Medical Review Process

The Secretary of State shall determine the physical, emotional and mental competence of a person to operate a motor vehicle with the advice of the Medical Advisory Board.

The Medical Advisory Board is a professional unit composed of physicians and motor vehicle staff to advise us on medical criteria and vision standards for licensing drivers. The Medical Advisory Board consists of at least seven members who have expertise in matters concerning health or medicine. We work with the Medical Advisory Board to establish and update driver licensing standards.

The Secretary of State has amended the rules governing medical conditions and operation of motor vehicles. The amended rules, which are effective May 3, 2023, may be obtained at this link:
Download and Print Current Rules

To obtain a paper copy, email or write to:
Bureau of Motor Vehicles
Driver License Services Division - Medical Section
29 State House Station
Augusta, ME 04333-0029

For more information call: (207) 624-9000 ext. 52124

Please include your name, date of birth, current mailing address and specify the type of information you are requesting.


Resources for Healthcare Professionals
Resources for Drivers and Caregivers
Description of BMV Road Test

Medical Conditions

The Bureau has prepared a series of informational videos for medical professionals about the medical review process and the 2023 revisions to the administrative rules. The first video, which provides a high-level overview of the process, is available here. The list below contains links to corresponding videos discussing each condition.

Cardiovascular Conditions Video PDF
Chronic Respiratory Disease Video PDF
Dementia Video PDF
Hypoglycemia Video PDF
Mental Health Conditions Video PDF
Musculoskeletal and Neurological Disorders Video PDF
Narcolepsy or Idiopathic Hypersomnia Video PDF
Other Medical Video PDF
Prescription Medications/Opioid Replacement Therapy Video PDF
Seizures/Epilepsy Video PDF
Sleep Apnea Syndrome Video PDF
Substance Use Disorder Video PDF
Unexplained Alteration/Loss of Consciousness Video PDF
Visual Conditions Video PDF

Medical Forms

Eye Form
Medical Evaluation Form (CR-24)
CR-24 Addendum (Narcolepsy/Cataplexy)
Authorization to Release Information

How to Cancel Your Driver's License

Cancelling your driver's license
Cancellation request form

How We Obtain Medical Information

We obtain medical information through:

  1. Permits, licenses, renewal applications and accident reports;
  2. Written reports from family, physicians, law enforcement personnel and other government agencies, and;
  3. Signed statements from citizens.

If you have received a request for a medical review, it means we received information regarding your ability to safely operate a motor vehicle.

Law Enforcement Reporting

We receive information from law enforcement regarding possible unsafe drivers. If a driver is stopped by law enforcement, the officer may report a driver who is thought to have a medical condition that could affect their ability to drive safely. This can be reported even if the officer did not issue a ticket to the driver. This may also appear on an accident report.

Physician Reporting

Physicians who care for patients with physical, mental or emotional impairments which may affect their driving safety, whether defined by published guidelines or not, are responsible for making available to their patients without reservation their recommendations and appropriate information related to driving safety and responsibilities.

The information must be in writing and must include the name, address and date of birth of the patient. The medical professional submitting the report in good faith is immune from civil or criminal liability for making the report.

Concerned Citizen Reporting

A person with direct knowledge of a driver's specific conduct or specific events indicating the driver may have a disqualifying medical condition may report this to us by writing a letter including the name, address and date of birth of the driver. Once we receive information, our only contact will be with the driver. We will not notify the reporting person of any outcome. Any citizen in the State who, in good faith, submits a report of a driver's impairment is immune from civil or criminal liability for making the report. Every effort will be made to maintain the confidentiality of a person making the report, but this cannot be guaranteed.� No action will be taken by BMV unless the person submitting the report signs the letter and includes their name, address, telephone and or e-mail address.�

For more information, you may contact the Medical Section at:
Telephone: 207-624-9000, Ext. 52124
Bureau of Motor Vehicles
Driver License Services Division - Medical Section
29 State House Station
Augusta, ME 04333-0029�

Written and Road Test

If you are required to complete a written or road test, an appointment will be scheduled for you at an examination location closest to your home. To view a description of the road test, click here.