277/2004 Sb.
DECREE
of 26 March. April 2004 establishing medical fitness to drive
motor vehicles, medical fitness to drive a motor vehicle
with the condition and the formalities of a medical certificate certifying the health
the reasons for which cannot be on the seat of a motor vehicle
to buckle a seat belt (the Decree on the medical fitness to
control of motor vehicles)
253/2007: Sb.
72/2011: Sb.
271/2015: Sb.
The Ministry of health shall lay down pursuant to § 137 para. 3 for the implementation of paragraph 6 of the
paragraph. 2, § 9 para. 2, § 84 paragraph. 7, § 85 para. 7, § 87 para. 7 and § 88
paragraph. 6 of Act No. 361/2000 Coll. on road safety and on
amendments to certain laws, as amended by Act No. 478/2001 Coll. and Act No.
53/2004 Coll. (hereinafter the "Act"):
§ 1
This Decree incorporates the provisions of the European Union "^ 1") and modifies the
details of medical fitness to drive a motor vehicle and
the formalities of a medical certificate certifying the health reasons for
covered driving cannot be on the seat of a motor vehicle to buckle up.
Medical fitness and opinion
§ 2
(1) the Assessment of medical fitness to drive a motor vehicle (hereinafter
"the opinion") gives the examining doctor after an evaluation of the health status
applicants for a driving licence (hereinafter referred to as "the applicant") or the holder of the
driving licence (hereinafter referred to as "driver") established the medical
and on the basis of the evaluation of the applicant's statements or the driver (hereinafter referred to as
"concerned person") to the medical certificate, the previous entries in the
medical documentation kept by the person assessed, information about
of health of the person assessed communicated by the authorising
provider of health services in the field of general practical medicine
or in the field of practical medicine for children and adolescents (hereinafter referred to as
"registering the provider ') and on the results of the other professional
examination of that request.
(2) the content of a statement referred to in paragraph 1 is set out in annex 1.
§ 3
The person may be under consideration for the disabled eligible for motor control
vehicles or for eligible subject to recognize under the conditions
laid down in the law, if on the basis of a medical examination or
regular medical examinations was not for this person, the status of defect
or disease (hereinafter referred to as "disease"), which excludes the medical fitness to
driving motor vehicles.
§ 4
(1) the opinion must be unique and cannot contain the diagnosis of the disease;
always contains the elements listed in the report in accordance with Annex 2 to this
the Decree. Opinion may be issued in another format and arrangement than the
shown in his pattern.
(2) in the report shall state the period of its validity, if the examining physician
based on the health status of the persons under consideration determine medical
the tour before the term periodic medical examinations in accordance with
the law, and that
and in the case of the advancing disease), which can be expected at the next
the development of such changes in health status that affect safety
traffic on the road,
(b)) is in annex No. 3 as a condition of health listed
medical review of the health status of the person assessed; medical review
shall be carried out in the context of medical examinations at least 1 in 5 years, or
(c)) if at the conclusion of the professional examination under section 6 (1). 2 (a). (c))
an earlier term, into which the assessed person undergo further
vocational examinations, than is the term regular medical examinations.
(3) a copy of the report and the record of his taking over as the person
confirmed the signing of assessing doctors and examined the person, or
a confirmation of receipt confirming the receipt of an opinion by the person under consideration are
an integral part of the medical records kept by the person assessed.
(4) an opinion under this decree can be used to replace the opinion of the health
competence to perform the work, part of which is also driving a motor
the vehicle, which is a kind of work agreed in the contract, if
In addition to the requirements laid down by law or regulation governing the content and
requirements medical records ^ 4) includes the requirements of the
paragraph 2, § 5 para. 1 and year of execution of traffic psychological
examination of the ^ 5).
§ 5
(1) in the case where an opinion is issued with the conclusion
and medical fitness to) about driving a car with the condition,
in opinion stating this condition arising from the identified health
the status of the persons under consideration; the condition consists in the use of the necessary
a medical device, in the technical adjustment of the motor vehicle or, in the
other limitations of the person assessed; for other restrictions on relationships with
It also considers the term to which he has examined the person undergo
additional medical examination,
(b)) the health disability management in motor vehicles, in the opinion
stating the conclusion on incapacity arising from the identified
the State of health of the person assessed.
(2) identified the disease that led to the issuing of an opinion referred to in paragraph 1,
records and examining physician in medical documentation kept by the
the person under consideration.
Medical examinations, regular medical examinations special examination
§ 6
(1) the necessary scope of the medical examination and regular medical
the tour is
and health) finding relationships with targeted focus on
the disease, which medical fitness to drive a motor vehicle
exclude or makes; the disease, which medical fitness to drive
motor vehicles exclude or makes, are set out in annex No.
