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A 79-year-old retired farmer was diagnosed with Alzheimer disease eight months ago. At that time you advised him and his family that he should stop driving, and he declined referral for an occupational therapy driving assessment. Today his daughter telephones to say he is still driving into town most days, and last week he was found stopped on the wrong side of the road, unsure where he was. He holds a current driver licence. Which one of the following is the most appropriate next step?

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