Medical Certificate For Motor Vehicle Driver (Form 3712) (Page 4 of 4) in pdf

Medical Certificate For Motor Vehicle Driver (Form 3712) Page 4

Part 3 - Eyesight Assessment

(to be completed by the treating optometrist or ophthalmologist) - if required

This assessment should be conducted in accordance with the standards provided in the Austroads Assessing fitness to drive for private and commercial vehicle drivers (AFTD)

publication, which is available at the Austroads website

The purpose of this eyesight assessment is so that an optometrist, or ophthalmologist may provide an opinion to the treating doctor about whether a person meets the visual

criteria for a driver licence and any recommended conditions/restrictions. An eyesight assessment is not a holistic assessment of a person’s medical fitness to drive, and

therefore, should not be used as a standalone assessment.

The completed assessment must be returned to the treating doctor who will consider it in conjunction with Parts 1 and 2 of the Medical Certificate for Motor Vehicle Driver

form. The Department of Transport and Main Roads will not accept Part 3 without the completion of Parts 1 and 2 of the Medical Certificate for Motor Vehicle Driver form.

1. What medical standards did you refer to in the AFTD to assess this person’s eyesight?

Private Standards

Commercial Standards

2. In my opinion, the person named in this report:

Meets the visual criteria for an unconditional licence

Recommended conditions/restrictions

Meets the visual criteria for an unconditional

licence as visual condition has improved and no

longer needs a conditional licence and requires

no further review.

Code M may be removed from the licence once the

treating doctor has completed Part 2 and considers