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
    • 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.

      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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