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At-Risk Driver Program for Medical Professionals
Image of a physician and a nurseCertain medical professionals are required to report drivers with severe functional or cognitive impairments that are uncontrollable by surgery, medication, therapy, a device or special technique.
Note: If you are not a medical professional and would like to submit a report about an at-risk driver, see our Voluntary Reporting page. If you would like to report an aggressive or intoxicated driver, see our Reporting a Problem Driver page. General information about the program can be found at our At-Risk Driver Program page.  

You may use the links below to go directly to any section:
Mandatory Reporters
A medical professional is a “mandatory reporter,” depending on the professional’s role and their relationship to a patient. Mandatory reporters are:
  • Primary care providers, ophthalmologists or optometrists
  • Physicians* or health care providers** providing emergency health care services to a person who does not have a Primary Care Physician
  • Physicians, physician assistants, or nurse practitioners providing ongoing specialist health care services
  • Physicians, physician assistants, or nurse practitioners providing a specialist evaluation or a health care provider providing health care services based on a referral from the person’s primary care provider

A reporting medical professional must be licensed, certified or otherwise authorized or permitted by law to administer health care in the State of Oregon.

* ”Physicians” are licensed medical doctors or doctors of osteopathic medicine

** ”Health care providers” include chiropractic physicians, nurse practitioners, occupational therapists, physical therapists, optometrists, physician assistants, podiatric physicians and surgeons

While there is no legal requirement, medical professionals whose role and relationship with the patient does not require them to report can still voluntarily report a patient if there are concerns about the patient’s ability to drive safely.

Note: See our Information Sheet on immunity from civil liability for physicians and health care providers who voluntarily report to DMV. Additional information is found on the HIPAA Compliance, Liability and Confidentiality section of this web site.

Which Patients to Report
Mandatory reporters must report patients if impairments becomes severe and uncontrollable. DMV must be notified when the impairment meets this threshold even if the patient voluntarily agrees to give up driving.
“Severe" impairments substantially limit a person's ability to perform activities of daily living, including driving. Severe does not include a temporary impairment for which the person is being treated by a physician or health care provider and which is not expected to last more than six months.
"Uncontrollable" means the impairment cannot be controlled or compensated for by medication, therapy, surgery, or adaptive devices.

Oregon Administrative Rules describe the impairments that must be reported to DMV and explain the standards for identifying how impairments affect driving.
Oregon law does not require the reporting of specific medical conditions, such as a seizure disorder. An impairment that might result from a seizure disorder, such as a loss of consciousness/control, is only required to be reported when the loss of consciousness/control is uncontrollable.
While it is not required that medical professionals report patients who are unable to drive safely but their condition is not “severe and uncontrollable,” DMV will accept reports about these drivers. Medical professionals may use the Mandatory Impairment Referral Form and non-medical professionals may use the Driver Evaluation Form to notify DMV.
The Mandatory Impairment Referral Form
Mandatory reports must be submitted using the Mandatory Impairment Referral Form, which can be downloaded or printed from this web site, or ordered by fax.
To order the form:
  • Write a request on your agency’s or organization’s letterhead;
  • