Provincial fitness-to-drive exams, mandatory and discretionary reporting forms, and Transport Canada's aviation and marine medicals, with who completes each.
Licensing agencies ask clinicians to confirm that a patient can drive safely at set ages, for commercial licence classes, or when a condition may affect driving. Key forms include BC's Driver's Medical Examination Report (MV2011D), Alberta's Medical Examination for Motor Vehicle Operators (TRANS3050), Ontario's Commercial Driver Medical Report (SR-LC-080E) and the SAAQ's Rapport sur l'état de santé (form 6228). Transport Canada adds aviation and marine medicals, such as the Civil Aviation Medical Examination Report (26-0010).
Reporting rules differ. In Ontario, the Medical Condition Report (5108E) is mandatory for prescribed high-risk conditions and discretionary for others, and optometrists use the Vision Report (5109E). Manitoba's Report to Registrar of Motor Vehicles is mandatory for physicians and optometrists. BC's MV2351 report becomes mandatory when a warned patient keeps driving, while reporting in Alberta is voluntary. Many of these exams are not covered by the provincial health plan, so the driver often pays.
Rapport d'examen médical de l'aviation civile
The Civil Aviation Medical Examiner's report of an aviation medical examination, used to issue or renew aviation medical certificates for pilots, air traffic controllers and other licence or permit holders.
Formulaire de déclaration de l'état de santé de la médecine aéronautique civile
A physician or optometrist reports to Transport Canada Civil Aviation Medicine a patient's medical condition that is relevant to aviation safety (e.g., in a pilot or air traffic controller).
Déclaration médicale pour les licences et les permis nécessitant une catégorie 4 norme médicale
Self-declaration of medical fitness for permits that need a Category 4 medical certificate. For a student pilot permit (aeroplane) or a recreational pilot permit, a family physician countersigns Part B.
Certificate a CAME issues after a telemedicine renewal of an aviation medical certificate. The holder keeps it with their medical certificate or Aviation Document Booklet.
Paper provisional marine medical certificate for a seafarer, issued while Transport Canada reviews the marine medical examination report.
Medical report on fitness for marine pilots (national marine pilotage medical standard).
Fitness-to-drive exam RoadSafetyBC sends to drivers aged 80+, commercial drivers at set intervals (yellow DMER), and drivers with known or suspected conditions (blue DMER).
Clinician report to RoadSafetyBC of a patient whose medical condition makes driving dangerous (mandatory under Motor Vehicle Act s.230 if the patient keeps driving after being warned), when no DMER was requested.
Standard driver medical required at ages 75, 80 and every 2 years after, for class 1, 2 and 4 drivers at set intervals, and for drivers with conditions that may affect driving.
TRANS3156Eye-specialist report for a driver who may not have met the basic vision standard at screening.
Written report asking SGI's Medical Review Unit to review a person's medical fitness to drive.
Medical required before testing for Class 1-4 licences (and Class 5 with certain endorsements), then every 5 years (18-45), 3 years (46-65) and yearly (66+).
MCA-Form-157-2021Mandatory report by a physician or optometrist (Drivers and Vehicles Act s.18.2(1)) of a disease or disability that may interfere with safe driving; starts a driver fitness review.
Vision report requested by MPI Driver Fitness for vision recall, second opinion, Medical Review Committee, class applicants, failed standards or medical/visual suspension.
Driver fitness medical requested by MPI Driver Fitness: class applicant, class recall, Registrar recall or requirement, suspension, or Medical Review Committee.
Mandatory (HTA s.203(1)) or discretionary (s.203(2)) report to the Registrar of Motor Vehicles when a patient has a prescribed high-risk condition, or another condition that may make driving dangerous.
Medical report for Ontario class G licence holders who operate a commercial vehicle in the United States (FMCSA requirements).
Optometrist's mandatory (Section A) or discretionary (Section B) report of a visual impairment that may make driving dangerous.
SR-LC-080EPeriodic medical required for class A, B, C, D, E and F licence applicants and holders (every 5 years under 46, every 3 years 46-64, annually 65+).
