2010 BC Guide in Determining Fitness to Drive

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22.12 Commercial drivers with syncope with a treated or reversible cause ................. 29622.13 Commercial drivers with recurrent situational syncope ....................................... 29722.14 Commercial drivers with atypical vasovagal syncope, unexplained syncope orrecurrent typical vasovagal syncope ......................................................................... 298Chapter 23: Seizures and Epilepsy .......................................................................................... 299BACKGROUND ......................................................................................................................... 29923.1 About seizures and epilepsy ....................................................................................... 29923.2 Prevalence and incidence of seizures and epilepsy ................................................. 30223.3 Seizures and epilepsy and adverse driving outcomes ............................................. 30223.4 Effect of seizures and epilepsy on functional ability to drive................................ 30223.5 Compensation ............................................................................................................... 303GUIDELINES ............................................................................................................................. 30323.6 Policy rationale ............................................................................................................. 30323.7 Private and commercial drivers with provoked seizures caused by a structuralbrain abnormality ........................................................................................................ 30423.8 Private and commercial drivers with provoked seizures with no structural brainabnormality ................................................................................................................... 30523.9 Private and commercial drivers with alcohol-related provoked seizures ........... 30623.10 Private drivers with single unprovoked seizures .................................................... 30723.11 Commercial drivers with single unprovoked seizures ........................................... 30823.12 Private drivers with epilepsy ...................................................................................... 30923.13 Private drivers who have epileptic seizures while asleep or upon awakening ... 31023.14 Private drivers with epilepsy who experience simple partial seizures ................ 31123.15 Private drivers who have had surgery for epilepsy ................................................ 31223.16 Private drivers with epilepsy who change medication ........................................... 31323.17 Commercial drivers with epilepsy ............................................................................. 31423.18 Commercial drivers with epilepsy who change medication .................................. 315Chapter 24: Neurological disorders ........................................................................................ 316BACKGROUND ......................................................................................................................... 31624.1 About neurological disorders ..................................................................................... 31624.2 Prevalence and incidence of neurological disorders ............................................... 31824.3 Neurological disorders and adverse driving outcomes .......................................... 31824.4 Effect of neurological disorders on functional ability to drive ............................. 31924.5 Compensation ............................................................................................................... 321GUIDELINES ............................................................................................................................. 32224.6 Private and commercial drivers with a neurological disorder ............................. 322Chapter 25: Traumatic Brain Injury ...................................................................................... 324BACKGROUND ......................................................................................................................... 32425.1 About traumatic brain injury .................................................................................... 32425.2 Prevalence and incidence of traumatic brain injury .............................................. 32525.3 Traumatic brain injury and adverse driving outcomes ......................................... 32525.4 Effect of traumatic brain injury on functional ability to drive ............................ 32525.5 Compensation ............................................................................................................... 326GUIDELINES ............................................................................................................................. 32725.6 Private and commercial drivers with a traumatic brain injury ........................... 327Chapter 26: Intracranial Tumours.......................................................................................... 329xi
BACKGROUND ......................................................................................................................... 32926.1 About intracranial tumours ....................................................................................... 32926.2 Prevalence and incidence of intracranial tumours ................................................. 32926.3 Intracranial tumours and adverse driving outcomes ............................................. 33026.4 Effect of intracranial tumours on functional ability to drive................................ 33026.5 Compensation ............................................................................................................... 330GUIDELINES ............................................................................................................................. 33226.6 Private and commercial drivers with an intracranial tumour ............................. 332Chapter 27: Cognitive Impairment including Dementia ..................................................... 334BACKGROUND ......................................................................................................................... 33427.1 About cognitive impairment and dementia ............................................................. 33427.2 Prevalence and incidence of cognitive impairment and dementia ....................... 33727.3 Cognitive impairment, dementia and adverse driving outcomes ......................... 33727.4 Effect of cognitive impairment and dementia on functional ability to drive ...... 33927.5 Compensation ............................................................................................................... 339GUIDELINES ............................................................................................................................. 34027.6 Private and commercial drivers with cognitive impairment or dementia .......... 340Chapter 28: Sleep Disorders ..................................................................................................... 341BACKGROUND ......................................................................................................................... 34128.1 About sleep disorders .................................................................................................. 34128.2 Prevalence and incidence of sleep disorders ............................................................ 34428.3 Sleep disorders and adverse driving outcomes ....................................................... 34428.4 Effect of sleep disorders on functional ability to drive .......................................... 34428.5 Compensation ............................................................................................................... 345GUIDELINES ............................................................................................................................. 34628.6 Private and commercial drivers with untreated OSA............................................ 34628.7 Private and commercial drivers with treated OSA ................................................ 34828.8 Private drivers with narcolepsy ................................................................................. 35028.9 Commercial drivers with narcolepsy ........................................................................ 352Chapter 29: Prescription and Over-The-Counter Drugs..................................................... 353BACKGROUND ......................................................................................................................... 35329.1 About psychotropic drugs........................................................................................... 35329.2 Prevalence ..................................................................................................................... 35729.3 Psychotropic drugs and adverse driving outcomes ................................................ 35829.4 Effect of psychotropic drugs on functional ability to drive ................................... 36029.5 Compensation ............................................................................................................... 363GUIDELINES ............................................................................................................................. 36429.6 Private and commercial drivers who use psychotropic drugs .............................. 364Chapter 30: General Debility and Lack of Stamina ............................................................. 366BACKGROUND ......................................................................................................................... 36630.1 About general debility and lack of stamina ............................................................. 36630.2 Effect of general debility and lack of stamina on functional ability to drive ..... 36730.3 Compensation ............................................................................................................... 367GUIDELINES ............................................................................................................................. 36830.4 Private and commercial drivers with frailty, weakness or general debility ....... 36830.5 Private and commercial drivers with a lack of stamina ........................................ 369xii
Page 1 and 2: Ministry of Public Safety and Solic
Page 3 and 4: AcknowledgmentsResearcherBonnie M.
