How to Complete the Virginia DMV Medical Review Form (MED-2)

The Virginia DMV MED-2 form, officially the Customer’s Medical Report, is what the Department of Motor Vehicles uses to decide whether a medical condition or medication affects your ability to drive safely. If you received a letter asking you to submit one, you need to fill out your portion, take the form to a licensed physician, physician assistant, or nurse practitioner to complete the clinical evaluation, and return it to Medical Review Services before the deadline on your notice. You can download the form at dmv.virginia.gov/forms or pick it up at any DMV customer service center.1Virginia Department of Motor Vehicles. Virginia Department of Motor Vehicles Medical Review Form MED-2

Why the DMV Sent You a MED-2

Requests generally come from one of three sources: a crash report, Medical Review Request, or court order that flagged a possible medical concern; a scheduled periodic review because you are already under medical monitoring; or a condition or medication you disclosed on a license application.1Virginia Department of Motor Vehicles. Virginia Department of Motor Vehicles Medical Review Form MED-2 Under Virginia Code § 46.2-322, the DMV can require a physical or mental examination of any licensed driver after at least 15 days of written notice, and refusing to comply is itself grounds for suspension.2Virginia Code Commission. Virginia Code 46.2-322 – Examination of Licensee Believed Unable to Drive Safely

What to Have Ready Before You Start

A few items make the form much faster to complete:

  • The DMV notice you received, which lists your deadline and, if applicable, the effective date of suspension.
  • Your customer number from your Virginia driver’s license. Your Social Security number works if the customer number is not handy.
  • A full list of your prescription and non-prescription medications, including dosage and the time of day you take each one.1Virginia Department of Motor Vehicles. Virginia Department of Motor Vehicles Medical Review Form MED-2
  • An appointment with a licensed physician, physician assistant, or nurse practitioner. The form cannot be submitted without the provider’s signed clinical section.

If the DMV needs a vision evaluation, your notice will also request Form MED-4, which an ophthalmologist or optometrist completes.3Virginia Department of Motor Vehicles. Medical Review Process

Filling Out Your Sections

You are responsible for two parts of the MED-2: Customer Information and Information Release Approval.

In Customer Information, enter your full legal name (last, first, middle initial, suffix), your customer number or Social Security number, and your home address including city, state, and zip code.1Virginia Department of Motor Vehicles. Virginia Department of Motor Vehicles Medical Review Form MED-2 The form asks whether you take any prescription or non-prescription medications; if you answer yes, list each one with dosage and timing. Be complete. If your doctor mentions a medication in the clinical section that you left off, the inconsistency slows the review.

The Information Release Approval section is your written consent letting the DMV use the clinical information to decide about your driving privilege. Sign and date it before handing the form to your provider.

What Your Provider Completes

Your physician, physician assistant, or nurse practitioner fills out the clinical evaluation. The DMV is looking for anything that could affect your level of consciousness or alertness, vision or perception, motor skills or range of motion, judgment or cognitive function, and reaction time.1Virginia Department of Motor Vehicles. Virginia Department of Motor Vehicles Medical Review Form MED-2 Providers can mark portions “N/A” when they do not apply.

The provider documents neurological health, any history of seizures or loss of consciousness, psychiatric history, and cardiovascular stability. They also record visual acuity and field of vision, though a separate MED-4 may cover that piece. The provider signs the form, gives their license number, and offers an opinion on whether your condition is controlled and whether you can drive safely.

Seizures and Loss of Consciousness

Virginia’s Medical Advisory Board policy asks that a driver be seizure-free and blackout-free for at least six months. Each case is reviewed individually, so the six months is a baseline rather than an automatic clearance, and any new episode restarts the clock. Ask your provider to clearly document the date of your most recent episode and your current treatment plan. Follow-up reports can be set at 3, 6, 12, or 24 month intervals depending on how stable your condition is, and the DMV mails a reminder about 60 days before each is due.3Virginia Department of Motor Vehicles. Medical Review Process

Vision Thresholds

Virginia Code § 46.2-311 sets the vision standards the evaluator will apply:

  • Unrestricted license: at least 20/40 in one or both eyes (corrected or uncorrected) and at least 110 degrees of horizontal vision.4Virginia Code Commission. Virginia Code 46.2-311 – Persons Having Defective Vision
  • Daylight-only license: at least 20/70 in one or both eyes and at least 70 degrees of horizontal vision, or, with vision in only one eye, at least 40 degrees temporal and 30 degrees nasal. Driving is limited to half an hour after sunrise through half an hour before sunset.
  • Commercial driver’s license: at least 20/40 in each eye and at least 140 degrees of horizontal vision. Telescopic lenses do not count toward the standard.5Virginia Department of Motor Vehicles. Vision Screening

If glasses or contacts are needed to meet the threshold, a corrective-lens restriction is added to the license and you must wear them whenever you drive.

Where to Send It

The completed MED-2 goes directly to Medical Review Services at the central office. Do not drop it off at a DMV customer service center.

  • By mail: Virginia Department of Motor Vehicles, Medical Review Services, Post Office Box 27412, Richmond, VA 23269-0001
  • By fax: 804-367-1604
6Virginia Department of Motor Vehicles. DMV Medical Review of Drivers

Send the paperwork five to seven days before the suspension date on your notice so Medical Review Services has time to process it. If your notice states an effective date of suspension, the form must arrive before that date to prevent the suspension from taking effect.1Virginia Department of Motor Vehicles. Virginia Department of Motor Vehicles Medical Review Form MED-2 Keep a copy, along with your fax confirmation or mailing receipt.

What Happens After You Submit

A trained evaluator reviews the form using policies developed with the Medical Advisory Board. The possible outcomes are:3Virginia Department of Motor Vehicles. Medical Review Process

  • Full clearance with no restrictions.
  • A restricted license, such as daylight-only driving or a corrective-lens requirement.
  • A required evaluation with a driver rehabilitation specialist.
  • Periodic medical reports (MED-2 or MED-4) at 3, 6, 12, or 24 month intervals.
  • Suspension of driving privileges if the risk is judged too high.

If You Miss the Deadline or Disagree With the Decision

Driving on a suspended license in Virginia is a Class 1 misdemeanor under Virginia Code § 46.2-301, whatever the reason for the suspension. A conviction stacks a second suspension on top of the first, matching the length of the medical suspension or up to 90 additional days if the original suspension has no set end date.7Virginia Code Commission. Virginia Code 46.2-301 – Driving While License, Permit, or Privilege to Drive Suspended or Revoked

To reinstate after a medical suspension, submit a satisfactory medical or vision report to Medical Review Services and pay a reinstatement fee. Fees range from $145 to $220 depending on the suspension type, plus a $40 processing fee under Virginia Code § 46.2-411.8Virginia Department of Motor Vehicles. Reinstatement Fees9Virginia Code Commission. Virginia Code 46.2-411 – Reinstatement of Suspended or Revoked License Confirm the exact amount with Medical Review Services before you pay.

If you disagree with the outcome, you can ask that your case be reviewed by the Medical Advisory Board, which examines the medical evidence and makes a recommendation to the DMV.10Virginia Code Commission. Virginia Code 46.2-204 – Medical Advisory Board If you remain unsatisfied, you can appeal to a Virginia circuit court within 30 days of the DMV’s decision. Additional records, specialist opinions, or a letter from your treating physician describing changes in your condition or treatment since the original filing tend to carry more weight than procedural arguments, because the Board’s review is focused on the clinical evidence.