What the MV2351 is for
The MV2351 reports a medical condition that may make a patient unsafe to drive, when RoadSafetyBC hasn’t already asked for a driver’s medical examination. RoadSafetyBC makes the licensing decision. Your role is to report the clinical findings behind your concern. Typical reports involve cognitive decline and dementia, stroke, uncontrolled seizures, uncontrolled sleep apnea and hypoglycemic events in diabetes.
Who completes it
Physicians, nurse practitioners, optometrists and psychologists can file it, and the form also offers “other” as a qualification. The patient doesn’t complete any part. RoadSafetyBC suggests you tell the patient that it makes the licensing decision and that they can contact it with questions.
How to fill in the report
Patient and clinician information
Give the patient’s name, address, date of birth and driver’s licence number if you know it. Add your name, phone, qualification, a stamp or sticker, and how long the patient has been under your care. Include a secure fax number if you want confirmation of receipt.
Your opinion and the warning
Tick the box stating that the patient has a condition that puts the public or themselves at risk when driving, with reference to the BC medical guidelines for driving. If you’re not sure, the form asks for narrative detail instead. Tick the second box if the patient keeps driving after you warned them, which is what makes the report mandatory.
Impairments and cognitive screening
Mark the impairment type: cognitive, vision or sensory, motor, risk of sudden incapacitation, or other. For cognitive impairment, record MMSE, MoCA, Trails B or other scores, and grade severity as mild, moderate or severe using the scale on the back. The form notes that moderate or severe dementia is a significant indicator that driving isn’t safe.
Details of the condition
This is the field RoadSafetyBC reads to decide. Give the diagnosis, severity, symptoms, whether it’s acute or chronic, prognosis, treatment and compliance, test results, specialist reports and, where relevant, insight and judgement. Attach supporting documents.
Optional recommendations
You can recommend cancellation, further medical assessment such as a driver’s medical, vision testing or a specialist, or a driving assessment such as an ICBC on-road test or functional driving evaluation. Sign and date the form.
Common reasons it’s delayed
- A diagnosis with no description of severity or how it affects driving.
- No screening scores or severity grade for a cognitive concern.
- Missing prognosis, compliance or whether the condition will improve.
- A transient condition reported, such as recovery after surgery.
- Duplicate submissions by fax and mail.
Submitting and who pays
Fax the form and supporting documents to RoadSafetyBC at (250) 952-6888, or mail them to PO Box 9254, Stn Prov Govt, Victoria, BC V8W 9J2. Medical professionals can call a registered nurse case manager at 250-953-8612, weekdays from 8:30 to 4:30. If RoadSafetyBC cancels the licence, it writes to the patient explaining how to have the decision reviewed. The form has no fee or invoice section.