Determining Medical Fitness To Drive A Motor Vehicle

Original Language Title: o stanovení zdravotní způsobilosti k řízení motorových vozidel

Read the untranslated law here: https://portal.gov.cz/app/zakony/download?idBiblio=57928&nr=277~2F2004~20Sb.&ft=txt

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.