Virginia’s DMV MED-2 form is a Customer Medical Report that you partially complete and your medical provider finishes, used by the Department of Motor Vehicles to decide whether a health condition affects your ability to drive safely. You fill in the personal information and sign the release, a licensed physician, physician assistant, or nurse practitioner completes the clinical sections, and the finished form goes to DMV Medical Review Services in Richmond by mail or fax. If you received a Notice/Order of Suspension, get the completed form to the DMV at least five to seven days before the suspension date printed on your notice.1Virginia Department of Motor Vehicles. Customer Medical Report (MED 2)
Where to Get the Form
Download the MED-2 from the Virginia DMV forms page at dmv.virginia.gov/forms, or pick up a paper copy at any DMV customer service center. It is a multi-page PDF with distinct sections for you, for your medical provider, and for condition-specific clinical reports.1Virginia Department of Motor Vehicles. Customer Medical Report (MED 2)
The Sections You Fill Out
You are responsible for two parts: the Customer Information block and the Information Release Approval section.
In the Customer Information block, enter your last name, first name, middle initial, and suffix. Add your Virginia customer number (printed on your driver’s license) or your Social Security number so the DMV can match the report to your file. Fill in your home address, city, state, ZIP code, and date of birth.
The Information Release Approval section is where you name the specific medical provider authorized to complete the clinical portion and communicate with the DMV about your condition. Sign and date this section before you hand the form over. Without your signature, the DMV cannot accept the report.1Virginia Department of Motor Vehicles. Customer Medical Report (MED 2)
What Your Medical Provider Fills Out
The clinical portion must be completed by a licensed physician, physician assistant, or nurse practitioner. Optometrists and psychologists are not authorized signatories on the MED-2. For vision reporting, the DMV uses a separate form, the MED-4, which an ophthalmologist or optometrist completes.2Virginia Department of Motor Vehicles. Medical Review Process
Your provider completes Part F, the general medical summary, plus one or more condition-specific sections:
- Part A for neurological or musculoskeletal conditions
- Part B for metabolic conditions such as diabetes
- Part C for cardiovascular conditions
- Part D for pulmonary conditions
- Part E for psychiatric conditions or substance abuse
Only one Part F is needed even if the provider completes several condition sections. The DMV wants to know about anything that could impair consciousness, vision, motor skills, judgment, cognitive function, or reaction time. The provider should describe medication side effects, particularly sedation or delayed reflexes, and note whether the condition is stable or has produced recent episodes such as blackouts, seizures, or loss of consciousness.1Virginia Department of Motor Vehicles. Customer Medical Report (MED 2)
Two timing points matter here. If the review was triggered by a specific incident such as a crash or a seizure behind the wheel, the report must reference that event. And the medical examination itself must have taken place after the issue date on your DMV notice. Older exam results will not satisfy the requirement.
A provider can submit a letter or copies of medical records instead of the form itself, but only if the submission covers every item the MED-2 asks for, including a clear statement about whether you can drive safely.1Virginia Department of Motor Vehicles. Customer Medical Report (MED 2)
Where to Send the Completed Form
Make a copy for your records first. Then send the original to:
Virginia Department of Motor Vehicles
Medical Review Services
P.O. Box 27412
Richmond, VA 23269-0001
You can also fax it to 804-367-1604.3Virginia Department of Motor Vehicles. DMV Medical Review of Drivers
If you received a Notice/Order of Suspension, the form must reach the DMV before the effective date on that notice. The DMV recommends submitting at least five to seven days ahead of the suspension deadline to allow for processing time.1Virginia Department of Motor Vehicles. Customer Medical Report (MED 2)
What Happens If You Miss the Deadline
Miss the deadline and your driving privilege will be suspended. To reinstate, you will need to submit the completed MED-2 along with proof of legal presence. Virginia reinstatement fees generally range from $145 to $220, depending on the nature of the suspension.4Virginia Department of Motor Vehicles. Reinstate Driver’s License
What DMV Does After the Form Arrives
Medical Review Services evaluates the medical data against DMV policy and the standards developed with the Medical Advisory Board. Reviewing the paperwork may be the end of it, or staff may ask for more before deciding. Common additional requests include:
- A vision statement on form MED-4 from your ophthalmologist or optometrist
- The standard two-part written knowledge exam on road rules and signs
- A road skills test on actual roads
- A driver rehabilitation evaluation by a Certified Driver Rehabilitation Specialist, which typically includes cognitive testing, reaction-time checks, and an on-road component
Whether any of these are required depends on the nature and severity of your condition.2Virginia Department of Motor Vehicles. Medical Review Process
While the review is open, your license status generally stays active unless a suspension was already in effect before you submitted the form.
The possible outcomes are:2Virginia Department of Motor Vehicles. Medical Review Process
- Full clearance, with your license continuing without new conditions
- Restrictions added to your license, most commonly daylight-only driving, but also geographic limits, corrective lenses, or adaptive equipment
- Periodic review, where you keep your license but must submit updated medical reports at set intervals; the DMV sends a reminder about 60 days before each report is due
- Suspension, which stays in effect until you submit a new MED-2 showing your condition has improved enough for safe driving
If You Disagree With the Decision
Va. Code 46.2-410 gives you the right to judicial review of a DMV suspension or restriction in circuit court, under the Administrative Process Act. If the suspension was mandatory under statute, your appeal is limited to the question of whether the DMV identified the right person, not the merits.5Virginia Code Commission. Virginia Code 46.2-410 – Appeals From Order Suspending or Revoking License or Registration
For a discretionary medical suspension, if your appeal rests on the medical evidence rather than a procedural issue or a failed road test, the Medical Advisory Board reviews your case and sends recommendations to the DMV before the hearing.6Virginia Code Commission. Virginia Code 46.2-204 – Medical Advisory Board
After the circuit court’s final decision, either you or the DMV Commissioner can appeal as of right to the Court of Appeals.5Virginia Code Commission. Virginia Code 46.2-410 – Appeals From Order Suspending or Revoking License or Registration
Who Can See What You Submit
The medical information on your MED-2 is tightly restricted. Under Va. Code 46.2-208, the DMV may release medical data only to a physician, physician assistant, or nurse practitioner involved in a proceeding under the medical review statutes. The form invokes the Virginia Privacy Protection Act of 1976, and your medical history is classified as personal information that cannot be disclosed to the general public, employers, or insurers.7Virginia Code Commission. Virginia Code 46.2-208 – Records of Department; When Open for Inspection
If someone else referred you for review, the DMV will not disclose the reporter’s identity to you.8Virginia Department of Motor Vehicles. Report an Impaired Driver