Medical specialist fitness assessment: Fill out & sign online

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How to use or fill out certificate of fitness light vehicle (private) drivers licence

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Click ‘Get Form’ to open it in the editor.
Begin with Part A, where you will enter your personal details. Fill in your surname, given names, and licence number. Select the appropriate licence type (C for car, R for rider, etc.) and provide your contact phone number and residential address.
Next, confirm that you have read the driver/applicant declaration by signing and dating the form.
Move to Part B, which is designated for your Specialist Medical Practitioner. They will need to fill in their name, specialty, AHPRA number, practice address, and contact information.
In Part C, the specialist will provide a report regarding your medical fitness. Ensure they complete this section accurately.
Finally, in Part D, the specialist must certify whether you meet the criteria for an unconditional or conditional driver licence by ticking the appropriate boxes.

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