Page 5 and 6: Table of Contents (click on any ite
Page 7 and 8: 11.7 Private and commercial drivers
Page 9 and 10: 17.7 Private and commercial drivers
Page 11: 20.8 Private and commercial drivers
Page 15 and 16: PART 1:BACKGROUND1
Page 17 and 18: Appendix 2: Excerpts from the MVA t
Page 19 and 20: Chapter 2: The Driver Fitness Progr
Page 21 and 22: for the exercise of discretion by O
Page 23 and 24: 1. SCREENINGA driver disclosesa med
Page 25 and 26: 2.3 Roles and responsibilitiesOSMV
Page 27 and 28: Medical practitionersMedical practi
Page 29 and 30: Chapter 3:Driver Fitness Program Pr
Page 31 and 32: Because of these limitations, OSMV
Page 33 and 34: Example: the temporary storage of i
Page 35 and 36: Motor functions (including sensorim
Page 37 and 38: an individual with poor contrast se
Page 39 and 40: 3.5 Best informationDriver fitness
Page 41 and 42: Chapter 4: Introduction to the Poli
Page 43 and 44: 3. DETERMINATIONFrom2. AssessmentAn
Page 45 and 46: Once identified, a DMER is mailed t
Page 47 and 48: 5.3 Screening aging driversDefiniti
Page 49 and 50: 5.5 Transient impairmentsDefinition
Page 51 and 52: Chapter 6: Assessment Policies and
Page 53 and 54: 6.2 Assessments will only be reques
Page 55 and 56: 6.4 Requesting specialist assessmen
Page 57 and 58: Policy6.5.1 If a case manager or ad
Page 59 and 60: Persistent and episodic impairments
Page 61 and 62: further assessment. Drivers who sco
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6.9.4 A case manager or adjudicator
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ASSESSMENT PROCEDURESCase manager o
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A driver fitness determination is a
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Policy rationaleBecause individuals
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7.5.3 Generally, an individual whos
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7.6.2 In particular, the case manag
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7.8.3 Whether an individual can com
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in order to be fit to drive, the ca
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has the judgment and willingness to
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Policy7.11.1 If a case manager or a
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(e) the medical condition results i
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7.12 Communicating a decisionPolicy
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7.13 Determination proceduresThe fo
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During the reconsideration, the adj
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8.3 Reconsideration proceduresThe f
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Chapter 9:Introduction to the Medic
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9.4 Medical condition chapter templ
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Private and commercial drivers who
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Chapter 11: Diabetes - Hypoglycemia
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PercentFigure 1 - Prevalence of Dia
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neuropathy, nephropathy, cardiovasc
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11.7 Private and commercial drivers
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11.8 Private drivers with diabetes
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11.9 Commercial drivers with diabet
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RestrictionsRe-assessmentguidelines
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Policy rationaleSevere hypoglycemia
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11.12 Private drivers who have pers
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11.13 Commercial drivers who have a
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11.14 Commercial drivers who have a
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11.15 Commercial drivers who have p
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PART B - HYPOGLYCEMIA11a. Has the p
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Produce my glycemic log for my doct
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Deep-vein thrombosisDeep-vein throm
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Aneurysms less than 5 cm in diamete
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GUIDELINES12.6 Private and commerci
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12.7 Private drivers who have an an
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12.9 Commercial drivers who have an
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Chapter 13: Musculoskeletal Conditi
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ConditionType of drivingimpairment
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ConditionsRestrictionsRe-assessment
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14.3 Chronic renal disease and adve
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14.8 Private drivers with end-stage
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14.10 Private and commercial driver
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Level ofImpairmentMildlyImpairedMod
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15.8 Commercial drivers with modera
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15.10 Commercial drivers with sever
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Policy rationaleDrivers who require
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Chapter 16: Vestibular DisordersBAC
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One study identified that 32.5% of
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ConditionType ofdrivingimpairmentan
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Re-assessmentguidelinesPolicy ratio
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Individuals who have undergone valv
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Episodic impairmentThe potential ep
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GUIDELINES17.6 Policy rationaleThes
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17.9 Commercial drivers with corona
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17.11 Private drivers who have had
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17.15 Private drivers who have vent
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17.19 Private drivers who have sust
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17.21 Commercial drivers who have s
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17.27 Private drivers with atrioven
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17.28 Commercial drivers with atrio
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17.29 Private drivers with permanen
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17.31 Private drivers who have decl
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17.33 Private drivers where ICD the
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17.35 Commercial drivers who have d
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17.37 Commercial drivers with inher
