It is recommended to administer a SIMARD MD screening test:

• When you first suspect a patient has a cognitive impairment
• When OSMV requests you to complete a Driver’s Medical Examination Report (DMER) on your patient.
• Every year for a patient with a progressive cognitive impairment who is still driving
• When a patient with cognitive impairment shows a clinically significant decline

If a SIMARD MD is administered and your patient scores in the ‘indeterminate’ or ‘flagged as unfit to drive’ and you have not been asked to complete a DMER, report this score to the OSMV using either a ‘Report of a Condition Affecting Fitness and Ability to Drive’ or your preferred method for communicating with the OSMV.