A physician referral is required to participate in the Duke Driving Program. The clinical evaluation focuses on the components required for driving safety; physical strength and coordination, cognition, vision/perceptual skills, and reaction time. A 2-3 hour evaluation is performed at Duke Health Center at Lenox Baker. A recommendation for a behind the wheel evaluation is based on the findings of the clinical driving evaluation.
The clinical driving evaluation is billable to most insurance carriers. A percent of the billed charges depend on the terms of the client’s policy. The behind the wheel evaluation is not billable to insurance but can be submitted as a medical expense for tax purposes.
All reports and recommendations will be faxed to the referring physician. If a client is referred by NC DMV, the report will also be faxed directly to the NC DMV Medical Review Board.
The final decision to drive or discontinue driving is made by the client’s referring physician. The occupational therapist provides professional recommendations but, by law cannot make the final decision. Physicians can report directly to NC DMV if they feel that a client’s driving abilities pose a public health risk.