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  4. Medical & Fitness Requirements

Bioptic Telescopic Lens Wearers

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  • 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
  • License Restrictions 
  • Applying for a License
  • Testing
  • Additional Information

Minimum Vision Requirements

  • Visual Acuity: must be 20/200 or better in one or both eyes through the carrier lens (eyeglasses), and must be 20/70 or better in one or both eyes through the bioptic telescopic lens, which must be mounted to the carrier lens.
  • Horizontal Vision (without field expanders): must be 70 degrees or better. If one eye only, standard is 40 degrees or better temporal and 30 degrees nasal.

License Restrictions

Bioptic drivers are subject to the following minimum restrictions:

  • Licensee must wear the bioptic and the carrier lens while driving.
  • Driving during daylight hours only (beginning 1/2 hour after sunrise and ending 1/2 hour before sunset). 

Note: This restriction may be lifted after one year if the licensee's visual acuity is 20/40 or better in one or both eyes without field expanders and the licensee can pass a night driving road skill examination.

  • Endorsements to drive special vehicles, such as buses, large trucks, commercial vehicles, and motorcycles, are not permitted.

How to Apply for a License

Persons who meet the vision requirements may apply for a learner's permit or driver's license by submitting the following forms to DMV.

  • Driver's License and Identification Card Application (DL1P)
  • Vision Examination for Bioptic Telescopic Lens Wearers (MED 40) Have your eye care practitioner complete the top portion; you will complete the bottom portion.
  • Certification of Use of Bioptic Telescopic Lens (MED 41) Have your eye care practitioner complete the top portion; you will complete the bottom portion.
  • Driver Education Completion Certificate -- Not required for applicants 19 or older. 
    To be completed by a driver education instructor.

Please submit all required forms at the same time. All forms must contain all requested information and be signed. You may present the forms at any DMV Customer Service Center or mail them to the address below.

Your application documents will be reviewed by DMV's Medical Review Services staff to certify whether you are eligible to be tested. If you are eligible to the take the license examinations, DMV will send you a letter within 30 days telling you how to schedule the examinations.

Testing for a Driver's License

The following examinations must be passed before a learner's permit can be issued:

  • Knowledge Exam -- This examination requires you to answer questions about driving rules, regulations, and laws. (The examination will be given orally upon request.) To prepare for the examination, please study the Virginia driver's manual.
  • Pre-skills Exam -- As a passenger in a DMV vehicle, you will be asked by the license examiner to identify objects through your bioptic and your carrier lens while the vehicle is moving and stationary.

If you pass these examinations, you will be issued an learner's permit at that time.

Skills Test

You must first pass the knowledge and pre-skills examinations described above. If you have already done so and have a valid learner's permit, you will not have to retake these examinations.

The final test required is the road skills examination that will be conducted by the license examiner. You will provide the vehicle in which to be examined. The license examiner will ride as a passenger in the car and tell you where to drive and what driving maneuvers to perform. The examination will last about 30 minutes.

If you pass the examination(s), you will be issued a driver's license at that time.

Additional Information and Assistance

Additional information is available on the Bioptic Telescopic Lens Wearers (MED44) information sheet.

Call: 
(804) 497-7100 (Voice) 
1-800-272-9268 (Deaf or Hearing Impaired only)

Write: 
Department of Motor Vehicles 
Medical Review Services 
P.O. Box 27412 
Richmond, Virginia 23269-0001

In person at any DMV customer service center

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