3,
(b)) a comprehensive physical examination, including examination guidance
hearing, vision and barvocitu, Visual examination
box, and a balance and guidance of neurological examination, with
targeted focus on the symptoms of the disease listed in annex 3,
(c)) for more professional examination by a doctor specialised
competence (hereinafter "the examination") of the requested posuzujícím
the doctor in the event that the person under consideration, it is necessary to exclude the suspicion
the disease, or to determine the stage of disease referred to in annex No. 3, or other
the disease, which may limit the medical fitness to drive
motor vehicles,
(d) examination of the requested posuzujícím) doctor always, if
person is under consideration in the continuing care of another physician or clinical
a psychologist for the disease referred to in annex 3 or another illness that
excludes or limits the medical fitness to drive a motor
vehicles, if this is known, assessing physicians
e) examination by the treating physician neurologist requested
posuzujícím doctor for those suffering from epilepsy or examined in other
disorders of consciousness, or in case of suspicion of the disease; When the professional
the examination is evaluated whenever the State of the epilepsy or other disturbances of consciousness,
the clinical form and progress of disease, treatment and its results so far, including
the risk of recurrence of seizure or coma.
(2) the examination shall be carried out to the extent necessary for the assessment of
medical fitness of the person assessed to driving a car. In
the conclusion of each professional examination must be defined health
the eligibility of persons to be assessed to the driving motor vehicles in relation to the
the focus of the expert examination and designed condition permitting
of the motor vehicle, if the need has been identified to be determined,
and use of necessary medical device),
(b)) technical adjustment of the motor vehicle, or
(c)) other restrictions under consideration; If other constraints that enable the management of
the motor vehicle is in the condition respond to continuing vocational
testing, must be at the end of vocational examinations also mentioned the term,
into which the assessed person undergo continuing vocational examination.
§ 7
(1) by a doctor or clinical psychologist conducting at the request of assessing
the doctor's examination of the person assessed under section 6 (1). 1 (b). (c)) to
(e)) is based on the medical records kept by the doctor on posuzujícím
the person under consideration or of its information; information from the medical
dossier processed posuzujícím doctor, contains the reasons for which
was requested, the results of the expert examination carried out so far and tests
additional information is essential for a professional examination.
(2) the Examining physician, if not at the same time authorising the provider
the persons to be assessed, for the purposes of assessment of medical fitness
relationships to control motor vehicle requests
State of health of the person at a registered provider
and whether the person had suffered under consideration) or suffer from diseases listed in the annex
# 3, or on these diseases in the past say the suspect and
(b)) other data relevant to the assessment of the medical fitness of this
of the person.
(3) a doctor or clinical psychologist conducting vocational examination
records of their observations and conclusions of the examination, or of professional representation
throughout the range of established facts into medical documentation,
which leads to the person assessed; the doctor passes the information about the application as the
conclusions of the examination.
§ 8
Registering the provider of medical documentation and in the
listing of medical documentation in case of transfer of the patient to the care
another of the registering of the provider, that person is guided by
medical records, by the applicant or by the driver, or that this person
the opinion was issued with the conclusion of incapacity to control
motor vehicles or medical fitness to drive
vehicles with the condition. If the medical fitness of the applicant or
of the driver is assessed in the occupational health service provider, says
fact, in the first sentence registrujícímu providers in order to
their designation in the medical documentation of the examining doctor
the occupational health service provider. If the person concerned does not have
the registering of the provider or providers of occupational health
services, shall indicate the facts referred to in the first sentence to the medical
documentation and examining physician providers of health services, for which the
the medical fitness of the applicant or of the driver being examined.
§ 9
The formalities of a medical certificate certifying the health reasons for
covered driving cannot be on the seat of a motor vehicle to buckle up
(1) a medical certificate issued on the basis of the law, the drivers or
the person who is transported for medical reasons cannot drive
strap on the seat belts, contains the elements referred to
in annex 4. A copy of the medical certificate is part of the medical
documentation about the driver or conducted by the transported person.
(2) a medical certificate, or a certificate issued by the competent authorities in the
another Member State of the European Union, is considered a medical certificate
issued under this Ordinance; must be marked on it its time
the validity and the certificate must be presented upon request to all persons
authorized to inspect under special legislation ^ 2) compliance with the
the obligations of participants and the rules of road safety.
Final provisions
§ 10
If the driver has won on the basis of the existing legislation of the driving
permissions and if the doctor finds, or gets a suspicion that his
medical fitness to drive a motor vehicle does not conform to the health
eligibility under this order, notify in writing of this fact
the driver and the doctor's assessment, if it is known.
§ 11
Repealing Directive of the Ministry of health no. 8/1986 Ú. v. CZECHOSLOVAKIA, for
the assessment of medical fitness to drive a motor vehicle,
trolley buses and trams, which are registered in the amount 7/1986 Sb.
§ 12
This Decree shall enter into force on 1 January 2000. June 2004.
Minister:
Mudr. Kubinyi, Ph.d. in r.
