"I have encountered an ethical dilemma as an Optometrist. I had a patient who was blind in her left eye after receiving a traumatic brain injury. She told me that her license had been suspended after her injury, but she was scheduled to take a driving exam the following week. She told me she figured out how to pass the DMV vision test and would not tell the employees that she was legally blind in one eye. I told her I did not think that was a wise idea, but she said she was excited to have her freedom back. I felt a moral obligation to report her to the DMV as she would be a danger on the road, but ethically I knew that was wrong, and I would be violating HIPAA. The problem was solved when the patient failed the vision test, and she brought a vision statement form to fill out, where I was able to give my recommendation and restrictions for driving."