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Rtment. 5. Requires specialist assessment Yes No Please specify Occupational Therapist assessment (may include driving assessment) On-road practical driving assessment by the Department of Transport 6. Recommended re-assessment period years 7. I have discussed this recommendation with patient 8. I have examined the patient according to: DATE OF EXAMINATION months Yes No Commercial vehicle standards OR Private vehicle standards DATE OF REPORT (Heavy vehicle drivers, class MR and abo.

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