2010 BC Guide in Determining Fitness to Drive

20.7 Private and commercial drivers who have had a CVAApplicationAssessment guidelinesFitness guidelinesOSMV determinationguidelinesConditionsRestrictionsThese guidelines apply to driver fitness determinations for privateand commercial drivers who have had a cerebrovascular accident(CVA).If further information regarding an individual’s medical condition isrequired, OSMV will request: a Driver’s Medical Examination Report, or additional information from the treating physician.If the treating physician indicates significant residual loss of one ormore of the functions necessary for driving, OSMV will requestfunctional assessment(s) as appropriate for the type(s) of impairmentand class of licence held.Individuals who have had a CVA may not drive for a minimum of 1month after the CVA. After 1 month, individuals may drive if: there is no apparent loss of cognitive, motor and sensory functionrequired for driving any underlying cause has been addressed with appropriatetreatment, and a post CVA seizure has not occurred.Where a medical assessment indicates that there may be someresidual loss of cognitive, motor or sensory function that could affectdriving, a further functional assessment may be required.OSMV may find individuals fit to drive if: any underlying cause has been addressed with appropriatetreatment a post CVA seizure has not occurred (if a post CVA seizure hasoccurred, see the guidelines under 23.7), and the treating physician indicates there has been no significantresidual loss of the functions required for driving or, where thetreating physician indicates that there may be significant residualloss of the functions necessary for driving, a functionalassessment indicates that they have the functional ability requiredfor their class of licence held.OSMV will impose the following condition on an individual who isfound fit to drive: you must report any further CVAs to OSMV, and you must remain under regular medical supervision and followyour physician’s advice regarding treatment.Restrictions on the licence may be required, depending upon thenature of the functional impairment and the ability of the driver tocompensate.246