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REFERRAL FORM
FUNCTIONAL DRIVING EVALUATION

REFERRER INFORMATION
DRIVER INFORMATION
REFERRAL INFORMATION
PHYSICIAN INFORMATION
FUNDER INFORMATION

Functional Driving Evaluations are conducted by registered Occupational Therapists. Evaluation protocols meet the standards set out by the Driver Medical Fitness Program RoadSafetyBC. Please contact our Service Coordinator at 604.681.9293 for more information about our Driver Rehabilitation Program.


The Function Experts®

Our diverse group of healthcare professionals and services are united by a common purpose, to better understand and improve the function of our clients in the settings that matter to them.

 

 
604-681-9293 - Office
1-888-591-9477 - Toll Free
604-681-8705 - Fax
 
 
#201 - 3997 Henning Drive
Burnaby, BC V5C 6N5

Regions Served

Metro Vancouver
Greater Victoria
Fraser Valley
Sea-to-Sky
South & Central Island
North Island
West Kootenays
Okanagan Valley