Chapter 6. Certified Medical Examiners 7D Medical Forms Completed by Physician Assistants Effective immediately, physical exams for school pupil transport (7D) license applicants can be conducted by physician assistants, in addition to physicians and nurse practitioners. The Medical Form for a School Pupil (7D) Driver Certificate or a School Bus Driver Certificate (VSC109) has been revised to indicate that it can be completed by physician assistants. The revised application has a date of " 0123 " in the bottom right corner and is available online. The Guide to School Pupil Transport Vehicles has been revised to reflect this change it is available online. 01/23