Č. 1
The Declaration assessed the person to the medical fitness
[to section 84 of the Act No. 361/2000 Coll. on road safety and on
amendments to certain laws (road traffic law), as amended by
amended]
The name or names, and surname of the applicant:.............................................................
..........................................................................................................
Address of usual residence in the territory of the United States:......................................................
..........................................................................................................
..........................................................................................................
Date of birth:........................., "^ 1" identity card) number................................
..........................................................................................................
A group of vehicles to which the statement is issued.......................................................
..........................................................................................................
I declare that
and I feel well and) that I'm not aware that I have the status, defect or illness, which are dangerous for the management
motor vehicle ^ 2)
(b)) I don't feel well, I have the following health problems: ^ 2)
..........................................................................................................
..........................................................................................................
(c)), I feel healthy, but I have a status listed below, defect or disease: ^ 3)
..........................................................................................................
..........................................................................................................
(d)) I use on a regular basis the following medicines: ^ 2)
..........................................................................................................
..........................................................................................................
(e)) I-taken ^ 2) I regularly-irregular ^ 2) these addictive substances:
..........................................................................................................
..........................................................................................................
(f)) of the disease-free period, defects or condition lasts: ^ 3)
..........................................................................................................
..........................................................................................................
Name or name, surname and address of the registering provider ^ 4), if it is not posuzujícím
lékařem ..................................................................................................
..........................................................................................................
Name or name, surname and address of the specialist or clinical psychologist, if
the applicant repeatedly or long........................................................
..........................................................................................................
I declare that all the particulars stated completely and truthfully.
V ..........dne ...... ......................................
the signature of the persons under consideration
______________________________
1) such as identity card, travel document for aliens; You can also give another proof of the identity of its
of the holder.
2) Delete where inapplicable.
3) to be completed where the operative event for the assessment of the zdravotnízpůsobilosti under the
No Sb 277/2004. Enter the number of months or years, when a disease or condition are not reflected.
4) Authorising the provider means a provider of health services in the field of general practical
medicine or in the field of practical medicine for children and adolescents (art. 2 (1) of Decree No. 277/2004 Coll.).
Č. 2
The medical report on the medical fitness to drive a motor vehicle
[Act 361/2000 Coll., on road safety and on changes
Some laws (road traffic law), as amended
law, and Decree No. 277/2004 Coll., on medical fitness to drive
motor vehicles, as amended]
Identifying information for healthcare providers, on whose behalf the judgement issues, identification number,
If it was allocated, registered address or place of business
..........................................................................................................
The name or names, and surname of the person examined......................................................
Date of birth ..................... Identity card-number ^ 1)....................................
Address of usual residence in the territory of the United States:......................................................
..........................................................................................................
..........................................................................................................
Kind of medical examinations, which according to the law, involving the person she submitted ................................
The assessment by Group 1 ^ 2)-groups of 2 ^ 2) of annex 3 of the Decree
Exclusively on psychological examinations under Section 87a of the law was carried out:
and yes) ^ 2), and in it ... ... ... ... ... ... ... ... ... ... ... (b)) ^ 2)
The person under consideration
and disability is eligible) ^ 2) for the driving licence ............................................
(b)) is not medically eligible ^ 2) for category a driving licence ...........................................
(c)) is eligible subject ^ 2) ^ 3) for the driving licence .............................
..........................................................................................................
..........................................................................................................
End date of validity of the opinion ^ 4)........................................................................
..................... .............................................................................
the release date of opinion of the name or names, surname, signature
stamp of the providers of health services
Lessons learned:
Against this opinion is possible within 10 working days from the date of its demonstrable surrender to lodge his
a review of health services providers that delivered the opinion of the Court. Person kteréuplatněním opinion arise
rights or obligations and that was passed to the person under consideration, the opinion may návrhna review of medical
opinion filed within 10 working days from the date of its delivery, the provider referred to in the first sentence. A proposal from the
on the review of the medical assessment does not have suspensory effect, if its conclusion implies that the person concerned
It is for the purpose for which it was assessed, a disabled ineligible or eligible disabled condition ^ 5).
_____________________________________________
1) identity card, travel document for aliens; You can also give another proof of the identity of its holder.
2) Delete where inapplicable.
3) indicate the condition, which makes medical fitness to driving vehicles (for example, the necessary
medical device technical adjustment of the motor vehicle or other restrictions, the subjugation of the vocational examination
podmiňujícím medical requirements and thus the validity of the opinion).
4) to be completed in the cases provided for in § 4, paragraph 4. 2 Decree on the medical fitness to drive a motor vehicle.
5) § 46 para. 1 and 3 of the Act. No. 373/2011 Coll., on specific health services, as amended.
Č. 3
Diseases, defects or conditions that exclude or makes health
fitness to drive a motor vehicle
For the purposes of annex III
-Group 1
applicants and holders of driving licence of category categories AM, A1,
A2, A, B, B1 and B + E (§ 80a Act No. 361/2000 Coll.)
-Group 2
and drivers who drive) motor vehicle in the employment relationship and
which is driving a motor vehicle type of work contracted at work
the contract,
(b)), the driver of the vehicle who in the performance of tasks related to the exercise of
specific responsibilities of the receiving of the special warning lights blue
colors, where appropriate, supplemented by special sound warning sign,
(c)), for which the driver is driving a motor vehicle subject to separate
gainful activities carried out under a special legal regulation,
(d) the applicants and holders of certificates) for teacher training in the management of drivers
motor vehicles under a special legal regulation, ^ 3) or
(e)) the applicants and holders of the licence categories C1, C1 + E, C,
C + E, D1, D1 + E, D, D + E and T (§ 80a Act No. 361/2000 Coll.).
I. Disease, defects or conditions of vision exclusive, or contingent upon the health
fitness to drive a motor vehicle
1. Disease, defects or conditions of vision negative medical fitness to
driving a car are diseases, defects or conditions of vision, which
cause such health complication or deviations that are
dangerous for traffic on the road, and in particular
Group 1
and) binocular Visual acuity, and even using corrective lenses, *)
less than 0.5,
b) Visual acuity less than 0.5 when fully functional loss of vision in
one eye or if the use of only one eye, for example, in
the case of diplopia, and even using corrective lenses
(c)) full functional loss of vision in one eye or use only
one eye, if this condition lasts less than 6 months
(d) the range of the horizontal field of view) of both eyes is less than 120 degrees,
at the same time the range of less than 50 degrees to the left and right side, a range of
vertical field of vision of less than 20 degrees upwards and downwards,
e) changes in the Central field of vision up to 20 degrees, or
f) intolerance corrective lenses if they are to achieve the vision
acuity necessary.
Group 2
and diseases, defects or) conditions set for Group 1, if not further
unless otherwise specified,
b) Visual acuity in the better eye is less than 0.8 in the worse eye and less than
0.1, and even using corrective lenses
(c)) the attainment of the minimum Visual acuity under (a)), or (b))
the use of glasses with the force in excess of the spherical equivalent of + 8 diopters,
(d) the range of the horizontal field of view) of both eyes is less than 160 degrees,
at the same time the range of less than 70 degrees to the left and right side,
(e) the range of the vertical field of view) of less than 30 degrees upward and
down,
(f)) changes in Central Visual field of up to 30 degrees,
g) diplopia, or
h) serious disturbance of contrast sensitivity.
*) Note: for the purposes of the Ordinance are not regarded as intraocular lens correction
lenses.
2. Disease, defects or conditions that affect the eye safety
road safety and in respect of which the applicant or driver can be recognised as
medically eligible for operating a motor vehicle only on the basis of
the conclusions of the expert examination, and in particular
Group 1
and) binocular Visual acuity less than 0, 7 for the use of the correction
lenses,
b) Visual acuity less than 1.0 when the full functional loss of vision in
one eye or if the use of only one eye, for example, in
the case of diplopia, and the condition persists for more than 6 months,
(c) a change in the scope of the Visual field),
(d)) of the disease of the eye and adnexa, if they cause a reduction in Visual acuity
or cause a change to the scope of the Visual field according to subparagraph (a)), b) or (c)),
e) impaired vision in the dark except for the light non-serious forms of, or
(f)) destructive barvocitu in the area of basic colors.
Group 2
and diseases, defects or) conditions set for Group 1, if not further
stated otherwise,
(b) serious disturbances, barvocitu)
(c) surround vision disorders) or
d) impaired vision in the dark.
II. Disease, defects or hearing negative statuses or contingent upon the
medical fitness to drive a motor vehicle
Group 1
disease of the middle ear or mastoid, if limit
the ability to drive a motor vehicle.
Group 2
and middle ear disease) or the tip of the mastoid, if limit
the ability to drive a motor vehicle, or
(b)) hearing loss greater than 30% (according to Fowler); the applicant or driver
hearing loss greater than 30% may be recognised as eligible for health management
of the motor vehicle, if they are able to understand colloquial speech into at least
a distance of 5 m, and even use of the medical device.
III. Diseases, defects or conditions Musculoskeletal and connective
tissue negatives or contingent upon the medical fitness to drive
of motor vehicles
Group 1 and 2
1. Disease, defects or conditions of muscle and musculoskeletal system and connective tissue
exclusive medical fitness to drive a motor vehicle are
diseases, defects or conditions of muscle and musculoskeletal system and connective tissue
that limit the ability to drive a motor vehicle and are dangerous for the
traffic on the road which cannot be compensated for by using the
necessary medical device or technical adjustment of the motor
of the vehicle.
