PennDOT Form DL-124: PA General Neurological Form Guide – The Pennsylvania Department of Transportation (PennDOT) requires certain medical evaluations to ensure drivers can safely operate a motor vehicle. One key document in this process is Form DL-124, officially known as the General Neurological Form. This form helps healthcare professionals report neurological conditions that may impair a person’s ability to drive safely on Pennsylvania roads.
Whether you are a driver whose medical condition has been reported or a healthcare provider completing the form, understanding DL-124 is essential for compliance with Pennsylvania law and road safety.
What Is PennDOT Form DL-124?
Form DL-124 is the official General Neurological Form used by the Pennsylvania Bureau of Driver Licensing. Healthcare providers use this form to document and report neurological findings related to a patient’s fitness to drive.
It falls under Pennsylvania’s mandatory medical reporting requirements. Under Section 1518(b) of the Pennsylvania Vehicle Code, physicians and other authorized healthcare personnel must report patients age 15 or older who have a condition that could impair safe driving.
The form specifically addresses neurological issues, including conditions involving cerebral vascular insufficiency that may cause symptoms such as syncope, loss of consciousness, vertigo, paralysis, lack of coordination, confusion, or other impairments affecting vehicle control.
You can download the official Form DL-124 here: Download PennDOT Form DL-124 (PDF).
Who Needs to Complete the DL-124 Form?
The form is completed by licensed healthcare providers, not by the driver. Eligible providers typically include physicians, physician assistants, certified registered nurse practitioners, and other professionals authorized to diagnose or treat disorders and disabilities.
Drivers may need this evaluation if:
- They have a neurological condition that could affect driving safety
- A healthcare provider identifies symptoms that may impair safe vehicle operation
- PennDOT requests additional medical information during a license review
- They are applying for or renewing a driver’s license and a neurological assessment is required
Note that Form DL-124 is for general neurological conditions. Separate forms exist for specific issues such as seizure disorders (DL-121) or other medical categories.
Key Regulations Related to Neurological Conditions and Driving
Pennsylvania Code Title 67, Chapter 83 outlines physical and mental criteria for driver licensing. Relevant standards connected to the DL-124 form include:
- § 83.5(a)(2): A person with cerebral vascular insufficiency or cardiovascular disease that, within the preceding 6 months, resulted in syncopal attack, loss of consciousness, vertigo, paralysis, or loss of qualifying visual fields will not be qualified to drive.
- § 83.5(b)(4): A provider may recommend license recall if cerebral vascular insufficiency or cardiovascular disease within the preceding 6 months has caused lack of coordination, confusion, loss of awareness, dyspnea upon mild exertion, or any other symptom that impairs the ability to safely operate a motor vehicle.
These standards help PennDOT determine whether restrictions, additional testing, or license recall may be necessary.
For the most current official criteria, visit the PennDOT Medical Reporting Forms page and the Medical Reporting Information Center.
How to Complete and Submit Form DL-124?
Healthcare providers should follow these steps:
- Obtain the official form from the PennDOT website (link provided above).
- Complete all required sections accurately, including patient identification, diagnosis details, and clinical findings related to neurological function and driving safety.
- Indicate whether the patient meets or does not meet the medical standards for safe driving, and provide any recommended restrictions or further evaluation needs.
- Sign and date the form as the evaluating provider.
- Submit the completed form to PennDOT. Options include online submission (available for many medical forms), mail, fax, or email.
Submission details:
- Mail: Bureau of Driver Licensing, P.O. Box 68682, Harrisburg, PA 17106-8682
- Fax: (717) 705-4415
- Email: [email protected]
Reports must generally be submitted within 10 days of diagnosis of a condition that could impair driving ability. Providers who report in good faith are protected from civil and criminal liability under Pennsylvania law.
In 2023, PennDOT expanded online submission options for Form DL-124 and other medical forms to improve efficiency.
What Happens After Form DL-124 Is Submitted?
Once PennDOT receives the form:
- The Medical Unit reviews the information.
- Possible outcomes include adding or removing license restrictions, requesting additional medical information or a driving test, recalling the driving privilege, or taking no action.
- All medical reports are confidential and used solely to determine driving qualification. PennDOT does not disclose the source of the report to the driver.
Drivers who disagree with a decision may have appeal options through the administrative process.
Why Medical Reporting Matters for Road Safety?
Pennsylvania’s medical reporting program plays a critical role in public safety. According to PennDOT, more than 22,000 new medical reports are submitted each year. Over half of these involve impairments significant enough to warrant recall of driving privileges. Reports span all age groups—approximately half involve drivers under age 65.
By completing Form DL-124 when appropriate, healthcare providers help protect both their patients and the public from the risks of medically impaired driving.
Frequently Asked Questions About PennDOT Form DL-124
Is the DL-124 form the same as the seizure form?
No. Form DL-121 is used specifically for seizure disorders/epilepsy. DL-124 covers general neurological conditions.
Do drivers fill out the form themselves?
No. Only authorized healthcare providers complete and submit Form DL-124.
Is HIPAA a barrier to reporting?
No. HIPAA does not restrict disclosures required by state law. No patient consent is needed for reporting to PennDOT.
Where can I find other related medical forms?
Visit the official PennDOT Medical Reporting Forms page for cardiovascular, diabetes, orthopedic, psychiatric, cognitive, and other condition-specific forms.
Download the Official Pennsylvania PennDOT Form DL-124
For the most accurate and up-to-date version of the General Neurological Form, download it directly from the Commonwealth of Pennsylvania website:
Download PennDOT Form DL-124 – General Neurological Form (PDF)
For additional guidance, contact the PennDOT Medical Unit:
- Phone: 717-787-9664 (hours: Monday–Friday, 8 a.m.–4:15 p.m.)
- Email: [email protected]
Always rely on official PennDOT resources for the latest forms, regulations, and submission instructions. This ensures compliance with current Pennsylvania driving medical standards and helps keep the Commonwealth’s roadways safe for everyone.