Part 3: Canadian Council of Motor Transport Administrators Medical Standards with B.C. Specific Guidelines
Last updated on January 21, 2025This page is an index of the Canadian Council of Motor Transport Administrators (CCMTA) Medical Standards.
Chapter 2 - Medical Conditions at a Glance
Chapter 3 - Cardiovascular disease and disorders
- 3.6.1 Congenital heart defects
- 3.6.2 Acute Coronary Syndromes – Non-commercial drivers
- 3.6.3 Acute Coronary Syndromes – Commercial drivers
- 3.6.4 Asymptomatic coronary artery disease or stable angina
- 3.6.5 CABG surgery – Non-commercial drivers
- 3.6.6 CABG surgery – Commercial drivers
- 3.6.7 Premature atrial or ventricular contractions
- 3.6.8 Ventricular fibrillation with no reversible cause – Non-commercial drivers
- 3.6.9 Ventricular fibrillation with no reversible cause – Commercial drivers
- 3.6.10 Hemodynamically unstable VT – Non-commercial drivers
- 3.6.11 Hemodynamically unstable VT – Commercial drivers
- 3.6.12 Sustained VT and an LVEF of < 35% – Non-commercial drivers
- 3.6.13 Sustained VT and an LVEF of <35% Commercial drivers
- 3.6.14 Sustained VT and an LVEF of >35% Non-commercial drivers
- 3.6.15 Sustained VT and an LVEF of >35% Commercial drivers
- 3.6.16 Non sustained VT
- 3.6.17 Paroxysmal SVT, AF or AFL with no impaired consciousness
- 3.6.18 Paroxysmal SVT, AF or AFL with impaired consciousness
- 3.6.19 Persistent or permanent paroxysmal SVT, AF or AFL
- 3.6.20 Sinus node dysfunction
- 3.6.21 Atrioventricular (AV) or intraventricular block – Non-commercial drivers
- 3.6.22 Atrioventricular (AV) or intraventricular block – Commercial drivers
- 3.6.23 Permanent pacemakers – Non-commercial drivers
- 3.6.24 Permanent pacemakers – Commercial drivers
- 3.6.25 Declined an ICD or have an ICD implanted as primary prophylaxis – Non- commercial drivers
- 3.6.26 Declined an ICD or have an ICD implanted as primary prophylaxis - Commercial drivers
- 3.6.27 ICD implanted as secondary prophylaxis for sustained VT – Non-commercial drivers
- 3.6.28 ICD implanted as secondary prophylaxis for sustained VT – Commercial drivers
- 3.6.29 ICD therapy (shock or ATP) has been delivered – Non-Commercial drivers
- 3.6.30 ICD therapy (shock or ATP) has been delivered – Commercial drivers
- 3.6.31 ICD implanted as secondary prophylaxis for VF or VT – Non-commercial drivers
- 3.6.32 ICD implanted as secondary prophylaxis for VF or VT – Commercial drivers
- 3.6.33 Inherited heart disease – Non-commercial drivers
- 3.6.34 Inherited heart disease – Commercial drivers
- 3.6.35 Medically treated valvular heart disease – Non-commercial drivers
- 3.6.36 Medically treated aortic stenosis or aortic sclerosis – Commercial drivers
- 3.6.37 Medically treated aortic or mitral regurgitation or mitral stenosis – Commercial drivers
- 3.6.38 Surgically treated valvular heart disease – Non-commercial drivers
- 3.6.39 Surgically treated valvular heart disease – Commercial drivers
- 3.6.40 Mitral valve prolapse – All drivers
- 3.6.41 Congestive heart failure – Non-commercial drivers
- 3.6.42 Congestive heart failure – Commercial drivers
- 3.6.43 Left ventricular dysfunction or cardiomyopathy – Non-commercial drivers
- 3.6.44 Left ventricular dysfunction or cardiomyopathy – Commercial drivers
- 3.6.45 Heart transplant – Non-commercial drivers
- 3.6.46 Heart transplant – Commercial drivers
- 3.6.47 Hypertrophic cardiomyopathy – Non-commercial drivers
- 3.6.48 Hypertrophic cardiomyopathy – Commercial drivers
- 3.6.49 Syncope
- 3.6.50 CCS recommendations regarding transient conditions (Waiting Periods)
Chapter 4 - Cerebrovascular disease
- 4.6.1 Transient ischemic attack (TIA)
- 4.6.2 Cerebrovascular accident (CVA)
- 4.6.3 Cerebral aneurysm that requires surgical repair
- 4.6.4 Surgery to repair a cerebral aneurysm – Non-commercial drivers
- 4.6.5 Surgery to repair a cerebral aneurysm – Commercial drivers
Chapter 5 - Chronic renal disease
- 5.6.1 Stage 1 to 4 renal disease (Commercial and Non-Commercial)
- 5.6.2 Stage 5 – End-stage renal disease – All Drivers (Commercial and Non-Commercial)
- 5.6.3 Renal transplant
Chapter 6 - Cognitive impairment including dementia
Chapter 7 - Diabetes and Hypoglycemia
- 7.6.1 Type 2 diabetes – All drivers
- 7.6.2 Type 1 or type 2 diabetes treated with insulin – Non-commercial drivers
- 7.6.3 Type 1 or type 2 diabetes treated with insulin – Commercial drivers
- 7.6.4 Episode of severe hypoglycemia – Non-commercial drivers - Also applies to severe hypoglycemia while sleeping
