Ministry of Transportation
Driver Improvement Office
Medical Review Section
77 Wellesley St. W Box 589
Toronto ON M7A 1N3
8:30 a.m. to 5:00 p.m.
Monday to Friday
(Inside Ontario only)
When an unsolicited report is received from a physician in compliance with the mandatory reporting legislation found in section 203 of the Highway Traffic Act, it is screened for name, address, date of birth and licence number and matched with the individual's driving record. The same process exists for vision reports received from optometrists in compliance with section 204 of the Act.
The report is then screened for diagnosis, prognosis, functional impairment, any prescribed medication, chronic, deteriorating or unstable conditions, any accompanying test results, memory or judgement impairment, impaired vision, loss of consciousness and how recent the episode occurred, the frequency of episodes and compliance with prescribed treatment.
The ministry reviews each case individually and assesses the medical information in conjunction with the medical standards found in Ontario Regulation 340/94 as well as the national medical standards to determine an individual's medical fitness to drive.
A report that contains information about a medical condition that is deemed as a high risk to road safety (e.g. a recent episode of loss of consciousness, impaired memory, uncontrolled seizures, and unstable progressive conditions) would result in a licence suspension.
When a licence is suspended, MTO sends the driver a formal Notice of Suspension by regular mail. At the same time, the ministry will send a letter to the driver which will advise what type of medical information is required to have the case considered for reinstatement.
In cases where the medical information is deemed to be a lower risk to road safety, the driver may be required to file additional medical information before a decision is made in their case. In some cases, the condition may be monitored by MTO or no action is taken at all as the condition is deemed to be temporary or minor (e.g reports of allergies, anaesthetic, hearing impairments for Class G licence holders etc.).
Depending on the nature of the medical condition, the Ministry may also downgrade a commercial licence, request a driver re-test (written/vision/road at DriveTest centre) or request for a full driving evaluation with an occupational therapist at an approved MTO Driver Assessment Centre.
In some cases, additional medical information may be required to determine licensing eligibility. In such cases, a letter is mailed to the driver outlining the information that is required and a specific timeframe is given for the driver to submit the medical information to the ministry.
If the required information is not received by the due date, a suspension notice will be mailed to the driver, or, in the case of a commercial licence downgrade, a new licence in the lower class will be issued. Reconsideration of the suspension/downgrade will be given when the additional information is received. Drivers who are unable to meet the timeframe for filing the additional information may be given an extension. Drivers can either phone or write the ministry for an extension. (See contact information in the left column of this page.)
When additional information is received a review is conducted to determine if the required medical standards are met.
If the additional medical information results in a suspension (or continued suspension) of the driver's licence, in most cases, the driver has the option to appeal the decision to the Licence Appeal Tribunal. Suspensions for failing to meet mandatory vision requirements cannot be appealed.
If the additional medical information confirms that the driver meets the medical standards, the licence will be reinstated (if under suspension) provided there are no other outstanding suspensions or requirements on file. The driver will be advised of the outcome of the review by mail.
Individuals who are reported as being medically unfit to drive as a result of a neurological condition, mental illness or physical disability are sometimes required to provide confirmation that they are fit to drive by way of a formal driving evaluation. Driving evaluations may also be requested when an individual is suffering from various age related concerns or multiple medical conditions.
A comprehensive driving evaluation includes a full medical assessment in addition to an on-road evaluation. A driving evaluation is conducted by an Occupational Therapist and a qualified driving instructor. If you are required to undergo a driving evaluation the ministry will send you a list of approved centres along with your letter. These centres are located in hospitals, rehabilitations centres or private clinics. They are independently operated and are not a branch of the Ministry of Transportation.
If, during the course of the evaluation, it is determined that remedial lessons are required prior to returning to independent driving, a report will be sent to the ministry and a temporary licence will be issued (for the purpose of lessons only) provided there are no other outstanding suspensions on file.
If special adaptive equipment is required (e.g. spinner knob, hand controls etc.) a Ministry of Transportation road test will be required.