2. Disease, defects or conditions Musculoskeletal and connective
tissues that affect the safety of road users and the
where the applicant or driver can be recognised as eligible for health management
the motor vehicle only on the basis of the conclusions of the professional examination,
in particular, the
and, defects or diseases) States that reduce mobility and functional
the ability to drive a motor vehicle, or
(b)) of the disease, defects or conditions, if it can be assumed when the further development
a functional incapacity affecting safety on road
roads.
During the vocational examination of compensation options will be addressed
using the medical device or the necessary technical adjustment
of the motor vehicle.
IV. Disease, defects or conditions of the circulatory system exclusive, or
contingent upon the medical fitness to drive a motor vehicle
1. Disease, defects or conditions of the circulatory system negative health
fitness to drive a motor vehicle are diseases, defects or conditions
causing the sudden failure of the cardiovascular system, so that it can
experience a sudden disorder of brain function, which is dangerous for the operation of the
on the road, and in particular
Group 1
and) serious cardiac arrhythmias (abnormal heart rhythms)
(b)) stenokardie during rest or psychological stress (arousal), or
c) cardiac failure in functional class IV. NYHA classification.
Group 2
and diseases, defects or) conditions set for Group 1, if not further
unless otherwise specified,
(b)) heart and vascular disease in functional class III. and (IV). NYHA
classification and serious heart rhythm disorders,
(c)) and harder forms of Obliterative atherosclerosis of peripheral artery disease with
trofickými defects or severe stenosis or carotid hemodynamics
larger aneurysms of the aorta,
(d)) it is difficult to korigovatelná hypertension, hypertensive disease with advanced
orgánovými gives rise to a serious fault changes their functions and
malignant hypertension, or
(e) the States after implantation of a defibrillator).
2. Diseases of the circulatory system defects or conditions that affect the safety of the
traffic on the roads, and that can be the applicant or driver
recognised as medically eligible for operating a motor vehicle only on
the basis of the conclusions of the expert examination, with the exception of diseases referred to in
1 entry for the group, in particular
Group 1
and after myocardial infarction) status with the exception of uncomplicated, non-serious
States, where the professional performs the examination assessing physician
(b) the States after implantation of defibrillator) and permanent cardiac pacing with
the exception of uncomplicated or non-serious conditions, where the technical examination
does the examining physician; regular medical review of health
the State is a condition of good health always,
(c)) it is difficult to korigovatelné hypertension, hypertensive disease with advanced
orgánovými gives rise to a serious fault changes their functions and
malignant hypertension,
(d)) heart and vascular disease in functional class III. NYHA
classification and serious heart rhythm disorder, or
(e)) and harder forms of Obliterative atherosclerosis of peripheral artery disease with
trofickými defects or severe stenosis or carotid hemodynamics
larger aneurysms of the aorta.
Group 2
and diseases, defects or) conditions set for Group 1, unless
unless otherwise specified, or
b) hypertensive disease with the exception of the uncomplicated, or non-serious
States, where the professional performs the examination assessing physician.
In diabetes mellitus. exclusive, or contingent upon the health
fitness to drive a motor vehicle
1. The disease diabetes mellitus excludes medical fitness to drive
motor vehicles, if the causes of such medical complications that
are hazardous to the traffic on the road, and in particular
Group 1 and 2
Second, and more) and hypoglycemia that occurs during a period of 12 months
from the first hypoglycemia and to cope with the need to help more
a person, or
(b)) other hypoglycaemia occurring during a period of 12 months
from the first of hypoglycaemia, and without warning signs or the applicant's
or the driver unaware of.
2. Conditions related with the disease of diabetes mellitus, which affect the
the safety of road users and that can be the applicant
driver or recognised as disabled eligible for driving a motor vehicle
only on the basis of the conclusions of the professional examination
Group 1
and) status within 12 months after the first hypo requiring support
a person, or
(b)), followed by an orgánovými of diabetes mellitus complications.
Group 2
and diseases, defects or) conditions set for Group 1, unless
unless otherwise specified,
b) diabetes mellitus when treatment was started the drugs, which carry
the risk of inducing hypoglycemia, and, in the preceding 12 months
No hypoglycemia requiring the assistance of another person, there are health
complications arising in relation with diabetes mellitus and the driver or
the applicant
1. the warning signs of hypoglycemia or are aware of,
2. is able to demonstrate regular glucose, which performs at least
twice a day, and in the case of the driver, then in time related to the management, and
3. demonstrates that he understands the risks of hypoglycemia; way
the demonstration of a doctor in the medical records documentation kept by the
the person under consideration.
Regular medical doctor, the competent health check
specialized competence is a prerequisite for good health always,
shall be carried out at least once every 3 years.
Vi. Disease, defects or conditions of the nervous system exclusive, or
contingent upon the medical fitness to drive a motor vehicle
1. Disease, defects or conditions of the nervous system negative health
fitness to drive a motor vehicle are such diseases, defects or
conditions of the nervous system, which represent a serious threat to the traffic on the
the road, and in particular
Group 1
and) epilepsy, in cases where the length of the bezzáchvatového period is shorter
than 12 months; Epilepsy for the purposes of this order means two or
more epileptic seizures that occur in persons under consideration in
the distance to a maximum of 5 years,
(b)) status after an isolated or first Grand Mal neprovokovaném
the bout, if deployed antiepileptic treatment, for a period of 12 months,
(c)) status after an isolated or first Grand Mal neprovokovaném
a fit, if not already deployed antiepileptic treatment, for a period of 6
months,
(d)) status after suffering a grand mal seizure caused by an identifiable provokovaném
a causal factor whose repetition when control is likely or
(e)) and the States with impaired consciousness or momentum, for example,
nekompenzovaná narcolepsy or cataplexy.
Group 2
and diseases, defects or) conditions set for Group 1, if not further
unless otherwise specified,
b) epilepsy for 10 years period from the discontinuation of bezzáchvatového
anti-epileptic treatment,
(c)) status after suffering a grand mal seizure, a unique neprovokovaném has not been
deployed antiepileptic treatment for a period of 5 years from that attack,
(d)) and the States with impaired consciousness or momentum, including conditions in the
history, such as narcolepsy or cataplexy.
e) States associated with diseases, injuries or surgical intervention, which
affect the central or peripheral nervous system and cause serious
mental, sensory or motor disorders, or
f) sleep disorder seriously affect alertness.
2. Disease, defects or conditions of the nervous system that affect the safety of the
traffic on the roads, and that can be the applicant or driver
recognised as medically eligible for operating a motor vehicle only on
the basis of the conclusions of the expert examination, and in particular
Group 1
and conditions associated with the disease), injury or surgical intervention, which
affect the central or peripheral nervous system, and cause
mental, sensory or motor disorders,
b) epilepsy, in cases where the length of the period is longer than bezzáchvatového
12 months,
c) epilepsy seizures occurring only in his sleep, a history of
There were seizures and epilepsy in the waking state, it takes at least 12
months,
d) epilepsy seizures that do not affect the ability to control, in
the absence of any other history of seizures than those for which it was
demonstrated that they do not affect the ability to drive, and epilepsy takes at least 12
months,
e) seizures, which occur as a result of changes
anti-epileptic treatment indicated by the doctor; If an epileptic
a seizure in a period of change in treatment or reducing the therapeutic dose, is in the case
to restore a previously effective treatment necessary to keep the period of 3 months, when
the person concerned does not control,
(f)) status after suffering a grand mal seizure or an isolated after the first
neprovokovaném seizure, when it was deployed to antiepileptic treatment after 12
months after this bout,
g) status after suffering a grand mal seizure or an isolated after the first
neprovokovaném seizure, when not deployed antiepileptic treatment
6 months after this bout,
h) status after suffering a grand mal seizure caused by an identifiable provokovaném
a causal factor whose recurrence is unlikely while driving
I) and States with impaired consciousness or momentum, for example,
"narcolepsy or cataplexy,
j) moderate obstructive sleep apnea syndrome with an index value
apnea/hypopnea between 15 and 29 associated with excessive daytime sleepiness
or severe obstructive sleep apnea syndrome with an index value
apnea/hypopnea 30 or more associated with excessive daytime sleepiness, or
to) other sleep disorders seriously affect alertness than indicated in the
subparagraph (j)).
In the case referred to in subparagraph (j)) is a regular medical review
health condition always; This is done in the framework of the regular
medical examinations at least once every 3 years; This does not apply if the
the validity of an opinion before.
Group 2
and diseases, defects or) conditions set for Group 1, if not further
unless otherwise specified,
(b)) status after suffering a grand mal seizure, a unique neprovokovaném if
antiepileptic treatment and has not been deployed in the neurological examination
There is no related brain pathology and
an electroencephalogram (EEG) is not recorded no epileptiform
activity after 5 years from this attack,
c) epilepsy after a grand mal seizure or the State, if it has been deployed
antiepileptic treatment and neurological examination is not found
related brain pathology and on an electroencephalogram (EEG) is not
No epileptiform activity, after 10 years from the withdrawal
treatment; in the case of favourable conditions, for example, resulted in benign
Epilepsy with rolandickými spikes, 5 years after withdrawal of treatment,
(d)) status after suffering a grand mal seizure caused by an identifiable provokovaném
a causal factor whose recurrence is unlikely while driving;
the risk of seizure shall not be greater than 2% per year,
e) other loss of consciousness; risk of recurrence of loss of consciousness should not be greater
than 2% per year,
(f)) of the disease, which is accompanied by an increased risk of seizures,
for example, arteriovenous malformations, or intracranial bleeding, although
to the attacks has not yet occurred; in the case of structural damage
the brain is an increased risk of seizure, the risk must not be
greater than 2% per year,
g) moderate obstructive sleep apnea syndrome with an index value
apnea/hypopnea between 15 and 29 associated with excessive daytime sleepiness
or severe obstructive sleep apnea syndrome with an index value
apnea/hypopnea 30 or more associated with excessive daytime sleepiness, or
h) other sleep disorders that affect alertness than those referred to in point (g)).
In the cases referred to in point (d)) to (f)), and in subparagraph (h)) is a regular
medical condition health always check; This is done in
under the periodic medical examinations provided for by the law; It
does not apply, if the validity of the opinion previously. In the case referred to in point (a)
(g)) is a regular medical check condition of health
always; This is done in the context of periodic medical examinations at least
Once a year; This does not apply if the validity of the opinion previously.
VII. Diseases, defects or conditions that cause mental disorders negative
or contingent upon the medical fitness to drive a motor vehicle
Group 1 and 2
1. Mental disorders negative medical fitness to drive a motor
vehicles are diseases or conditions that cause such health
complications or derogations, which are dangerous for traffic wardens
safety, and in particular
organic mental disorders) manifesting with dementia (dementia in
Alzheimer's disease, vascular dementia, dementia diseases
classified elsewhere, unspecified dementia)
b) organic amnestický syndrome,
c) organic disorders of personality and behavioral disorders,
(d)) non-specific organic or symptomatic mental disorder,
e) acute, chronic, or untreated form, in particular, schizophrenia,
schizotypní disorder, acute and transient psychotic disorders,
schizoaffective disorder, persistent mental disorder with delusions, induced
disorder with delusions, other non-psychotic disorders,
f) mental retardation, or
g) pervasive developmental disorders.
Group 1 and 2
2. mental disorders that affect the safety of road
roads and for which the applicant or driver can be recognised as disabled
eligible for operating a motor vehicle only on the basis of the conclusions of the
vocational examinations, in particular
-serious mental disorders congenital, caused by disease, injury, or
neurosurgical operations,
-organic disorders of personality and behavioral disorders, or
-clinically severe form of specific personality disorders leading to serious
failures of judgment, behaviour or adaptability.
Mental disorders or personality disorders according to point 2, if it is
cannot be accommodated under the mental disorders referred to in point 1, shall mean
in particular:
and the potential, remission) or clinically sufficient form of remission for
schizophrenia, schizotypní disorders, acute and transient psychotic
disorder, schizoaffective disorder, a permanent mental disorder with delusions,
induced delusional disorder or other non-psychotic disorders,
(b)) other mental disorders (in history), emerging as a result of the disease,
damage to or dysfunction of the brain, or as a result of somatic disease
(c)) postencefalitický syndrome, or
(d)), other than alcohol-induced delirium and other drugs (in history),
severe neurotic disorders, behavioural syndromes associated with
physiological disorders and somatic factors, personality disorders and
behavior in adults, severe disorders of psychological development.
VIII. Disease, defects or conditions caused by alcohol dependence
(alcoholism) exclusive, or contingent upon the medical fitness to
driving a car
Group 1 and 2
1. Medical fitness to drive a motor vehicle is excluded for
the applicant or driver who is dependent on alcohol (alcoholism), or
Unable to give up alcohol, so that was not affected by
the ability to drive a motor vehicle (section 84, paragraph 3, of the Act).
2. Medical fitness to drive a motor vehicle by the applicant or
the driver,
and in the past) that was dependent on alcohol (alcoholism), or
Unable to give up the influence of alcohol while driving, is subject to the safe
withdrawal period; for the safe withdrawal period shall be deemed to
consistent and permanent abstinence, the undisputed, lasting for at least 1 year,
the proof follows from the findings made by the competent specialist
doctor, or
(b)) which were found in a history of repeated acute intoxication, can be
only recognize the conclusions of the expert examination.
Regular medical check is a condition of good health always.
IX. Diseases, defects and conditions depending on the consumption of
psychoactive substances (psychotropic) drugs or its combination
(drug addiction) negative medical fitness to drive a motor
vehicles
Group 1 and 2
1. Medical fitness to drive a motor vehicle is excluded for
the applicant or drivers who have
and) is dependent on the consumption of psychoactive substances, pharmaceuticals or its
the combination,
(b)) is not an addict, but regularly abusing psychoactive substances or
medicines, or their combination, or
(c)), regularly used psychoactive substance or medicines which
effect or their combination can reduce the ability to drive safely
motor vehicle, in such quantity that has a negative effect on the
their control.
2. Medical fitness to drive a motor vehicle by the applicant or
the driver, who in the past was dependent on psychoactive substances or
is unable to give up the influence of psychoactive substances in the management, is
subject to a safe withdrawal period; safe drug-free
the two-year period is considered to be the undisputed consistent and permanent abstinence,
which is apparent from the findings made by the competent specialist
doctor; regular medical check is a condition of health
eligibility of always.
