Medical Clinic Registration Form
This form can be used to add your medical clinic to the TruckSafe website, to let TruckSafe members in your area know that your doctors are familiar with carrying out Austroads Fitness to Drive (AFTD) commercial medicals, or offer other medical services for the transport industry.
Please note the following:
The Fitness for Duty certificate used in the medical assessment can only be signed by a general practitioner
The name of the person entered on this form will not be made publicly available
The email address entered on this form will not be made publicly available
This form is for the use of medical clinic staff only. It is not intended to be used by TruckSafe members to nominate a clinic
Once this form has been submitted we will contact the clinic for confirmation of submission.