Commercial driver s license medical form western australia

Forms. These forms have been developed to support the conduct of health assessments for fitness for duty for commercial vehicle drivers. They are intended to facilitate assessments required for schemes such as TruckSafe and NHVAS Fatigue Management Accreditation, as distinct from driver licensing. These health assessments will often be requested by a driver’s . the patient (this form will be kept by the health professional) This form is provided to guide your treating doctor’s assessment of your medical fitness to drive. This assessment should be conducted in accordance with the national medical standards as set out in the Austroads Assessing Fitness To Drive for Commercial. 5. If you are completing a ‘Medical Assessment Certificate Senior Driver’s Licence Renewal Declaration’ (MA) complete the driving history, medical questions and sign the consent to release information at the bottom of the page. 6. Take the completed Patient Questionnaire and the Medical Assessment.

5. If you are completing a ‘Medical Assessment Certificate Senior Driver’s Licence Renewal Declaration’ (MA) complete the driving history, medical questions and sign the consent to release information at the bottom of the page. 6. Take the completed Patient Questionnaire and the Medical Assessment. Forms. These forms have been developed to support the conduct of health assessments for fitness for duty for commercial vehicle drivers. They are intended to facilitate assessments required for schemes such as TruckSafe and NHVAS Fatigue Management Accreditation, as distinct from driver licensing. These health assessments will often be requested by a driver’s employer. Please read the detailed medical assessment instructions for the applicant and Medical Practitioner. This form may be submitted to Main Roads Western Australia (MRWA) via email to pilots@www.doorway.ru www.doorway.ru, fax on (08) , or post to Main Roads Heavy Vehicle Services PO Box WELSHPOOL DC WA Please mark as “Confidential”.

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