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  4. Medical & Fitness Requirements

Interpreting Letters / Instructions from the Medical Review Services (MRS) Team

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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

Once the Medical Review Team receives information regarding a medical condition, medication, or event that could impair an individual's ability to drive, they review that information. If any information is missing of unclear, MRS will contact the individual via letter. To see how the MRS team learns of these cases, please visit this page.

I have received a letter from the DMV Commissioner or Director of Driver Services, what does this mean?

These are system generated letters. They are sent out to provide advanced notice of pending actions that require your attention. These may include:

  • A first-time notice that you must submit a Customer Medical Report;
  • 60-Day reminder letter for customers on Periodic Review to submit an updated Medical Report; or
  • A notice that the medical report submitted by your provider was approved.

I have received a letter from A Medical Review Evaluator, what does this mean?

This is a customized letter from an Evaluator that has reviewed your case and is providing you with specific guidance. For first-time Medical Review customers, this is the letter of particular significance for your provider, who will need to provide information that addresses the medical condition, medication, or event disclosed in this letter. Please note: not all scenarios will result in medical customers receiving a letter from an evaluator.

Important notes:

  • If you are a customer on periodic review, please go to this page for more pertinent information
  • If your system-generated letter conflicts with your custom letter, you may call the Medical Review Team for clarification at the following numbers:
    • Telephone (Voice) 1-804-367-6203 or (Deaf/Hearing Impaired Only) 1-800-272-9268

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