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17.39 Commercial drivers with medic
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17.41 Private drivers with surgical
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17.43 Private drivers with mitral v
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17.45 Private drivers with congesti
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17.46 Commercial drivers with conge
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17.47 Private drivers with left ven
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17.49 Private drivers with a heart
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17.51 Private drivers with hypertro
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17.53 SyncopeSee the guidelines in
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Stable coronary syndromes - waiting
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Chapter 18: Hearing LossBACKGROUND1
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GUIDELINES18.6 Private drivers with
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equirement for commercial drivers i
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PLEASE COMPLETE THE FOLLOWING: YES
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this manual. Axis IV addresses exte
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Negative symptoms are characterized
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Schizophrenia (Axis I)Schizophrenia
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19.4 Effect of psychiatric disorder
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Suicidal ideationSuicidal ideation
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Chapter 20: Cerebrovascular Disease
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Cerebrovascular accidentCVAs are th
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20.9 Private drivers who have had s
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20.10 Commercial drivers who have h
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Visual field impairment refers to a
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Right homonymous hemianopiaBinasal
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An example of the effects of diabet
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Retinitis pigmentosaRetinitis pigme
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GlaucomaApproximately 67 million pe
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indicates that wait times of 6 mont
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Although telescopic spectacles, hem
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Policy rationaleretinopathy dependi
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Policy rationaleIndividuals with be
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Re-assessmentguidelines cont’dPol
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Re-assessmentguidelines cont’dPol
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21.13 Commercial drivers with a los
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21.17 Visual field impairmentsTypes
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21.18 Examination of visual functio
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VISUAL FIELD TEST (VFT)For drivers
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To the Driver:Under section 29 of t
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Please note:Goldman, Esterman and H
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Cardiac syncopeCardiac syncope refe
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22.7 Private drivers who have had a
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22.9 Private drivers with recurrent
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22.11 Commercial drivers who have h
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22.13 Commercial drivers with recur
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Chapter 23: Seizures and EpilepsyBA
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abnormal numbnesstingling and a cra
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23.10 Private drivers with single u
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23.12 Private drivers with epilepsy
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23.18 Commercial drivers with epile
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Level of disabilityor worsening of
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Parkinson’s diseaseThere is a sma
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25.2 Prevalence and incidence of tr
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Chapter 26: Intracranial TumoursBAC
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Some examples of compensatory mecha
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i. aphasia (language disturbance)ii
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27.2 Prevalence and incidence of co
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27.4 Effect of cognitive impairment
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Chapter 28: Sleep DisordersBACKGROU
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An immediate reduction in daytime s
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28.5 CompensationIndividuals with s
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OSMV determinationguidelines cont
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Policy rationaleThe general approac
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Chapter 29: Prescription and Over-T
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Examples of newer antihistamines in
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Stimulants (for ADHD)Examples of st
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AntiepilepticsIn general, individua
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Sedating EffectLowModerateHighTCAsd
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dizziness, andblurred or double vis
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30.2 Effect of general debility and
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Appendix 1: Glossary of TermsCommer
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Medical assessmentis any kind of as
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Transient impairmentmeans a tempora
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must cause to be issued to the appl
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(ii) cancel the person's driver's l
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Appendix 3: Aging DriversAbout agin
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Percentadults. The survey also foun
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Appendix 4: Licence ClassesThe tabl
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Appendix 5: Drafting and Approval P
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drivers, this means that BC commerc
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2010 BC Guide in Determining Fitness to Drive

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