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.

May is Mental Health Awareness!

U.S. Driver's License Renewal for Italian