Italian Driver’s License Renewal

Ciao! Thank you for contacting Dr. Angela Heithaus in regards to your driver’s license renewal through the Italian Consulate.

Provide test results/information as outlined, and complete the form below. Once all information is provided Deb, the office manager, will contact you to schedule a 15 minute appointment with Dr. Heithaus to complete your license renewal.

Vision Testing, color blind test and visit notes from Vision professional; You can also take the Ishihara Color Blind Test HERE
Download the Mimi Hearing Test APP and take hearing screening test, or you may schedule a visit for Hearing Screening at a hearing center or other local provider
Photo of your current driver’s license

You can attach above results and license photo to the form below, or email them to FRONTDESK@DrHeithaus.com

U.S. Driver's License Renewal for Italian

Name
First Last
Current Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Date of Birth (MM / DD / YEAR)*
MM slash DD slash YYYY
Birth City*
City Country
Height (inches)*
Weight (lbs)*
Phone
Email
Upload the following documents: (1)Vision exam with visit notes (2)Color Blind test results (3)Hearing test results (4)Photo of current driver's license*
Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 256 MB, Max. files: 6.
The color blind test can be completed with your vision exam, or you can use the color blind testing APP referenced on our webpage
Consent*
Testing Confirmation
By checking this box, I confirm that any APP testing results (which would include Color Blind and/or Hearing tests only) provided to Dr. Angela Heithaus were completed by me and are valid to the best of my knowledge.