2010 BC Guide in Determining Fitness to Drive

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17.43 Private drivers with mitral valve prolapse .............................................................. 20317.44 Commercial drivers with mitral valve prolapse ..................................................... 20417.45 Private drivers with congestive heart failure .......................................................... 20517.45.1 Private drivers with Left Ventricular Assist Device (LVAD) implantation ...... 20617.46 Commercial drivers with congestive heart failure ................................................. 20717.47 Private drivers with left ventricular dysfunction or cardiomyopathy ................ 20917.48 Commercial drivers with left ventricular dysfunction or cardiomyopathy ....... 21017.49 Private drivers with a heart transplant .................................................................... 21117.50 Commercial drivers with a heart transplant ........................................................... 21217.51 Private drivers with hypertrophic cardiomyopathy............................................... 21317.52 Commercial drivers with hypertrophic cardiomyopathy...................................... 21417.53 Syncope .......................................................................................................................... 21517.54 Private and commercial drivers with hypertension ............................................... 21517.55 CCS recommendations regarding transient conditions ......................................... 216Chapter 18: Hearing Loss ......................................................................................................... 219BACKGROUND ......................................................................................................................... 21918.1 About hearing loss ....................................................................................................... 21918.2 Prevalence and incidence of hearing loss ................................................................. 21918.3 Hearing loss and adverse driving outcomes............................................................. 21918.4 Effect of hearing loss on functional ability to drive ................................................ 22018.5 Compensation ............................................................................................................... 220GUIDELINES ............................................................................................................................. 22118.6 Private drivers with hearing loss ............................................................................... 22118.7 Commercial drivers with hearing loss ...................................................................... 22218.8 Hearing report .............................................................................................................. 224Chapter 19: Psychiatric Disorders........................................................................................... 226BACKGROUND ......................................................................................................................... 22619.1 About psychiatric disorders ....................................................................................... 22619.2 Prevalence and incidence of psychiatric disorders ................................................. 23019.3 Psychiatric disorders and adverse driving outcomes ............................................. 23119.4 Effect of psychiatric disorders on functional ability to drive................................ 23319.5 Compensation ............................................................................................................... 236GUIDELINES ............................................................................................................................. 23719.6 Private and commercial drivers with a psychiatric disorder or psychotic episode......................................................................................................................................... 237Chapter 20: Cerebrovascular Disease ..................................................................................... 239BACKGROUND ......................................................................................................................... 23920.1 About cerebrovascular disease .................................................................................. 23920.2 Prevalence and incidence of cerebrovascular disease ............................................ 24020.3 Cerebrovascular disease and adverse driving outcomes ....................................... 24120.4 Effect of cerebrovascular disease on functional ability to drive ........................... 24220.5 Compensation ............................................................................................................... 244GUIDELINES ............................................................................................................................. 24520.6 Private and commercial drivers who have had a TIA ........................................... 24520.7 Private and commercial drivers who have had a CVA .......................................... 246ix
20.8 Private and commercial drivers who have a cerebral aneurysm that requiresrepair .............................................................................................................................. 24820.9 Private drivers who have had surgery to repair a cerebral aneurysm................ 24920.10 Commercial drivers who have had surgery to repair a cerebral aneurysm....... 251Chapter 21: Vision Impairment ............................................................................................... 252BACKGROUND ......................................................................................................................... 25221.1 About vision impairment ............................................................................................ 25221.2 Prevalence and incidence of vision impairments .................................................... 25921.3 Prevalence and incidence of medical conditions causing vision impairments.... 26021.4 Prevalence and incidence of vision impairments resulting from medicaltreatments...................................................................................................................... 26121.5 Vision impairments and adverse driving outcomes................................................ 26121.6 Effect of vision impairments on functional ability to drive ................................... 26321.7 Compensation ............................................................................................................... 264GUIDELINES ............................................................................................................................. 26621.8 Private drivers with impaired visual acuity............................................................. 26621.9 Commercial drivers with impaired visual acuity.................................................... 26821.10 Private drivers with visual field loss ......................................................................... 27021.11 Commercial drivers with visual field loss ................................................................ 27221.12 Private drivers with a loss of stereoscopic depth perception or monocularity . 27421.13 Commercial drivers with a loss of stereoscopic depth perception or monocularity......................................................................................................................................... 27521.14 Private and commercial drivers with diplopia ........................................................ 27621.15 Private and commercial drivers with impaired colour vision .............................. 27721.16 Snellen chart and standard ratings of visual acuity ............................................... 27821.17 Visual field impairments ............................................................................................. 27921.18 Examination of visual functions form (EVF) .......................................................... 28121.19 Visual field test form (VFT) ....................................................................................... 28421.20 Recommended procedures for testing visual functions ......................................... 286Chapter 22: Syncope .................................................................................................................. 288BACKGROUND ......................................................................................................................... 28822.1 About syncope............................................................................................................... 28822.2 Prevalence and incidence of syncope ........................................................................ 28922.3 Syncope and adverse driving outcomes .................................................................... 28922.4 Effect of syncope on functional ability to drive ....................................................... 28922.5 Compensation ............................................................................................................... 290GUIDELINES ............................................................................................................................. 29022.6 Policy rationale ............................................................................................................. 29022.7 Private drivers who have had a single episode of syncope .................................... 29122.8 Private drivers with syncope with a treated or reversible cause .......................... 29222.9 Private drivers with recurrent typical vasovagal syncope or situational syncope......................................................................................................................................... 29322.10 Private drivers with recurrent atypical vasovagal syncope or unexplainedsyncope ........................................................................................................................... 29422.11 Commercial drivers who have had a single episode of typical vasovagal syncope......................................................................................................................................... 295x
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: 17.7 Private and commercial drivers
Page 13 and 14: BACKGROUND ........................
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
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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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