Medical Examination Report – Drivers Licence

Medical Examination Report – Driver's Licence and do not qualify for reimbursement by the SAAQ. ... Return the original form to:.

Rapport dexamen médical – Permis de conduire

Rapport d'examen médical – Permis de conduire. Avis au lecteur : Ce document est conforme au standard S G Q R I 0 0 8 - 0 2 du gouvernement du Québec sur l' 

SAAQ

Certain medical conditions can affect the safe driving of a road vehicle. In accordance with the Highway Return the original copy of this form to:.

Why a Medical Assessment?

What do I need to do? To reach us. Online saaq.gouv.qc.ca. By telephone.

Medical Sheet – Declaration of Illness or Functional Impairment

medical examination or vision testing before being eligible to obtain a driver's licence. You can contact us from Monday to Friday:.

SAAQ

(according to the Medical Research Council). Cardiac. I. II. III. IV. (according to the New York Heart Association). 4 - Check disability:.

SAAQ

If a physician completed the Initial Report form please send it to us. medical consultation did not consult any health care professionals.

Medical Assessment to drive in the United states – Holders of a

You must submit a medical examination report: the discretionary power of the SAAQ. ... medical declaration form available in SAAQ service centres.

SAAQ

All travel expenses claimed must be related to the accident or to a relapse as applicable. Enter them in chronological order on the form. • In order to speed 

Health in the drivers seat

declaration of medical information form. The SAAQ will send you a copy of the form along with an explanatory letter 6 months before your birthday.

Self-Declaration of Medical Information - SAAQ

The SAAQ requires this information to apply the laws it is responsible for administering in particular the Highway Safety Code the Automobile Insurance Act and the Act respecting remunerated passenger transportation by automobile

Forms - SAAQ

Fees reimbursed to the accident victim by the SAAQ Date earY Month Day OR Fees paid to the physician by the SAAQ Type of medical report: Medical Assessment Report (IV) Medical Progress Report (IO) Medical After-Effects Report (IQ) Please return by fax: 1 866 289-7952 (keep the original for your files)

Medical Examination Report – Driver’s Licence

Medical Examination Report Last name First name Address (Number street apartment) Driver’s Licence 28 Fees that may be charged for completing this report must be paid by the examinee and do not qualify for reimbursement by the Société ReturnReturn thethe originaloriginal formform to: to:

Please carefully read the following before registering - SAAQ

medical examination or vision testing before being eligible to obtain a driver’s licence You can contact us from Monday to Friday: • Québec area: 418-643-5506 • Toll-free: 1-800-561-2858 (Québec Canada United States) Medical sheet – Declaration of Illness or Functional Impairment Société de l’assurance automobile du Québec

Searches related to saaq medical form filetype:pdf

THERE ARE THREE WAYS TO SUBMIT A DOCUMENT:Through the Document Submission online service: saaq gouv qc caBy fax: 1 866 289-7952 By mail: Société de l’assurance automobile du Québec P O box 2500 succursale Terminus Québec (Québec) G1K 8A2 Keep the original or a copy for your files

What is a SAAQ medical report?

When the SAAQ asks a driver’s licence holder to provide a medical report, it sends that person one of these forms, which must then be completed by a health care professional. We have begun converting these medical forms in order to provide interactive versions that can be completed onscreen.

Who can use the SAAQ forms?

Please note that these forms are intended for the exclusive use of businesses that do not have an address in Québec and individuals. In accordance with the SAAQ’s language policy, forms intended for SAAQ employees and Québec businesses are only available in French.

How does the SAAQ monitor the health of drivers?

The SAAQ is adopting a new approach to monitoring the health of drivers once they turn 75. They will now be required to complete a mandatory Self-Declaration of Medical Information (PDF, 180.5 ko) form. This form replaces the medical reports that were previously required, which had to be completed by health care professionals.

What is the expiration date of the SAAQ licence?

The expiration date could be from 4 to 8 years, the SAAQ is responsible for notify you before this period, so you have enough time to pay the fee and apply for a renewal (this is apart of the yearly fees you will have to pay to maintain your driving rights).