Medical, vision and hearing standards

Commercial drivers

In Ontario, all drivers must meet basic medical and vision standards to operate motor vehicles. Higher standards apply for commercial drivers. Learn more about these requirements.

Medical standards

The ministry assesses commercial drivers directly against the national medical standards provided by the Canadian Council of Motor Transport Administrators (CCMTA).

  • Medical standards for class G drivers driving for commercial purposes in the US
    • Important notice: New Class D licence renewal requirements and medical requirements will come into effect July 1, 2018. Click on the following link for additional information.

      Vision standards

      Vision standards apply to all drivers. Applicants for and holders of Class A, B, C, D, E and F licences must have:

      • a visual acuity that is not poorer than:
        • 20/30 with both eyes open and examined together
        • 20/100 in the weaker eye, with or without corrective lenses
      • a horizontal visual field with both eyes open and examined together of at least:
        • 150 continuous degrees along the horizontal meridian
        • 20 continuous degrees above and below fixation

      For more information, consult Ontario Regulation 340/94 (s. 18(3)).

      Hearing standards

      Hearing standards apply to applicants for and holders of Class B, C, E and F licences.
      Drivers whose hearing in one ear is better than in the other:

      • must be able to perceive in the better ear a forced whisper at a distance of 1.5 metres, with or without a hearing aid
        OR
      • must not have a loss in the better ear of more than 40 decibels at 500, 1000 and 2000 hertz (if an audiometer is used to test the driver's hearing)

      For more information, consult Ontario Regulation 340/94 (s. 17).

      Medical report

      Class D licence

      All applicants for a class D licence need to submit a medical report when they apply. It can be completed by a physician or a Nurse Practitioner (RN-EC) licensed to practice in Ontario.

      Starting July 1, 2018 new Class D medical requirements will come into effect:

      • Class D licence holders under the age of 46 will be required to submit a Medical Report every five (5) years;
      • Class D licence holders between the ages of 46 and 64 will be required to submit a Medical Report every three (3) years, and;
      • Class D licence holders age 65 and older will be required to submit an annual Medical Report.
      • The medical report form must be completed by a family physician or nurse practitioner licensed to practice in Ontario.

        Class A, B, C, E and F licences

        Drivers applying for a class A, B, C, E or F licence need to submit a medical report when they apply.

        If you already have a commercial licence, you need to submit a medical report:

        • every 5 years, under age 46
        • every 3 years, age 46-64
        • every year, age 65 and over

        You will receive a medical report form by mail 90 days before the due date. It will be mailed to the address showing on your driving record. It can be completed by a physician or a Nurse Practitioner (RN-EC) licensed to practice in Ontario.

        Late medical reports

        If the ministry doesn't receive your medical report by the due date, your licence will be downgraded to a class G licence.

        If a satisfactory medical report is filed within one year of the downgrade, your licence will be automatically upgraded to the class you held before, as long as you have no other outstanding tests or requirements. After one year additional tests may be required.

        Where to submit

        Submit your form to a DriveTest Centre:

        • if your doctor or nurse practitioner has indicated "yes" or "no" to question 1 and "no" to questions 2-9 on the front of the medical report.

        Submit your form to the address noted on the form:

        • if your doctor or nurse practitioner has answered "yes" to any question 2-9.

        Licence downgrade

        If your medical report indicates that you may no longer meet the medical standards for a commercial licence, you may be asked to submit additional information from your treating physician or specialist.

        If this information confirms that you don't meet the required medical standards, your licence may be downgraded. You will be advised of:

        • what is required to have your case reconsidered
        • your right to appeal the decision

        Medical waiver program

        Although the medical waiver program was eliminated as of January 1, 2011, some waivers will continue to be renewed:

        • medical waivers granted in 1977/78 during the period of conversion, as long as there is no deterioration in the medical condition for which you received the original waiver
        • Class A and D vision waivers granted during the 1996-2006 Vision Waiver Pilot Program

        Contact the ministry

        By mail:

        Ministry of Transportation
        Driver Improvement Office
        Medical Review Section
        77 Wellesley St. W, Box 589
        Toronto, Ontario M7A 1N3

        By phone: 416-235-1773 or 1-800-268-1481 (within Ontario)

        By fax: 416-235-3400 or 1-800-304-7889

        By email: DriverImprovementOffice@ontario.ca

        Business hours: 8:30 a.m. to 5 p.m., Monday to Friday

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