
T: 1 800 3 6 1 7 6 2 0. 28 Medical Examination Report Driver s Licence Fees that may be charged for completing this report must be paid by the examinee and do not qualify for reimbursement by the Soci t . Return formto: to: Returnthe the original original form Service Servicede del valuation l valuationm dicale m dicaleetetdu dusuivi suividu ducomportement comportement RETURN BEFORE: Soci t Soci t de del assurance l assuranceautomobile automobiledu duQu bec Q.
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How to fill out the Canada 6228A 35 - Quebec City online
The Canada 6228A 35 form, also known as the Medical Examination Report for Driver's Licence, is essential for documenting an individual's medical fitness to drive in Quebec. This guide provides clear and supportive instructions to help users accurately complete the form online.
Follow the steps to complete the Canada 6228A 35 - Quebec City online.
- Click the ‘Get Form’ button to access the Canada 6228A 35 form, and open it in your preferred document editor.
- Begin by filling in personal details such as last name, first name, municipality, address, date of birth, postal code, and telephone numbers, ensuring accuracy as these details are crucial for identification.
- In the section labelled 'Person undergoing the examination', read and sign the authorization for the Société de l’assurance automobile du Québec to share medical information with the physician. Enter the date of the signature.
- Complete the relevant sections on health disorders, checking the appropriate boxes for vision, hearing, neurological, heart and vascular, respiratory, diabetes and metabolic, psychiatric disorders, functional limitations, and current medication. Provide detailed diagnosis and any relevant information as required.
- In sections describing various health aspects, share information related to previous and current ailments that may affect the individual's ability to drive. Ensure to indicate any required follow-up procedures in sections for recommendations.
- Once all relevant fields are filled out, review the completed form for any errors or omissions. Ensure all signatures and dates are correctly entered.
- After verifying the information, you can save changes to the form, download it for your records, or print and share it as necessary.
Complete the Canada 6228A 35 form online today to ensure timely processing of your medical examination report.
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