Employer Referral Form

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    Referrer

    Invoice details

    Client

    Alternative Contact Details

    PLEASE NOTE THE PATIENT MUST HOLD A VALID LICENCE TO HAVE A DRIVING ASSESSMENT

    Medical Condition

    The assessment fee is £150 + VAT. To avoid the full fee being applied to cancellations, RDAC should be notified as soon as possible, with a minimum requirement of five clear working days’ notice, excluding weekends and bank holidays if the appointment needs to be re-scheduled. If your client fails to attend the assessment the full fee will be charged along with any additional fees to hire vehicles, instructors, and equipment.

    Upon receipt of your referral RDAC will contact your patient to arrange an appointment

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