi-permanent basis?*
  • Are you taking medication to treat diabetes (insulin or pills)?*
  • Do you wear contact lenses during competition?*
  • Have you been informed by a medical doctor that you have Asthma?*
  • Do you wear any dental appliances?*
  • Have you ever had an injury to your neck involving nerves, vertebrae or discs that incapacitated your for a week or longer?estion*
  • Have you ever had an Epileptic Seizure or been diagnosed with Epilepsy?*
  • Have you ever experienced a concussion within the past 3 years?*
  • Should be Empty: