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Medical assessment form 2026

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The document is a Medical Assessment Form for Private Hire Vehicle and Taxi-Cab Drivers under 60 years of age, required by Roads and Maritime Services to ensure drivers are fit and proper to operate public passenger vehicles. It outlines the information needed from applicants regarding their medical history, medications, and any conditions that may affect their driving ability. The form includes sections for personal details, a medical questionnaire, and a declaration of truthfulness. Compliance with the Passenger Transport Act 1990 is emphasized, along with privacy statements regarding the handling of personal information.

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Click ‘Get Form’ to open the medical assessment form in the editor.
Begin with Part A, where you will enter your personal details such as surname, given names, date of birth, and contact information. Ensure all fields are filled accurately.
Proceed to Part B, the Medical Questionnaire. Answer each question by selecting 'Yes' or 'No' and provide additional details where required. If unsure about a question, consult your medical practitioner for clarification.
Finally, complete Part C by signing the Declaration/Consent. This confirms that all provided information is true and accurate. Make sure to date your signature appropriately.

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Versions	Form popularity	Fillable & printable
2016	4.8 Satisfied (161 Votes)

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