The Medical Affairs has determined that customers who suffer from a musculo-skeletal/arthritis condition as severe as to prevent them from performing self-care may be functionally unable to operate a motor vehicle safely and therefore require an individual assessment of their operating ability in the form of a medical certification from a physician.
A customer who is medically determined to have a musculo-skeletal/arthritis condition which renders him/her unable to perform self-care is eligible for a Class D, Class M, or Class D/M permit/license if his/her physician provides a written statement with all of the following to the Medical Affairs:
1. The status of the customer's musculo-skeletal/arthritis condition
2. Accompanying symptomatology
3. A list of medications and dosages
4. A certification that, to a reasonable degree of medical certainty, the customer is medically qualified to operate a motor vehicle safely and the customer's medications and dosages will not interfere with the safe operation of a motor vehicle