Report a medically unfit driver: physicians

In Ontario, physicians are required by law to report patients who may be medically unfit to drive. Learn more about the medical reporting process for physicians.

The law

Physicians must report patients age 16 or older who, in the opinion of the physician, suffer from a medical condition that may make it dangerous for them to drive.

You can find details about the mandatory reporting requirement for physicians in Section 203 of the Highway Traffic Act.

Important Notice: New medical reporting requirements will come into effect on July 1, 2018. Click on the following link for additional information.

Patient involvement

The decision to report a patient is never easy. As a physician, you aren't suspending your patient's driving privileges; you are complying with the law. The conversation you have with your patient when you complete the report is a critical part of the process.

While you are required by law to report patients, your patients should be advised that the final decision about their driver's licence rests with the Registrar of Motor Vehicles.

Medical reporting form

Physicians must use a standardized reporting form when they report patients who are unfit to drive. This form includes:

  • the 17 most commonly reported conditions
  • an "Other" section for any condition not listed
  • an optional section where physicians can provide further details

To get copies of the Medical Condition Report form:

You can save a link to the form on your computer to access in the future. To make sure the form can be read, please do not photocopy it.

Note: This form is not intended for drivers who want to upgrade their driver's licence or for commercial drivers filing their re-examination report. Standard medical report forms are available throughDriveTest.

How to complete the form

You are required by law to provide your patient's:

  • name
  • adress
  • clinical condition

You can also include the patient's gender and date of birth to help the ministry accurately identify the individual.

To complete the form:

  • complete it on your computer
  • indicate with an "X" the medical condition(s) you are reporting
  • print it
  • sign it

To expedite your patient's file, you can:

  • get your patient's consent to elaborate further on the clinical condition
  • indicate if the condition is temporary (likely to resolve within weeks or months)

How to submit the form

Fax or mail the completed form. Keep a copy for your records. If you submit the report by fax, please do not mail the original.

By mail:

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

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

Patient access

The Freedom of Information and Protection of Privacy Act (FIPPA) requires the ministry to provide your patient with a copy of the report if they request it.

If you're concerned that releasing the report would threaten someone's health or safety, notify the ministry by:

  • checking the appropriate box on the form
  • calling 416-235-1773 or 1-800-268-1481

How the ministry determines licence status

To determine an individual's licence status, the ministry considers:

  • the details of the condition or functional impairment reported by the physician
  • any mandatory requirements (e.g. vision or hearing standards for certain licence classes)
  • national medical standards

The ministry may seek the advice of the Medical Advisory Committee if:

  • national medical standards don't have sufficient detail
  • the medical information provided is complex, with multiple conditions and/or test results

Role of physician reporting

The ministry relies on information provided by a physician's report to help identify individuals who are at significant risk so that immediate action can be taken.

This could include suspending the licence of any individual reported to have a chronic or deteriorating condition that is likely to result in:

  • impaired judgment
  • impaired psychomotor skills
  • sudden or unexpected episodes of loss of consciousness

Not all reports result in licence suspension. If an individual is reported to have a medical condition or functional impairment that is well controlled, the ministry won't necessarily suspend their licence.

Where the stability of a condition is questionable, the ministry may request:

  • follow-up medical information
  • a functional assessment of the individual with an occupational therapist
  • other appropriate assessments

National medical standards

The Canadian Council of Motor Transport Administrator's national medical standards provide detailed information for physicians and licensing authorities to help provide for a fair and consistent approach to decision-making.

Visit the CCATM website for more information and to access the national medical standards.

Functional assessments

Individuals with certain medical conditions or functional impairments may need to undergo a formal functional assessment with an occupational therapist (OT).

The assessment includes:

  • an in-clinic evaluation conducted by the OT
  • an on-road evaluation with the OT and a qualified driving instructor

These assessments are not funded by the Ontario Health Insurance Plan (OHIP) or by the Ministry of Transportation. Payment is the sole responsibility of the individual being assessed.

Individuals with certain visual field defects may also need to undergo a functional assessment.

Approved functional assessment centres

Condition-specific forms

The ministry is exploring electronic reporting to make the medical reporting process more efficient. Part of this process includes developing condition-specific forms you can use when additional information is needed.

These forms allow the ministry to collect only the necessary information to determine whether a patient meets the medical standards for driving. They are based on medical standards found in the 2013 edition of Determining Driver Fitness in Canada, developed by the CCMTA. A driver will be sent a condition specific form to be completed by their treating physician or nurse practitioner based on information provided in an initial report.

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:

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

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