[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-296787-105":59,"doc-detail-296787-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","medical-screening-for-driving-licensing-part-i-medical-history-and-certification","Medical Screening for Driving Licensing - Part I - Medical History and Certification","","Medical screening form for driving licensing to be completed by the applicant and, in later sections, by a registered medical or health professional. Part I collects personal details including name, nationality, identity/passport number, date of birth/age, sex, occupation, and Bhutan residential contact information. Part II records medical history conditions with yes/no declarations, includes applicant declaration, signature/thumb impression, and a note about reporting conditions that may affect driving ability. Part III captures physical examination findings across general and systemic categories, and Part IV provides medical certification of fitness for driving, conditional driving, or unfit status.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/medical-screening-for-driving-licensing-part-i-medical-history-and-certification/296787/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/medical-screening-for-driving-licensing-part-i-medical-history-and-certification/296787.png","ImageObject",300,407,{"name":92,"@type":93},"Maya Linwood","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-09-18",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",14,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"Who must complete each part of the driving medical screening form?","Question",{"text":113,"@type":114},"The applicant completes Part I and Part II. Part III and Part IV must be completed by a registered medical or health person only.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What medical conditions does the form ask the applicant to declare?",{"text":118,"@type":114},"It requests yes/no declarations for conditions such as mental illness, epilepsy, asthma/COPD, diabetes mellitus, hypertension, vertigo, heart disease, drug or alcohol addiction, hearing impairment, visual problems, long-term medication, physical deformity, and trauma or injury.",{"name":120,"@type":111,"acceptedAnswer":121},"What does the medical examiner certify in Part IV?",{"text":122,"@type":114},"The examiner certifies whether the person is fit for driving, fit for conditional driving (with details), or unfit for driving, based on the required clinical criteria listed in the form.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},296787,1789737023,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":81,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":130,"read_time":39},962084928432,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Form B  \nMEDICAL SCREENING FOR DRIVING LICENSING  \nPartI and II of this form to be completed by the applicant:  \nPhoto  \n\n| \u003Cbr>Part I: Personal Information |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- |\n| Name | Nationality |  |  |  |  | Passport No/Identity Card No./Voter Card No. |\n| Date of Birth/Age | Sex: M |  | F |  |  | Occupation |\n|  |  |  |  |  |  |  |\n| Residential Address in Bhutan:\u003Cbr>Contact Number: |  |  |  |  |  |  |\n\n\n| \u003Cbr>Part II: Medical History (To be declared and signed by the applicant) |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n|  |  | Y\u003Cbr>E\u003Cbr>S | N\u003Cbr>O | If yes, give brief details |  |  | Y\u003Cbr>E\u003Cbr>S | N\u003Cbr>O | If yes, give brief details |\n| 1. | Mental illness |  |  |  | 2. | Epilepsy (Seizures in last 3 years) |  |  |  |\n| 3. | Asthma/COPD |  |  |  | 4. | Diabetes\u003Cbr>Mellitus |  |  |  |\n| 5. | Hypertension |  |  |  | 6. | Vertigo |  |  |  |\n| 7. | Heart Disease |  |  |  | 8. | Addiction to drugs or alcohol |  |  |  |\n| 9. | Hearing Impairment |  |  |  | 10. | Visual problem |  |  |  |\n| 11. | Long-term\u003Cbr>medication |  |  |  | 12. | Physical\u003Cbr>deformity |  |  |  |\n| 13. | Trauma/injury |  |  |  |  |  |  |  |  |\n| I declare that all the information given above is correct and true. I also understand that I may be liable for actions by the concerned authority\u003Cbr>for providing false or misleading information.\u003Cbr>Signature/thumb impression of the applicant……………………………….\u003Cbr>Date  \u003Cbr>\u003Cbr>Thumb Impression |  |  |  |  |  |  |  |  |  |\n| Note: The applicant should inform the licensing authority if he/she develops medical condition that might interfere with driving ability. |  |  |  |  |  |  |  |  |  |\n\nPage 1 of 3  \nPart III: Physical Examination: (to be completed by a registered medical or health person only)  \n\n| A. General |  |  | Normal | Abnormal | Brief details\u003Cbr>(if Abnormal) |\n| --- | --- | --- | --- | --- | --- |\n| 1. | Pulse rate   Per min |  |  |  |  |\n| 2. | Blood pressure ………/……. mm Hg |  |  |  |  |\n| 3. | Conjunctiva (Circle) Pallor/non-icteric/others (specify) |  |  |  |  |\n| 4. | Lymphadenopathy |  |  |  |  |\n| 5. | Pedal oedema |  |  |  |  |\n| 6. | Visible deformity |  |  |  |  |\n| \u003Cbr>B. Systemic |  |  |  |  |  |\n| 7. | Neurological status (sensory and coordination) |  |  |  |  |\n| 8. | Cardiovascular system |  |  |  |  |\n| 9. | Respiratory system |  |  |  |  |\n| 10. | Per abdomenGeneral Liver\u003Cbr>Spleen |  |  |  |  |\n| 11. | Stigmata for alcohol and drug abuse |  |  |  |  |\n| 12. | Visual acuity\u003Cbr>Unaided\u003Cbr>Pinhole\u003Cbr>Corrected\u003Cbr>Near vision\u003Cbr>Colour vision\u003Cbr>Visual field | |  |  |  |\n| 13. | Blood group |  |  |  |  |\n| \u003Cbr>Part IV: Certification and declaration |  |  |  |  |  |\n| I certify that the person is: (check only one option)\u003Cbr>\u003Cbr>Fit for driving\u003Cbr>Fit for conditional driving, specify……………………………………… Unfit for driving |  |  |  |  |  |\n| Name and signature of the examining medical or health person |  |  | BMHC registration No. and Address: |  |  |\n\nPage 2 of 3  \nPerson shall be certified unfit for driving if the person has:  \n1. Best corrected vision in both eyes worse than 6/12 (Private driving purpose)  \n2. Best corrected vision in both eyes worse than 6/9 (Professional driving purpose)  \n3. Best corrected vision worse than 6/12 and better than 6/60 (Restricted driving license)  \n4. Colour blindness  \n5. Visual field less than 120 horizontal and 20 vertical  \n6. Deafness(Severe)(Professional driving purpose)  \n7. Uncontrolled epilepsy (more than 3 episodes of seizures in the last 6 months)  \n8. Uncontrolled diabetes mellitus  \n9. Recurrent or disabling vertigo  \n10. Sever withdrawal syndrome  \n11. Major Mental disorders (severe depression, psychosis, manic episode in bipolar disorder, severe anxiety, attention deficit hyperactivity disorder, etc.)  \nPage 3 of 3","cbCaiqVK3hhmfLQr","https://ap.wps.com/l/cbCaiqVK3hhmfLQr","pdf",107487,"English","# Part I: Personal Information\n## Residential Address in Bhutan and Contact Number\n# Part II: Medical History (Declared and Signed by the Applicant)\n## Mental illness, epilepsy, asthma/COPD, diabetes, and other conditions\n# Part III: Physical Examination\n## General examination\n## Systemic examination\n# Part IV: Certification and declaration\n## Fit for driving / Conditional driving / Unfit for driving","[{\"question\":\"Who must complete each part of the driving medical screening form?\",\"answer\":\"The applicant completes Part I and Part II. Part III and Part IV must be completed by a registered medical or health person only.\"},{\"question\":\"What medical conditions does the form ask the applicant to declare?\",\"answer\":\"It requests yes/no declarations for conditions such as mental illness, epilepsy, asthma/COPD, diabetes mellitus, hypertension, vertigo, heart disease, drug or alcohol addiction, hearing impairment, visual problems, long-term medication, physical deformity, and trauma or injury.\"},{\"question\":\"What does the medical examiner certify in Part IV?\",\"answer\":\"The examiner certifies whether the person is fit for driving, fit for conditional driving (with details), or unfit for driving, based on the required clinical criteria listed in the form.\"}]","Medical Screening for Driving Licensing - Part I - Medical History and Certification | PDF"]