Driver's Medical Examination Form - RoadSafetyBC
This file contains the Driver's Medical Examination form required by RoadSafetyBC. Physicians can bill $75 for completing it through the Teleplan billing system. The form is used to determine a driver's fitness to drive and includes sections on medical history, vision, hearing, and more.
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How do I fill this out?
To complete the Driver's Medical Examination form, follow the instructions provided carefully. Ensure all relevant information is filled out accurately. Submit the completed form to RoadSafetyBC on time.
How to fill out the Driver's Medical Examination Form - RoadSafetyBC?
1
Review the reason for examination and licence class.
2
Complete Sections A, B, and C with the necessary medical information.
3
Provide detailed information about any condition affecting driving in Section D.
4
Fill out the driver's certification and physician's section.
5
Submit the form to RoadSafetyBC via fax or mail.
Who needs the Driver's Medical Examination Form - RoadSafetyBC?
1
Drivers with disclosed driving-related medical conditions need this form to determine their fitness to drive.
2
Drivers who need to review the status of a previously identified medical condition related to driving.
3
Drivers whose medical professionals have reported potential conditions that may affect driving.
4
Drivers prohibited from driving need this form to be considered for reinstatement of their driving privilege.
5
Drivers who wish to retain their current class of driver's licence need to complete this form.
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What are the instructions for submitting this form?
To submit the Driver's Medical Examination form, the completed document must be faxed to 250-952-6888 or mailed to RoadSafetyBC, PO Box 9254, Stn Prov Govt, Victoria, BC, V8W 9J2. Ensure the form is filled out accurately and legibly, and include all relevant details and signatures. For questions or assistance, contact RoadSafetyBC at 250-387-7747 or toll-free at 1-855-387-7747. It is advisable to keep a copy of the submitted form for your records.
What are the important dates for this form in 2024 and 2025?
Ensure to submit the Driver's Medical Examination form to RoadSafetyBC within 45 days of being instructed to do so. Important dates for submission in 2024 and 2025 include license renewal cycles and medical review periods determined by RoadSafetyBC based on individual medical conditions.
What is the purpose of this form?
The purpose of the Driver's Medical Examination form is to evaluate the medical fitness of drivers in British Columbia. The form collects detailed information on medical conditions that could impact a driver's ability to operate a vehicle safely. By assessing this information, RoadSafetyBC can make informed decisions regarding an individual's driving privileges, ensuring road safety for all users. This form is also used to review previously identified medical conditions and to gather new information reported by medical professionals or other sources. Completing this form accurately and thoroughly is crucial for maintaining driving privileges and ensuring public safety on the roads.
Tell me about this form and its components and fields line-by-line.
- 1. Personal Health Number: Unique identifier for the individual's health records.
- 2. Reason for Examination and Class: Specifies why the examination is required and the class of driver's licence.
- 3. History: Detailed medical history covering vision, hearing, musculoskeletal, cardiovascular, psychiatric, CNS, drugs and alcohol, respiratory, endocrine, and other conditions.
- 4. Vision Screening and Physical Findings: Results of vision tests, blood pressure, and other physical findings that may affect driving.
- 5. Opinion: Physician's opinion on whether the patient's condition may affect driving.
- 6. Details of Condition(s): Additional details about conditions that may affect driving, including relevant specialists' reports.
- 7. Recommendation(s): Recommendations for specialist consultations or road tests.
- 8. Driver's Certification and Consent: Driver's certification of the information provided and consent to release medical information.
- 9. Physician's or NP's Information: Contact information and certification by the examining physician or nurse practitioner.
What happens if I fail to submit this form?
Failure to submit the Driver's Medical Examination form on time can lead to the cancellation of your driver's licence. It is crucial to meet the submission deadlines to maintain your driving privileges.
- Licence Cancellation: Your driver's licence may be cancelled if the form is not submitted within 45 days.
- Driving Prohibition: If you are currently prohibited from driving, failure to submit the form will delay the consideration of reinstatement.
- Future Examinations: Medical conditions that may relapse, recur, or deteriorate could require future medical examinations.
How do I know when to use this form?
- 1. Medical Fitness Evaluation: Use this form to assess if a medical condition affects driving ability.
- 2. Review of Previously Identified Condition: Required to review the status of an existing medical condition related to driving.
- 3. Reporting Possible Medical Condition: Complete this form when a medical professional reports a possible condition affecting driving.
- 4. Reinstatement of Driving Privilege: Needed for consideration of driving privilege reinstatement after being prohibited from driving.
- 5. Licence Renewal: Required during licence renewal if medical approval is needed.
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How do I submit the completed form to RoadSafetyBC?
Submit the completed form to RoadSafetyBC via fax to 250-952-6888 or mail to RoadSafetyBC, PO Box 9254, Stn Prov Govt, Victoria, BC, V8W 9J2.
Who needs to complete the Driver's Medical Examination form?
Drivers with medical conditions that could affect their ability to drive, as well as those needing to review or update their medical status, must complete this form.
What is the purpose of the Driver's Medical Examination form?
The form assesses a driver's medical fitness to operate a vehicle safely on the road and helps determine their eligibility for a driver's licence.
Can I edit the Driver's Medical Examination form on PrintFriendly?
Yes, you can edit the form using our PDF editor. Fill in the required fields and make sure all the information is accurate before saving.
Is there a fee for completing the Driver's Medical Examination form?
Physicians may bill $75 for completing the form through the Teleplan billing system. They may also charge additional fees directly to patients.
What information do I need to provide in the Driver's Medical Examination form?
You'll need to provide medical history, vision and hearing information, and details about any conditions that may affect your driving.
How do I know if my driver's licence status has changed?
You will be notified in writing by RoadSafetyBC if there is any change in your driver's licence status or if further information is required.
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