Ontario class G licence holders who drive a commercial vehicle rated at 4,536 kg (10,001 lb) or more in the United States need proof of medical fitness, and this report is one route to it. A nurse practitioner or physician examines vision, heart, neurological and other conditions. If MTO approves the report, it mails the driver a Medical Confirmation Letter to carry while driving commercially in the US.
The driver completes Part 1 and signs the certification and release of information; a nurse practitioner or physician completes Part 2, Patient Health Information, and Part 3, Practitioner's Information.
Download the current version from the source each time; forms change without notice.
FMCSA Driver Medical Report
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Ontario class G licence holders who operate a commercial vehicle in the United States, according to the form. ontario.ca applies this to vehicles rated at 4,536 kg (10,001 pounds) or more, even for drivers who go only once or twice a year. Class A to F holders are covered under the Canada-US reciprocity agreement instead.
Up to 15 business days, according to ontario.ca. If the report is approved, a Medical Confirmation Letter is mailed to the driver's address on record, and the driver must carry it at all times while driving commercially in the US. Drivers are told to keep the original form and the fax confirmation.
Class G drivers with a hearing impairment, any history of epilepsy or seizures, or monocular vision cannot drive commercial vehicles in the US. Part 2 therefore records the date of the last seizure, syncope and epilepsy history, and whether the patient hears a forced whisper at 1.5 metres in the better ear.