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TELEHEALTH OPTION AVAILABLE FOR LEVEL 1-3 LICENSED COMPETITORS

TELEHEALTH OPTION AVAILABLE FOR LEVEL 1-3 LICENSED COMPETITORS

NHRA officials announced in May that in light of the pandemic and associated strain on medical resources and other issues, a temporary TELEHEALTH option was being offered as an alternative to an in-person medical exam for competitors who were unable to schedule an in-person exam during the COVID-19 pandemic.  Racers were eligible for extension of active Level 1-3 licenses through August 31st, 2020 if a valid telehealth exam was provided. 

Because of continuing difficulty in scheduling non-emergency exams, NHRA will grant requests to extend existing telehealth renewals that had an expiration date of August 31, 2020, through  December 31st, 2020.  If you wish to extend the expiration date of your license based on a telehealth exam, contact your Division Office to settle payment for renewal of the remaining months in 2020 over the phone. 

All new telehealth license applicants will need to follow the instructions as previously posted below.  New telehealth-based licenses will be granted (if approved) though Dec. 31, 2020The applicant will contact a physician to schedule a TELEHEALTH exam and share the link below with the medical physician.  The physician will be able to complete the NHRA’s Temporary Driver’s Medical Certificate via the online form, which is immediately submitted to NHRA upon submission.  The applicant/patient will receive a confirmation email with an attached application for license renewal, that must be completed then submitted to the NHRA Division Offices for processing.  Detailed instructions/steps are listed below – if you have specific questions about this process, contact the NHRA Competition Licensing Staff for more information.

**This option is only available for Levels 1-3 renewal applicants over the age of 17.**

INSTRUCTIONS FOR APPLICANT/PATIENT

1.    Confirm you are eligible for temporary Driver’s Medical Certificate. 

·      Currently licensed with a level 1, 2, or 3.

·      Current license expires between 1/31/2020 & 11/30/2020

2.    Contact and schedule a telehealth appointment with a licensed MD or DO physician.

To request an appointment with Dr. Surface please click below.
This information will go directly to Dr. Surface.  
https://form.jotform.com/202196907607056

3.    Provide physician with link to online Temporary Medical Certificate for their completion during the exam process.

https://hipaa.jotform.com/NHRADiv/nhra-temporary-medical-certificate

4.    Once exam is completed, results will be received by NHRA Licensing Staff at time of physician’s submission.

5.    Applicant will receive immediate confirmation email including an attached Temporary License Renewal Application to be submitted to NHRA Division Office.

6.    Application will be returned if any information is incomplete.

7.    Any matter, including without limitation any conditions or medications, in this examination may be referred to an NHRA medical consultant for review, and may be cause for rejection.

8.    Temporary medical certificates expire 12/31/2020.  Applicant must submit full completed Driver’s Medical Certificate & License Application by set deadline:

Direct all questions to NHRA Division Staff

INSTRUCTIONS FOR MEDICAL PHYSICIAN

https://hipaa.jotform.com/NHRADiv/nhra-temporary-medical-certificate

1.    This medical certificate must be completed by an M.D. or D.O. only.

2.    This examination is for a driver's racing competition license.

3.    M.D. or D.O. must complete medical history information.

4.    Record your medical findings.

5.    This form to be completed in full. If unable to complete or obtain any findings, refer patient to a second physician and attach any supplements.

6.    M.D. or D.O. must sign this form.

7.    Application and attachments must be in English.

8.    Return completed original form to applicant. Copies not accepted.

Direct all questions to NHRA Division Staff

 








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