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Yes, a person must be seizure free in GA for six months before they are allowed to drive. [GA. COMP. R. & REGS. r. § 375-3-5-.02(2)(c) (2010); GA. CODE ANN. § 40-5-35(a) (2010)]. A person who has only nocturnal seizures may be eligible for a limited license (e.g., daylight driving only) even if he or she has been seizure-free for less than 6 months. [§ 375-3-5-.02(2)(c)]. The Department of Driver Services may require periodic medical reports as a condition of licensing. [§ 375-3-5-.10]. The medical information submitted is initially reviewed by a member of the Driver’s License Review Board. [§ 375-3-5-.10 (2)]. If there is a question whether to issue a license, the information is reviewed by the Driver's License Advisory Board.
The issue then becomes how would the government find out. Doctors aren't required to report when someone has suffered from seizures in GA but a doctor's failure to report this can open them up to liability if a person has a wreck due to a seizure and the doctor or medical provider cannot be sued for reporting a patient's seizures and therefore the insurance of many doctors requires that they report anyone that has seizures and a failure to do so means the insurance doesn't provide coverage.
No, actually neither is require by the state to report it but most are required by their insurance company to report it and any medical provider (doctor or hospital) cannot be sued for reporting it.