☐ – No medical condition that impairs safe driving. ☐ FIT WITH CONDITIONS – Required to:
Determines colour blindness to guarantee traffic light and brake light recognition. 3. Chest X-Ray medical checkup for pdvl
| | | | :--- | :--- | | | [ABC Medical Centre] | | Address | [Blk 123, #01-45, Singapore 123456] | | Contact Number | [6123 4567] | | Report Date | [DD/MM/YYYY] | ☐ – No medical condition that impairs safe driving
☐ – Reason: ________________________________________ Chest X-Ray | | | | :--- |
Mandatory only for new PDVL applicants . Regular renewals do not repeat this step unless explicitly flagged by the LTA.
| Condition | Yes | No | Remarks (if Yes) | | :--- | :---: | :---: | :--- | | Epilepsy / Seizures | ☐ | ☐ | | | Diabetes Mellitus (on insulin) | ☐ | ☐ | | | Heart Disease (e.g., arrhythmia, ICD) | ☐ | ☐ | | | Stroke / TIA | ☐ | ☐ | | | Sleep Apnoea / Narcolepsy | ☐ | ☐ | | | Severe psychiatric disorder | ☐ | ☐ | | | Alcohol / Substance dependence | ☐ | ☐ | | | Visual impairment (even with glasses) | ☐ | ☐ | | | Hearing impairment | ☐ | ☐ | | | Any other chronic illness | ☐ | ☐ | |