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
    • Name Change Documents

    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
    • Name Change Documents

    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

DMV Substance Abuse Policy

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

It is the policy of the Department of Motor Vehicles, based on guidance and recommendations from the Medical Advisory Board, that if a driver has a new diagnosis of substance abuse and/or alcoholism, an initial request will be made for proof that the individual is receiving treatment for their condition. The individual will also be asked to furnish a negative drug/alcohol screen. Provided that he/she can furnish proof that treatment is underway and submit a negative alcohol and drug screening report, a three-month periodic medical review will be required.

If a driver tests positive for alcohol and/or drugs or the report indicates noncompliance with or refusal of treatment, the privilege to drive will be suspended immediately and will remain so until negative test results and information demonstrating compliance with treatment are submitted to DMV.

Monitoring and Review of Drivers

After the first 3-month review, the driver will be reviewed in 6 months and then annually for 2 years, assuming that the driver remains stable and compliant with their treatment. The driver must submit a Customer Medical Report (MED-2) approved by DMV that reflects the driver’s compliance with treatment and no relapses of their condition.

If any report indicates that the driver has had a relapse (i.e., a return to use or abuse of alcohol and/or drugs), is noncompliant with treatment, or has had an alcohol or drug-induced seizure, blackout, or a loss of consciousness, DMV will suspend the privilege to drive for six months.

After the medical review indicates that the driver has not had any relapses, seizures, blackouts or loss of consciousness for two years, DMV will discontinue the medical review requirements.

Seizures and/or Blackouts

Drivers who have had an alcohol or drug related seizure, blackout or loss of consciousness will also be subject to the Seizure/Blackout Policy.

Additional Documentation

DMV reserves the right to ask for additional information from a driver.

DMV may impose additional requirements on the individual depending on the information received by the agency. DMV also reserves the right to request that a driver provide additional information in order to assess their ability to operate a motor vehicle safely.

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