NYS DMV Form DS-704. Article 19-A Bus Driver's Diabetic Certification

NYS DMV Form DS-704 is utilized for the certification of a bus driver's diabetic status in compliance with Article 19-A regulations. This form ensures that individuals with diabetes who operate buses meet specific medical requirements to ensure safe driving practices.

The form typically includes sections where the driver's health care provider can provide the driver's personal information and details about their diabetic condition. It may require information such as the date of diagnosis, treatment plan, medication usage, blood sugar monitoring, and other relevant medical information related to diabetes management.

Completion of this form requires the driver's health care provider to accurately document the driver's diabetic status, including any recommended treatments, monitoring protocols, and assessments of the driver's ability to safely operate a bus while managing their diabetes.

Application Example: A bus driver in New York State has been diagnosed with diabetes and needs to maintain compliance with Article 19-A regulations. The driver's health care provider completes Form DS-704, providing the necessary information about the driver's diabetic condition, treatment plan, and any restrictions or recommendations related to diabetes management while operating a bus. This form ensures that the driver meets the medical requirements for continued employment as a bus driver.