WebMEDICAL REPORT. SECTION A - To be completed by Applicant. First Name and Initial Last Name Home Address (No., Street, Apt. No., P.O. Box, R.R.) City, Town or Village Province or Territory Country Postal Code Telephone number. Date of Birth (Year Month Day) Canadian Social Insurance NumberSECTION B€- To be completed by Physician Web9 feb. 2024 · Ontario MTO/MOT Medical Condition Report. Driver Medical Review. Medical Condition Report Unfit to Drive Driver's Medical Review. Ministry of Transportation MTO/MOT Ontario. Statutory Informing MOT of a patient's condition that affects driving.
Reporting a patient who may be unfit to drive - Gov
WebReport by a prescribed person in compliance with Subsection 203 (1) or 203 (2) of the Highway Traffic Act. Please complete in full. Mail or fax to: Medical Review Section, 77 Wellesley Street West, Box 589, Toronto ON M7A 1N3. Fax Number: 416-235-3400 or 1-800-304-7889 Telephone Number: 416-235-1773 or 1-800-268-1481. WebMTO MEDICAL CONDITION REPORTING RESOURCES Ontario Regulation 340/94 describes those conditions/impairments that are mandatory for a physician, optometrist or nurse practitioner to report. When a report of a mandatory condition is made it will result in a licence suspension. flights swaziland to johannesburg
Reporting a medically unfit driver: What happens next?
WebDownload. English - 023-5108e - Guide - Medical Condition Report PDF. Download. More information. Download. French - 023-5108f - Medical Condition Report PDF. Download. More information. Download. WebThe HTA also gives physicians, nurse practitioners, optometrists and occupational therapists discretionary authority to report any other condition that may make it dangerous to drive. The Review Process Once a report is matched to the correct driving record, the review process is underway. Reports are assessed against Canadian Council of Motor WebThe Highway Traffic Act sets out rules for health care providers to report certain medical conditions to the MTO. By law, doctors, nurse practitioners and optometrists must report conditions that can prevent you from driving safely, even if you do not have a driver’s licence. There are mandatory and discretionary reasons for reporting. cher stats