The SAAQ sends this two-page report to a licence holder whose hearing or another ear, nose and throat condition must be assessed for driving. The health care professional records the diagnosis and whether it is changing, tests hearing with a forced whisper and a recent audiogram, describes any vertigo, and notes other ENT factors likely to affect driving.
The examinee signs the authorization; the examining health care professional completes sections 1 to 5 and gives their profession, licence number, how long the patient has been in their care and visits per year.
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Medical Otorhinolaryngological Examination Report (18)
Rapport d'examen médical oto-rhino-laryngologique – Permis de conduire
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Two pieces of evidence: whether the person perceives a forced whispered voice at 1.5 metres, with and without a hearing aid, and a recent audiogram giving the average tonal threshold for the better ear at 500, 1,000 and 2,000 hertz. Hearing aid users are tested wearing the device they drive with.
Yes. Section 3 asks whether the person has or has had vertigo, the date of the last episode, whether it comes on suddenly or gradually, and its nature, duration, frequency, severity and treatment. Section 4 covers any other ENT factor likely to affect driving and the functional impairment it causes.
The examinee. The form states that any fees charged for completing it must be paid by the person examined and are not reimbursed by the SAAQ. The completed form goes back through the person's SAAQclic account or by mail to the SAAQ's health assessment directorate.