X. diseases, defects and conditions caused by serious renal insufficiency
Kidney health fitness for driving contingent upon motor vehicles
Group 1 and 2
Applicants or drivers who suffer from the disease, a defect or condition caused by
serious renal insufficiency, which affects the safety of the operation of the
the road, may be recognised as eligible for health management
the motor vehicle only on the basis of the conclusions of the professional examination.
Regular medical review of health is a condition of health
eligibility of always.
XI. Conditions related to transplant or an artificial implant body
podmiňujícího medical fitness to drive a motor vehicle
Group 1 and 2
The applicant or drivers who have been transplanted organ or artificial
the implant, if it affects the ability to drive a motor vehicle and its influence
cannot be classified under another entry, may be recognised as eligible for the disabled
driving a motor vehicle only on the basis of the conclusions of the professional examination.
XII. Other diseases, defects or conditions that may make the health
fitness to drive a motor vehicle
Group 1 and 2
Applicants or drivers who suffer from the disease, a defect or condition that
not mentioned in previous entries, and that can result in functional
incapacity affecting safety on the road,
may be recognised as medically eligible for operating a motor vehicle only on
the basis of the conclusions of the expert examination.
*) Note: for the purposes of the Ordinance are not regarded as intraocular lens correction
lenses.
Č. 4
A medical certificate about the inability to buckle up seat belts on
the seat of a motor vehicle for health reasons
[sections 6 and 9 of Act No. 361/2000 Coll. on road safety and
on changes of some acts (road traffic law), as amended by
amended]
The name or names, first and last name (or title) of the person examined....................................
..........................................................................................................
date of birth .................., his identity card number ^ 1)........................................
address of usual residence in the territory of the United States.......................................................
..........................................................................................................
I certify that the person under consideration for health reasons not to buckle on the seat while driving safety
zones.
Confirmation is issued at the time ^ 2)
and) an indefinite period
b) do ...........
............................. .......................................................
release date signature stamp of the doctor's label
stamp of the providers of health services
_______________________________
1) such as identity card, travel document for aliens, you can specify a different document proving the identity of its
of the holder.
2) Delete where inapplicable.
Selected provisions of the novel
Article II of the Decree 253/2007 Coll.
If, before the date of entry into force of this order was not based on the
medical assessment under the existing Ordinance, opinion
issued, it shall, when issuing of an opinion by the existing Ordinance in
the text of this Ordinance.
Article. (II) Decree No. 72/2011 Coll.
Transitional provision
If, before the date of entry into force of this order was not based on the
medical assessment in accordance with Decree No. 277/2004 Coll.
medical fitness to drive a motor vehicle, in the version in force
before the date of entry into force of this Decree, issued an opinion, the procedure is
in the assessment of medical fitness and the issuing of an opinion by the Decree
No. 277/2004 Coll., on medical fitness to drive a motor vehicle,
in the version in force from the date of entry into force of this Decree.
1) Council Directive 91/439/EEC of 29 October July 1991 on driving
licences, as amended by Commission Directive 2000/56/EC of 14 July 1999. September 2000,
amending Council Directive 91/439/EEC on driving licences.
Council Directive 91/671/EEC of 16 June 1992. December 1991 on the approximation of
the laws of the Member States relating to compulsory use of
safety belts in vehicles of less than 3.5 tonnes, as
European Parliament and Council Directive 2003/20/EC of 8 June 2004. April 2003,
amending Council Directive 91/671/EEC on the approximation of the laws of the
of the Member States relating to compulsory use of safety belts
in vehicles with a weight up to 3.5 tons.
Commission directive 2009/111/EC of 25 March 2002. August 2009 amending
Council Directive 91/439/EEC on driving licences. Commission Directive
2009/114/EC amending Directive of the European Parliament and of the Council
2006/126/EC on driving licences.
European Parliament and Council Directive 2006/126/EC of 20 May 1999. December
2006 on driving licences (recast).
Commission directive 2014/85/EU from day 1. July 2014, amending
European Parliament and Council Directive 2006/126/EC on driving
licences.
1A) § 41 para. 1 (b). and, § 52 (a)). (e)) and § 235 paragraph. 3 (b). (c))
of the labour code.
2) § 124 para. 7 of law 361/2000 Coll. on road
roads and on changes of some acts as amended by Act No. 62/2002
Coll. and Act No. 320/2002 Coll.
3) Act 247/2000 Coll., on the acquisition and improvement of vocational
eligibility to drive motor vehicles and on changes of some acts,
in the wording of later regulations.
4) Decree No. 98/2012 Coll. on the medical documentation, as amended by
Decree No. 236/2013 Coll.
5) § 87a of the law No. 361/2000 Coll., as amended by Act No. 411/2005 Coll.
Act No. 342/2006 Coll., Act No. 374/2007 Coll., Act No. 274/2008 Coll.
Act No. 297/2011 Coll. and Act No. 101/2013 Coll.