Commonwealth of Virginia branding bar cardinal logo

Virginia Department of Motor VehiclesAn official website of the Commonwealth of Virginia Here's how you knowAn official websiteHere's how you know

Skip to main content
Virginia Department of Motor Vehicles

Utility menu

  • Online Services
  • Locations
  • Moving
  • Forms
  • My Account

Main menu

  • Licenses & IDs

    • Driver's License
      • Driver's License Application
      • Renew Your Driver's License
      • Replace Your Driver's License or Learner's Permit
      • License Reinstatement
      • Renew Your Commercial Driver's License (CDL)
      • Medical & Fitness Requirements
        • Medical Review Process
        • Medical Review of Drivers
        • Appeals Process
        • Why am I on Review Plus Possible Outcomes
        • Medical Policies
        • Vision Requirements Overview
        • Vehicle Sun-Shading Medical Authorization
        • Bioptic Telescopic Lens Wearers
        • Conditions of Variance for CDL Driver to Haul Hazardous Materials
        • DMV Cognitive Impairment Policy
        • DMV Pain Management Policy
        • DMV Policy for Adaptive Equipment and Certified Driving Rehabilitation Specialist Referrals
        • DMV Policy for Drivers Experiencing a Crash Due to a Pedal Application Error
        • DMV Policy for Drivers with Heart-Assist Device
        • DMV Policy for Drivers with Psychiatric Disorders
        • DMV Policy for Drivers with Respiratory Conditions Requiring Supplemental Oxygen and/or Sleep Disorders
        • DMV Diabetes Policy
        • DMV Seizure/Blackout Policy
        • DMV Substance Abuse Policy
        • DMV Transient Ischemic Attack and/or Cerebral Vascular Accident Policy
        • DMV Vaso-Vagal Syncope Policy
        • DMV Visual Field Policy
        • Driving Under the Influence of Prescription Medications
        • Interpreting Letters / Instructions from the Medical Review Services (MRS) Team
        • Medical Advisory Board
        • Periodic Review with Medical Review Services (MRS)
        • Report an Impaired Driver
        • Suspension Date Approaching / Past
      • Driver Privilege Card
      • Temporarily Outside of Virginia?
      • Apply for a Non-Virginia Address Exception
      • Reporting Fraud
    • REAL ID
    • Learner's Permits
    • ID Cards
    • Commercial Driver's Licenses
    • Motorcycle License
    • Exams & Study Materials
    • Driver Training
    • Driver Improvement
    • Disability Programs
    • Payment Plan Program
    • Organ Donation
    • License Extension
    • Military Personnel
    • Moving

    Document Guide

    Know which documents are required for your driver application before you head to DMV.
    Access Guide
  • Vehicles

    • Title Your Vehicle or Trailer
    • Registration
    • License Plates
    • Buying/Selling a Vehicle
    • Insurance Coverage Verification
    • Taxes & Fees
    • E-ZPass at DMV
    • Insurance Requirements
    • General Information
    • National Motor Vehicle Titling Information System (NMVTIS)
    • Abandoned Vehicles/ Mechanics & Storage Lien (MSL) Vehicles
    • Download Vehicle Forms

    Registration Renewal

    Renew your vehicle registration before it expires to avoid a late fee.
    Renew Registration
  • Businesses

    • Motor Carriers
    • Hauling Permits
    • Insurance Services
    • Electronic Lien Program
    • Virginia Motor Fuels Tax Programs
    • Business Opportunities
    • How to Become a DMV Select Partner
    • Online Fleet
    • Dealer Services
    • Online Dealers
    • Rental Tax
    • Transportation Network Companies (TNC)

    VirginiaMCS

    Access VirginiaMCS to conduct your Virginia IRP and/or IFTA transactions online.
    Access VirginiaMCS
  • Records

    • Driver Alert Voluntary Driving Record Monitoring Program
    • Request a Copy of Your Driver or Vehicle Record
    • Request a Police Crash Report from DMV
    • Obtain Vehicle History
    • Change Address, Name or Sex Designation
    • Non-Governmental Access to DMV Records
    • Governmental Access to DMV Records
    • Resources for Family of Deceased
    • Emergency Contact Information
    • Vital Records at DMV
    • Prospective Purchaser Inquiry (PPI)
    • Release of DMV Information
    • Freedom of Information Act (FOIA) Rights and Responsibilities
    • Register to Vote