- 7.6.5 Episode of hypoglycemia unawareness within past year – Non-commercial drivers
- 7.6.6 Persistent hypoglycemia unawareness – Non-commercial drivers
- 7.6.7 Episode of severe hypoglycemia – Commercial drivers - Also applies to severe hypoglycemia while sleeping
- 7.6.8 Episode of hypoglycemia unawareness in the last year– Commercial drivers
- 7.6.9 Persistent hypoglycemia unawareness – Commercial drivers
- 7.6.10 Summary Table of Diabetes Conditions and Driver Medical Standards
- 7.6.11 Doctor’s report on commercial driver with diabetes on insulin
- 7.6.12 Driver’s report – commercial driver with diabetes on insulin
Chapter 8 - General debility and lack of stamina
- 9.6.1 Hearing loss – Non-commercial drivers
- 9.6.2 Hearing loss – Commercial drivers
- 9.6.3 Hearing report
Chapter 10 - Intracranial tumours
Chapter 11 - Musculoskeletal conditions
Chapter 12 - Neurological disorders
Chapter 13 - Peripheral vascular diseases
- 13.6.1 Peripheral arterial disease
- 13.6.2 Abdominal aortic aneurysm – Non- commercial drivers
- 13.6.3 Abdominal aortic aneurysm – Commercial drivers
- 13.6.4 Surgically repaired abdominal aortic aneurysm or surgically treated aortic dissection
- 13.6.5 Deep vein thrombosis
Chapter 14 - Psychiatric disorders
Chapter 15 - Drugs, Alcohol and Driving
- 15.6.1 Medication – Prescribed - All Drivers
- 15.6.2 Medication – Non Prescribed (Over the Counter) – All drivers
- 15.6.3 Substance Use Disorder - All drivers
- 15.6.4 Alcohol, Cannabis and Driving – All drivers
Chapter 16 - Respiratory diseases
- 16.6.1 Mild impairment
- 16.6.2 Moderate impairment – Non-commercial drivers
- 16.6.3 Severe impairment – Non-commercial drivers
- 16.6.4 Requiring supplemental oxygen – Non-commercial drivers
- 16.6.5 Moderate impairment – Commercial drivers
- 16.6.6 Severe impairment or requiring supplemental oxygen – Commercial drivers
Chapter 17 - Seizures and epilepsy
- 17.6.1 Provoked seizures caused by a structural brain abnormality
- 17.6.2 Provoked seizures with no structural brain abnormality
- 17.6.3 Alcohol-Withdrawal seizures
- 17.6.4 Single unprovoked seizure – Non-commercial drivers
- 17.6.5 Single unprovoked seizure – Commercial drivers
- 17.6.6 Epilepsy – Non-commercial drivers
- 17.6.7 Epilepsy with seizures only while asleep or upon awakening – Non-commercial drivers
- 17.6.8 Epilepsy with simple partial seizures – Non-commercial drivers
- 17.6.9 Surgery for epilepsy – Non-commercial drivers
- 17.6.10 Surgery for Epilepsy - Commercial drivers
- 17.6.11 Epilepsy with medication change – Non-commercial drivers
- 17.6.12 Epilepsy – Commercial drivers
- 17.6.13 Epilepsy with seizures only while asleep or upon awakening -Commercial Drivers
- 17.6.14 Epilepsy with simple partial seizures - Commercial Drivers
- 17.6.15 Epilepsy with medication change - Commercial drivers
- 18.6.1 OSA – All drivers
- 18.6.2 Narcolepsy – Non-commercial drivers
- 18.6.3 Narcolepsy – Commercial drivers
- 19.6.1 Single episode of typical vasovagal syncope – Non-commercial drivers
- 19.6.2 Single episode of unexplained syncope or atypical vasovagal syncope – Non- commercial drivers
- 19.6.3 Syncope with a reversible cause
- 19.6.4 Syncope with a diagnosed and treated cause – Non-commercial drivers
- 19.6.5 Recurrent typical vasovagal syncope – Non-commercial drivers
- 19.6.6 Recurrent situational syncope with an avoidable trigger
- 19.6.7 Recurrent atypical vasovagal or recurrent unexplained syncope – Non- commercial drivers
- 19.6.8 Single episode of typical vasovagal syncope – Commercial drivers
- 19.6.9 Syncope with a diagnosed and treated cause – Commercial drivers
- 19.6.10 Single or recurrent unexplained, single or recurrent atypical vasovagal, or recurrent typical vasovagal syncope – Commercial drivers
Chapter 20 - Traumatic brain injury
Chapter 21 - Vestibular disorders
- 21.6.1 Recurrent episodes of vertigo that occur with warning symptoms
- 21.6.2 Recurrent episodes of vestibular dysfunction that occur without warning symptoms – All drivers
- 21.6.3 Drop attacks (Tumarkin’s otolithic crisis)
- 21.6.4 Single episode of vestibular dysfunction – transient impairment
- 21.6.5 Vestibular disorder resulting in a persistent impairment
Chapter 22 - Vision impairment
- 22.6.1 Impaired visual acuity – Non-commercial drivers
- 22.6.2 Impaired visual acuity – Commercial drivers
- 22.6.3 Visual field loss – Non-commercial drivers
- 22.6.4 Visual field loss – Commercial drivers
- 22.6.5 Loss of stereoscopic depth perception or monocularity – All drivers
- 22.6.6 Diplopia
- 22.6.7 Impaired colour vision