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Complete Medical Forms

Complete Medical Forms

Before completing these forms, you must save them to your computer. Once completed, resave and email as an attachment to DMVA-Apply-MYCA@michigan.gov:

Print, have completed by appropriate individual, scan and email as an attachment to DMVA-Apply-MYCA.com. This must be completed on MYCA Form

The Physical is to be completed by a medical provider. 

The Medical History Questionnaire is to be completed by parent/guardian. Applicant must also sign.