Diab1 printable form 2025

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The document is a confidential medical questionnaire (DIAB1) for individuals with diabetes, specifically focusing on their fitness to drive. It requires personal information, healthcare professional details, and questions regarding diabetes management, symptoms of low blood sugar, eyesight standards for driving, and any necessary vehicle modifications. The form emphasizes the importance of monitoring glucose levels while driving and includes a consent section for sharing medical information with the DVLA.

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Click ‘Get Form’ to open the diab1 printable form in the editor.
Begin with Part A: About You. Fill in your title, full name, address, postcode, date of birth, NHS number, driver number (if known), and contact numbers. Use BLOCK CAPITAL letters and BLACK INK for clarity.
Proceed to Part B: Healthcare Professional Details. Provide the full name and address of your GP or consultant. Ensure all details are accurate to avoid delays.
In the Diabetes Medical Questionnaire section, answer questions regarding your diabetes treatment and monitoring practices. Be honest about any episodes of low blood sugar.
Complete the special controls section if applicable, indicating any modifications needed for driving due to your medical condition.
Finally, review the consent section carefully before signing. Confirm that all information is correct and submit your completed form as instructed.

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Versions	Form popularity	Fillable & printable
2022	4.8 Satisfied (61 Votes)
2014	3.9 Satisfied (33 Votes)
2012	4.9 Satisfied (346 Votes)

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Do I have to declare metformin?

Metformin and driving. may drive and need not notify the DVLA, provided: no more than 1 episode of severe hypoglycaemia while awake in the last 12 months and the most recent episode occurred more than 3 months ago. should practise appropriate glucose monitoring at times relevant to driving.

What is a 5870 form?

Those who wish to become certified commercial vehicle drivers and are undergoing ITBM are required by the FMCSA to submit to a physical examination and complete the Insulin Treated Diabetes Mellitus Assessment Form, also known as form MCSA-5870 or, informally, the FMCA diabetes form.