    Driving & Vehicle Records

    Purchase a copy of your driver or vehicle record online.
    View Records
  • Safety

    • Statewide Crash Data
    • Grants Management
    • Safety Programs
    • Safety Resources

    Points Balance

    Check your points balance to see where your record stands.
    Check Balance
  • Licenses & IDs

    • Driver's License
      • Driver's License Application
      • Renew Your Driver's License
      • Replace Your Driver's License or Learner's Permit
      • License Reinstatement
      • Renew Your Commercial Driver's License (CDL)
      • Medical & Fitness Requirements
        • Medical Review Process
        • Medical Review of Drivers
        • Appeals Process
        • Why am I on Review Plus Possible Outcomes
        • Medical Policies
        • Vision Requirements Overview
        • Vehicle Sun-Shading Medical Authorization
        • Bioptic Telescopic Lens Wearers
        • Conditions of Variance for CDL Driver to Haul Hazardous Materials
        • DMV Cognitive Impairment Policy
        • DMV Pain Management Policy
        • DMV Policy for Adaptive Equipment and Certified Driving Rehabilitation Specialist Referrals
        • DMV Policy for Drivers Experiencing a Crash Due to a Pedal Application Error
        • DMV Policy for Drivers with Heart-Assist Device
        • DMV Policy for Drivers with Psychiatric Disorders
        • DMV Policy for Drivers with Respiratory Conditions Requiring Supplemental Oxygen and/or Sleep Disorders
        • DMV Diabetes Policy
        • DMV Seizure/Blackout Policy
        • DMV Substance Abuse Policy
        • DMV Transient Ischemic Attack and/or Cerebral Vascular Accident Policy
        • DMV Vaso-Vagal Syncope Policy
        • DMV Visual Field Policy
        • Driving Under the Influence of Prescription Medications
        • Interpreting Letters / Instructions from the Medical Review Services (MRS) Team
        • Medical Advisory Board
        • Periodic Review with Medical Review Services (MRS)
        • Report an Impaired Driver
        • Suspension Date Approaching / Past
      • Driver Privilege Card
      • Temporarily Outside of Virginia?
      • Apply for a Non-Virginia Address Exception
      • Reporting Fraud
    • REAL ID
    • Learner's Permits
    • ID Cards
    • Commercial Driver's Licenses
    • Motorcycle License
    • Exams & Study Materials
    • Driver Training
    • Driver Improvement
    • Disability Programs
    • Payment Plan Program
    • Organ Donation
    • License Extension
    • Military Personnel
    • Moving

    Document Guide

    Know which documents are required for your driver application before you head to DMV.
    Access Guide
  • Vehicles

    • Title Your Vehicle or Trailer
    • Registration
    • License Plates
    • Buying/Selling a Vehicle
    • Insurance Coverage Verification
    • Taxes & Fees
    • E-ZPass at DMV
    • Insurance Requirements
    • General Information
    • National Motor Vehicle Titling Information System (NMVTIS)
    • Abandoned Vehicles/ Mechanics & Storage Lien (MSL) Vehicles
    • Download Vehicle Forms

    Registration Renewal

    Renew your vehicle registration before it expires to avoid a late fee.
    Renew Registration
  • Businesses

    • Motor Carriers
    • Hauling Permits
    • Insurance Services
    • Electronic Lien Program
    • Virginia Motor Fuels Tax Programs
    • Business Opportunities
    • How to Become a DMV Select Partner
    • Online Fleet
    • Dealer Services
    • Online Dealers
    • Rental Tax
    • Transportation Network Companies (TNC)

    VirginiaMCS

    Access VirginiaMCS to conduct your Virginia IRP and/or IFTA transactions online.
    Access VirginiaMCS
  • Records

    • Driver Alert Voluntary Driving Record Monitoring Program
    • Request a Copy of Your Driver or Vehicle Record
    • Request a Police Crash Report from DMV
    • Obtain Vehicle History
    • Change Address, Name or Sex Designation
    • Non-Governmental Access to DMV Records
    • Governmental Access to DMV Records
    • Resources for Family of Deceased
    • Emergency Contact Information
    • Vital Records at DMV
    • Prospective Purchaser Inquiry (PPI)
    • Release of DMV Information
    • Freedom of Information Act (FOIA) Rights and Responsibilities
    • Register to Vote

    Driving & Vehicle Records

    Purchase a copy of your driver or vehicle record online.
    View Records
  • Safety

    • Statewide Crash Data
    • Grants Management
    • Safety Programs
    • Safety Resources

    Points Balance

    Check your points balance to see where your record stands.
    Check Balance
  • Online Services
  • Locations
  • Moving
  • Forms
  • My Account
Reserve Your Spot

REAL ID Walk-ins Welcome

You don't need an appointment to get your REAL-ID -- walk-ins are always welcome. Appointments are encouraged, but NOT required.

Breadcrumb

  1. Home
  2. Licenses & IDs
  3. Driver's License
  4. Medical & Fitness Requirements

Medical Review Process

Skip to main content
  • Medical & Fitness Requirements
    • Medical Review Process
    • Medical Review of Drivers
    • Appeals Process
    • Why am I on Review Plus Possible Outcomes
    • Medical Policies
    • Vision Requirements Overview
    • Vehicle Sun-Shading Medical Authorization
    • Bioptic Telescopic Lens Wearers
    • Conditions of Variance for CDL Driver to Haul Hazardous Materials
    • DMV Cognitive Impairment Policy
    • DMV Pain Management Policy
    • DMV Policy for Adaptive Equipment and Certified Driving Rehabilitation Specialist Referrals
    • DMV Policy for Drivers Experiencing a Crash Due to a Pedal Application Error
    • DMV Policy for Drivers with Heart-Assist Device
    • DMV Policy for Drivers with Psychiatric Disorders
    • DMV Policy for Drivers with Respiratory Conditions Requiring Supplemental Oxygen and/or Sleep Disorders
    • DMV Diabetes Policy
    • DMV Seizure/Blackout Policy
    • DMV Substance Abuse Policy
    • DMV Transient Ischemic Attack and/or Cerebral Vascular Accident Policy
    • DMV Vaso-Vagal Syncope Policy
    • DMV Visual Field Policy
    • Driving Under the Influence of Prescription Medications
    • Interpreting Letters / Instructions from the Medical Review Services (MRS) Team
    • Medical Advisory Board
    • Periodic Review with Medical Review Services (MRS)
    • Report an Impaired Driver
    • Suspension Date Approaching / Past

If you have a medical or visual condition that may impair your ability to safely operate a motor vehicle, even temporarily, you must provide DMV with a medical statement from your physician, physician's assistant, or nurse practitioner. Some of these conditions include:

  • Level of consciousness
  • Seizures
  • Vision changes
  • Impairment of judgment
  • Loss of motor functions

DMV's Seizure/Blackout Policy, established by our Medical Advisory Board, states that a person must be seizure-free or blackout-free for at least six months to establish medication and regain proper medical control before driving. If a person is currently licensed and DMV is notified that the person has experienced a seizure, loss of consciousness or blackout, DMV will suspend the person's driving privilege for a period of six months from the date of the last episode.

DMV will evaluate the medical information to determine if a driver's license may be issued or restricted.

Review Process

As part of the medical review process, DMV may require you to:

  • Submit a medical statement (Form MED-2) from your physician, physician's assistant or nurse practitioner.
  • Submit a vision statement (Form MED-4) from your ophthalmologist/optometrist
  • Undergo an evaluation by a Driver Rehabilitation Specialist in a driver evaluation program
  • Pass the two-part driver's license knowledge exam
  • Pass the road skills test

Based on DMV's evaluation of the medical information and/or test results, DMV will determine whether to:

  • Suspend your driving privilege;
  • Restrict your driving privilege;
  • Require you to complete a driver evaluation; or
  • Require you to submit periodic medical and/or vision reports

If you are required to submit a periodic medical and/or vision report, DMV will send you a reminder letter approximately 60 days prior to the due date.

About Us

Through our mission purpose, the DMV aims to be Virginia's most trusted service provider.

  • About DMV
  • Careers
  • Procurement

Resources

  • Online Services
  • How Do I?
  • Forms
  • News
  • Policies & Regulations
  • Fee Chart
  • ¿Habla Español?

Contact

  • Locations
  • Contact Us
  • Media

Stay Connected

  • Facebook
  • Instagram
  • LinkedIn
  • Twitter
  • Youtube
Virginia Department of Motor Vehicles (Superior Service | Secure Credentials | Saving Lives)

©2025 Virginia Department of Motor Vehicles. All Rights Reserved. Privacy Policy.

Back to top