Rapport sur l'état de santé – Permis de conduire
General medical report the SAAQ requests to assess a licence holder's or applicant's fitness to drive (vision, hearing, neurological, epilepsy, cardiovascular, respiratory and other conditions).
Déclaration d'inaptitude à conduire un véhicule routier
Used by a health professional to report to the SAAQ a patient they judge unfit to drive.
Rapport d'évaluation fonctionnelle sur l'aptitude physique et mentale à conduire un véhicule routier
Functional driving assessment (including a road test) of a driver's physical and mental fitness, requested by the SAAQ.
Rapport du test routier effectué par un ergothérapeute
Report of an on-road driving test carried out by an occupational therapist for the SAAQ.
5903Rapport d'évaluation médicale sur l'aptitude à la conduite sécuritaire d'un véhicule routier en présence d'un diabète
Medical evaluation of a driver with diabetes (e.g. hypoglycemia risk) requested by the SAAQ.
Rapport d'examen visuel en ophtalmologie ou en optométrie – Santé visuelle – Aptitude à conduire
Eye exam report (acuity, visual field, etc.) requested by the SAAQ to determine whether a driver meets vision standards.
Rapport d'examen médical cardiovasculaire – Permis de conduire
Cardiovascular exam report requested by the SAAQ to assess fitness to drive.
Rapport d'examen médical psychiatrique
Psychiatric exam report requested by the SAAQ to assess fitness to drive.
Rapport d'examen médical neurologique
Neurological exam report requested by the SAAQ to assess fitness to drive (e.g. seizures, stroke, neurodegenerative disease).
Rapport d'examen médical oto-rhino-laryngologique – Permis de conduire
ENT exam report (hearing, vestibular) requested by the SAAQ to assess fitness to drive.
Medical required for class 1-4 licences at first application and renewal, annually after age 64, and whenever the Registry requests medical information.
CER12Form22ZVision report on acuity, colour vision, diplopia and visual fields against Nova Scotia licence-class standards.
Diabetes-specific driver medical (insulin or oral agents, hypoglycemia awareness and episodes, glucose monitoring) requested by Motor Registration.
Routine driver medical (letter with form on the back) against the CCMTA Medical Standards for Driver Fitness, for example for senior or commercial drivers.
Seizure/epilepsy and neurological condition report requested by Motor Registration to decide fitness to drive.
Update on a driver's cognitive status, requested after MRD receives information about possible memory problems (CCMTA standard, chapter 6).
Eye-care report of visual acuity, lens recommendations and horizontal visual fields for a driver referred by Motor Registration.
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms change without notice, so download the current version from the official page before you fill it in.
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When a patient has one of the prescribed high-risk conditions, reporting is mandatory under HTA section 203(1). Physicians, nurse practitioners and occupational therapists may also report other conditions that may make driving dangerous under section 203(2); OTs report on a discretionary basis only. A ticked mandatory condition results in licence suspension. Submit both pages by fax or mail, or through eForms at participating clinics. The form prints OHIP fee code K035.
Only a Civil Aviation Medical Examiner (CAME) designated by Transport Canada completes the Civil Aviation Medical Examination Report (26-0010), and findings go through the online eMER. Any physician or optometrist can report an aviation-relevant condition on the Medical Condition Reporting Form (26-0011). For a student pilot permit (aeroplane) or recreational pilot permit, a family physician can countersign Part B of the Category 4 medical declaration (26-0297).
Usually the driver. Alberta's TRANS3050 is not insured by AHCIP, SGI's commercial driver medical (form 3167) says physicians cannot bill SGI, Ontario's SR-LC-080E is not an OHIP or MTO benefit, and SAAQ form 6228 fees are paid by the person examined. BC's blue DMER is the exception: when the Superintendent requests it, it is billed to MSP through Teleplan.
The Driver's Medical Examination Report (MV2011D) is the fitness-to-drive exam RoadSafetyBC sends to drivers aged 80 and over, commercial drivers at set intervals (yellow DMER) and drivers with known or suspected conditions (blue DMER). RoadSafetyBC issues it to the driver with a barcode, so the sample PDF online will not be accepted. A physician or NP completes it and returns it by fax or mail by the printed deadline.