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
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

Appeals 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

DMV Medical Review Services representatives may issue a driver's license suspension in cases when a customer's medical information indicates they fit within one of the Medical Review policies established by DMV in consultation with the DMV Medical Advisory Board. Below are reasons why we may suspend a license:

  • Failure to comply with DMV requirements
  • A medical report indicating that a driver should not drive, that a condition is unstable, that a condition falls directly into a DMV policy or that a driver is in need of further evaluation before driving
  • A vision report that indicates the driver does not meet the Code of Virginia standards for vision

If you wish to show cause why this DMV action should not be taken, you may submit a written request for an administrative fact-finding proceeding with a DMV hearing officer in accordance with the provisions of the Virginia Code § 2.2-4019 et seq.

Please submit all requests through mail or fax at:

Department of Motor Vehicles
Medical Review Services
PO Box 27412
Richmond, Virginia 23269-0001
Fax: (804) 367-1604

Medical hearings are normally held by teleconference; however, the driver may choose to appear in person at DMV Headquarters in Richmond for the proceeding.

After submitting a request to the Healthcare Compliance Officer, Rebecca Parsio, RN, for review, the driver will be contacted to discuss the next steps of the hearing process. (NOTE: Please provide a working daytime telephone number in your hearing request). Hearing results will then take up to 6 weeks to be determined.

If the driver disagrees with the decision reached at the hearing, they may then opt to appeal the case again. In this situation, the case will be handled through Virginia Circuit Courts.

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