Driver’s health check

A driver´s health check is required to obtain a Uruguayan driver´s license. This applies to revalidations, applications from scratch and renewals. It´s unrelated to the Uruguayan Health Card, it´s valid for 30 days and it must be obtained at the same Uruguayan jurisdiction where you will apply for your license.

The driver´s health check must be obtained at a specialized health lab and it requires a blood pressure and eyesight check, a filled out and signed health form (it will be provided to you at the health lab) and your prescription eye glasses if you use any. No samples are taken unless there´s extraordinary health issues or if a third party diagnosis is required.

  • Date: DD/MM/YYYY
  • Names:
  • Surnames:
  • ID (Uruguayan ID card or Passport):
  • Date of birth: DD/MM/YYYY
  • Constituted address:
  • Phone:
  • Cellphone:
  • Type of driver´s license application: First-time/Renewal; Car/Motorcycle

List of health Yes/No questions (circle the answers):

EYESIGHT AND HEARING

  • Do you use eye glasses to see afar? No/Yes
  • Do you use contact lenses? (if you do, mark which eye) No/Left/Right
  • Do you use intraocular lenses? (if affirmative, mark which eye) No/Left/Right
  • Do you have cataracts or underwent surgery for cataracts? No/Left/Right
  • Do you see with a single eye? (monocular vision) (if affirmative, mark which one you can see with) No/Left/Right
  • Do you have very reduced eyesight? (if affirmative, mark which one you can see less with) No/Left/Right
  • Do you have glaucoma? No/Yes/I Don´t Know
  • Are you deaf and mute? No/Yes
  • Are you deaf or use hearing aids? (if you use hearing aids, mark in which ear) No/Left/Right
  • Indicate if you have reduced hearing. No/Yes

MUSCULOSKELETAL SYSTEM AND NEUROLOGY

  • Have you suffered fractures? Where? No/Yes
  • Do you have reduced strength or mobility in your neck, arm, hand, leg and/or foot? No/Yes
  • Do you have any kind of amputations, agenesis o deformities in your limb, hand, finger and/or foot? No/Yes
  • Do you have a prothesis for your hip, knee, shoulder, etc.? No/Yes
  • Have you had or have epilepsy? (time of the last episode/seizure in months) No/Yes
  • Do you have vertigo (dizziness) or loss of balance? No/Yes
  • Do you have hemiplegia? Do you have sequelae of the disease? No/Yes
  • Do you have Parkinson´s disease or tremors? No/Yes

CARDIOVASCULAR PATHOLOGIES

  • Do you have arterial hypertension or high blood pressure? No/Yes
  • Do you suffer from frequent chest pains? No/Yes
  • Have you suffered a heart attack? If affirmative indicate the date DD/MM/YYYY No/Yes
    • Catheterization
    • Stent placement
    • Bypass
    • Date: DD/MM/YYYY
  • Do you have cardiac arrhythmia or rhythm disorder? No/Yes
  • Do you use a cardiac pacemaker or automatic cardiac defibrillator? No/Yes
  • Do you have a heart murmur or valve disease? No/Yes
  • Do you have cardiac insufficiency? No/Yes
  • Do you suffer from dizziness or fainting? No/Yes
Required health form

RESPIRATORY PATHOLOGY

  • Do you have a respiratory pathology or difficulty? No/Yes
  • Do you snore when you sleep? No/Yes/I Don´t Know/Do you use a CPAP (Continuous Positive Airway Pressure) machine?
  • Do you fall asleep during daily activities? No/Yes

ENDOCRINOLOGICAL AND RENAL PATHOLOGY

  • Have you been diagnosed with DIABETES? (if the answer is negative, continue on line N° 34) No/Yes
  • Are you medicated with oral hypoglycemics? (oral medication) No/Yes
  • Are you medicated with insulin? No/Yes
  • Do you have renal insufficiency? No/Yes
  • Do you undergo dialysis? No/Yes

MENTAL HEALTH

  • Are you a smoker? Since what age? Years in total? How many cigarettes per day? No/Yes
  • Do you drink alcohol? Occasionally/Weekly/Daily/Never
  • Do you take drugs? Specify which No/Yes
  • Do you practice regular physical activity? No/Yes
  • Have you undergone or undergo psychiatric treatment? Last consultation DD/MM/YYYY No/Yes
  • Have you suffered one of the following situations in the past 30 days?
    • Adverse episodes in the workplace (harassment, threatened with firing, firing) No/Yes
    • Family episodes (moving, separation, deaths) No/Yes
    • Social episodes (quarrels, detentions, judicial proceedings) No/Yes

OTHERS

  • Do you have any other chronical diseases? No/Yes
    • Which one/ones?
  • Have you been involved in accidents on public roads with injured or deceased people? No/Yes
  • Do you take medication regularly? No/Yes
    • If you answered the previous item (N° 44) in the affirmative, describe:
      • For what
      • Name
      • Dosage
      • Times per day