When the Department suspects a physical or mental infirmity or disability that would constitute grounds for refusal of a driver's license, the Department may conduct an investigation to determine whether the driving privileges should be suspended or denied. An applicant for a Class E or D driver's license must meet a minimum distant visual acuity standard reading.

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Medical/Vision Examination Form (DPSMV 2015)

This form provides medical information concerning an applicant's ability to safely operate a motor vehicle. The medical examination form must have all sections that apply to the driver's condition completed in its entirety and address the medical concern(s) for which it was required.

The vision section provides medical information regarding visual acuity as reported by either an Optometrist (Vision Specialist) or an Ophthalmologist.  The vision examination portion of the form must be completed in its entirety and must address the acuities in the left eye, right eye and both eyes.  The form must be returned within 30 days from the DATE ISSUED. Failure to comply will result in the suspension of driving privileges.  The form is considered valid only if the date of the physician's signature has not exceeded 60 days.

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Driver Behavior Report (DPSMV 3005)

This report may be used by courts, law enforcement agencies, health care providers, the Office of Motor Vehicles employees, or family members to report a suspected unsafe driver.

The report must be completed in its entirety and must contain firsthand knowledge of the driver's behavior or medical/physical condition, which may render him unable to safely operate a motor vehicle. If a report is submitted by a 3rd party, the report must be forwarded up the chain of command for review.

Reports submitted by courts or law enforcement officers must identify the specific court, law enforcement officer or agency.

Form DPSMV 3005 or its equivalent is not considered a public record. The Department will not divulge any information contained in the reports regardless if the case is outstanding or closed. The licensed driver must seek an order from a court of competent jurisdiction for the release of the name of the reporting individual.

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Eligibility for Hardship License

There are no provisions for the issuance of a hardship license to a physically or mentally challenged applicant whose driver's license has been suspended.

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Methods of Compliance

The applicant must furnish the Department with a satisfactory medical statement(s) and/or pass a special driver's license examination.

If the form reveals that, an applicant has had an epileptic seizure or a nocturnal seizure within the last six months, the driver's license cannot be renewed or issued until the applicant has had a six-month seizure-free period.

HQ - All medical forms must be forwarded to the Medical Unit/CDL Help Desk for suspension of the driving privileges and issuance of the Official Notice of Withdrawal if: (1) the form indicates that the applicant has not been seizure-free for six months from the date the physician completed the form, or; (2) the physician recommends that the applicant be re-evaluated, or; (3) the medical form does not indicate if the applicant can safely operate a motor vehicle.

A yearly follow-up will be required for two consecutive years following the medical clearance on all cases involving seizures.

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CDL Medical

The CDL Medical Examiner's Certificate must be submitted if the applicant holds a Commercial Driver's License.

Information that is contained on the medical examination form shall not be disclosed to any third party without the written consent or waiver from the individual whose record is being reviewed. A written waiver shall be valid for a single request for medical information and shall not be valid for multiple or ongoing requests.