DMV Medical Review of Drivers

Please read the following to determine if you are or need to be a Medical Review Services (MRS) customer. 

See other medical Information.

Medical Review Services (MRS) is a team at DMV headquarters that reviews all cases where Virginia drivers may have a mental or physical condition that may impair driving ability, even temporarily. These conditions may include:

• Level of consciousness
• Seizures
• Vision changes
• Impairment of judgment or
• Loss of motor functions

When the DMV learns that a Virginia resident has one of these conditions, the MRS Team will contact the customer to request information on their current medical state. This often requires the customer to schedule an appointment with their medical provider(s), where they will submit DMV-approved forms on the customers behalf. customers can typically satisfy MRS requirements with a primary care provider, but please check with your provider to be sure. Once the documentation arrives at DMV, our team of clinically trained nurses will use policies established in consultation with the Governor-appointed Medical Advisory Board combined with their clinical experience to reach a decision on the ability of the customer to safely operate a motor vehicle.

If you have received a letter from the Medical Review Team, please explore our FAQ links below:

• I just received my first correspondence from MRS, what now?
• Why am I on review and what are my possible outcomes?
• My suspension date is approaching, what do I need to do?
• What is the Medical Advisory Board and what allows MRS to make decisions about my driving privileges?

If you have additional questions related to Medical Review, please visit the links below:

• How do I report someone for medical review / How was I reported?
• If I disagree with a decision, what can I do?
• I am on Periodic Review with MRS
• Vision-Specific FAQs
• Sunshading FAQs
• Mature Driver Information

Medical Review Process

In order to provide greater clarity to the Medical Review process, below you will find a high-level timeline of the steps customers must take to meet requirements set forth by the DMV.

1. Customer is referred to Medical Review Services (MRS)
2. Customer receives correspondence and forms from MRS with detailed instructions regarding the medical condition, medication, or event that the customer is required to have addressed by their medical provider
3. Customer schedules an appointment with the appropriate medical provider to review the relevant information requested by the DMV
4. While at the appointment, the customer provides all paperwork received from the DMV (including all letters received from the DMV) to inform the medical provider on the information requested
5. Medical provider and customer complete applicable sections of the medical review document (MED 2 and/or MED 4) - medical providers may note N/A on the portions of the form that do not pertain to the customer

6. Once the exam is complete, the medical provider will mail or fax the completed MED 2 and/or MED 4 to Medical Review Services at:

   Virginia Department of Motor Vehicles    
   Medical Review Services    
   Post Office Box 27412    
   Richmond, VA 23269-0001

         Fax: 804-367-1604

   Note: All documents should be sent to MRS 5-7 days before the customer's suspension date to allow time for processing.

7. Once MRS has received all requested documentation, a trained evaluator will review the report(s) according to policies established in consultation with the Medical Advisory Board. In cases when MRS requires additional information, the evaluator will contact the customer or their provider. Once the review is complete, the evaluator will contact the customer with the result of the review and any requirements.