Client Resources

Capuchino Therapy Group, in collaboration with Marc Samuels at, has provided this resource page to link you to websites and information that may be maintained or sponsored by third parties. We do not endorse, represent or warrant any of the information provided by a third party. When you access a link provided by a third party, Capuchino Therapy Group and has no control over the content. We do not endorse or guarantee any of the information, products or services provided by a third party. 

AAA Roadwise Rx

Roadwise Rx is a free, confidential tool developed by the AAA Foundation for Traffic Safety that adults can use to explore how medications may affect safe driving.

AARP Driver Safety Program

The Association for Driver Rehabilitation Specialists (ADED)

Their links include: associations, corporate members, government sites, mobility equipment dealer members, rebate programs, and resource sites.

A Practical Guide to Alzheimer’s, Dementia & Driving (The Hartford Insurance Corp.) 

Assessment of Readiness for Mobility Transition (ARMT)

Free tool to help evaluate emotional and attitudinal readiness to cope with driving cessation.

California Driver Handbook

Confidential Morbidity Report

State of California Mandatory reporting form filled out by medical providers if there may be issues with your ability to drive. (CA Department of Public Health – Lapse of consciousness or control.)  

DMV Driver Safety Offices
For a full list of CA DMV Safety offices. It is always best to call for an appointment first. 

DMV Request for Re-examination
This is a form to fill out if you have concerns regarding the driving safety of another individual. This alerts the DMV to your concerns and may prompt them to re-evaluate that driver’s safety or other actions.

DMV Samples of Driver License Knowledge Tests

DMV Self Referral 
Fill this form out and return to a local DMV to request a re-evaluation of your driving skills.

DMV Senior Ombudsman Program

The program was created by the DMV to keep seniors driving for as long as they can do so safely.

State of California Senior Ombudsman Program

In a continuing effort to keep seniors driving for as long as they can do so safely, the DMV has created a Senior Ombudsman Program.

There are four ombudsmen assigned to this program who are located in various parts of California. The primary function of the Ombudsman Program is to represent the interests of public safety for all Californians with a special interest in addressing the concerns of senior drivers. The ombudsmen can assist as a “go-between” to ensure that senior drivers are treated fairly, consistent with laws and regulations, and with the dignity and respect they deserve. The ombudsmen are available to assist in individual cases, as well as participate in outreach seminars for large and small audiences to promote driver safety in California with an emphasis on senior issues.

DMV Senior Ombudsmen are available to assist you at the following locations:

Sacramento/Northern California
(916) 657-6464

San Francisco/Oakland
(510) 563-8998

Orange/San Bernardino/San Diego
(949) 553-3573

Los Angeles/Oxnard
(310) 412-6103

Driver License and Identification (ID) Card Information (CA DMV link)

Driver Medical Evaluation
DMV form, which the physician completes, that includes health and medical information (only required upon DMV request). 

Elder Care & Safety

Provides you with information, training, and resources to help you improve the safe mobility of seniors in your community.

Family Conversations with Older Drivers (The Hartford Insurance Corp.)

How to Prepare for Your DMV Driving Test‏ (CA DMV link)

National Center for Injury Prevention & Control – Older Drivers Page

National Highway Traffic Safety Administration (NHTSA)

National Mobility Equipment Dealers Association (NMEDA)

Occupational Therapy Driving Readiness Tool

Physician’s Guide to Assessing & Counseling Older Drivers 

(American Medical Association, 3rd Edition) 

Preparing for your Supplemental Driving Performance Evaluation PDF 

Guide from the CA DMV telling you how to prepare and what to expect during your driving test if you have a medical issue (testing at the DMV Safety Office).

Medical Conditions and Driving

Reporting lapses of consciousness

California Law (California Health and Safety Code Section 103900) requires physicians to report patients with conditions which result in lapses of consciousness, episodes of confusion or dementia. Please be advised that your physician does not have the authority to grant you driving privileges or to hasten the review process – only the California DMV has that authority.


Report of Vision Examination

DMV form to be filled out by you and your vision specialist if requested by the DMV.

Research on Driving & Dementia (Washington University ADRC) 

Senior Driver Website (AAA Foundation for Traffic Safety)

Information about Volunteer Driver Programs.

Vision Conditions and Actions

DMV tables that outline physical and mental conditions by definition and severity and what actions they are expected to take in responses to assure safety behind the wheel.

Vision Condition Action Chart