The Medical Form To Renew Driving Licence is a mandatory document required by Dutch law for driving license renewal under specific circumstances, including age-related renewals (typically at 75 years) or when medical conditions are present. This form, regulated by the CBR (Central Bureau for Driving Licenses) and conforming to the Wegenverkeerswet 1994, collects essential medical information to evaluate an individual's fitness to drive. It includes sections for personal information, medical history, current health status, and professional medical assessment where required. The form must comply with both Dutch national regulations and EU standards for driving license requirements, while ensuring proper handling of sensitive medical data under AVG (GDPR) guidelines. It serves as a crucial tool in maintaining road safety by ensuring drivers meet the necessary medical standards for safe vehicle operation.
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1. Personal Information: Applicant's details including full name, date of birth, BSN number, driving license number, and contact information
2. Current License Details: Information about existing license including category, expiration date, and any current restrictions or conditions
3. Medical Self-Declaration: Series of yes/no questions about medical conditions that might affect driving ability, including vision, cardiovascular conditions, neurological conditions, diabetes, and other relevant health factors
4. Medication Declaration: List of current medications that might impact driving ability
5. Vision Assessment: Basic vision test results including visual acuity and field of vision
6. Privacy Statement: Information about how medical data will be processed and shared, in compliance with AVG/GDPR
7. Declaration and Signature: Applicant's confirmation that all provided information is truthful and complete
1. Specialist Medical Assessment: Required when specific medical conditions are declared, includes detailed evaluation by relevant medical specialist
2. Additional Medical Tests: Section for recording results of any additional required medical tests based on age or declared conditions
3. Psychiatric Evaluation: Required when mental health conditions are declared or when prescribed medications might affect driving ability
4. Substance Use Assessment: Required when history of substance use is declared or suspected
5. Physical Mobility Assessment: Required for applicants with physical disabilities or mobility issues
1. Medical Conditions List: Comprehensive list of medical conditions that require declaration and potential specialist assessment
2. Medications Guide: List of medications that may affect driving ability and require additional assessment
3. Vision Standards Table: Detailed requirements for visual acuity and field of vision for different license categories
4. Required Medical Test Schedule: Age-related and condition-specific medical tests required for license renewal
5. CBR Assessment Criteria: Guidelines used by CBR to evaluate medical fitness for driving
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