Medical specialist fitness assessment report for driver licences nsw 2025

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The default standards for people who have had a seizure are: Private drivers, including learners, must go at least 12-months without a seizure, and comply with medical advice. Commercial drivers must go at least 10 years without a seizure, have a non-epileptiform EEG and must also follow medical advice.
All taxi, rideshare, and hire car drivers in NSW are required to have the Passenger Transport code (T condition) on their licence. This is obtained through the RMS at your local Service NSW branch. This links your driving, criminal, and licence history with Point to Point. - A NSW Taxi Council ID card.
It depends if how you treat your diabetes means youre at risk of hypos, as this can affect your ability to drive safely. So what makes you at risk of having hypos? Hypos can affect people who take certain medication to treat their diabetes, including insulin and medications like sulphonylureas.
The Federal Motor Carrier Safety Administration (FMCSA) allows individuals with insulin-treated diabetes to operate commercial motor vehicles. Medical certification is required. For more information on the FMCSA rule, read our FAQ below.
Your doctor or other health professional will do the assessment. Theyll evaluate your medical fitness to drive and consider if any disability, injury, illness or medical condition affects your ability to drive safely. They do this using Assessing Fitness to Drive standards (Austroads).

Key Facts about the Medical Specialist Fitness Assessment Report for Driver Licences

Completion by Specialist Required

Single Report Requirement

Submission Process

Driver Declaration and Privacy Statement

Medical Standards Compliance

Legal Obligations of Drivers

Costs Responsibility

Completion by Specialist Required

The medical report must be completed by a qualified Specialist Medical Practitioner experienced in relevant medical conditions.

Single Report Requirement

Only one specialist can complete the report; if multiple assessments are needed, separate reports must be used.

Submission Process

The original completed report must be mailed to Roads and Maritime Services (RMS), and it is advisable to keep a copy for personal records.

Driver Declaration and Privacy Statement

Applicants must sign a declaration confirming the accuracy of their information and consent to RMS verifying this information with other medical practitioners.

Medical Standards Compliance

Examinations must adhere to national standards for assessing fitness to drive, particularly for commercial drivers with serious medical conditions.

Legal Obligations of Drivers

Drivers are legally required to inform licensing authorities of any long-term injuries or illnesses that may affect their driving ability.

Costs Responsibility

All costs associated with the medical examination are the responsibility of the licence holder.

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Five Donts of diabetic diet comprise of (a) avoiding consumption of excessive fatty food, (b) alcohol, (c) sweets and pastries, (d) processed and canned food, (e) one should also avoid skipping meals.
Sleep apnoea. A person is not fit to hold an unconditional licence: if the person has an established sleep apnoea syndrome (sleep apnoea on a diagnostic sleep study and moderate to severe excessive daytime sleepiness*); or. if the person has frequent self-reported* episodes of sleepiness or drowsiness while driving; or.
Inform the licensing authorities If you develop diabetes you must inform the driver licensing authorities in your state or territory. In most cases, if you manage your diabetes by insulin you will require a medical certificate every two years. If you manage it by tablet, every five years.

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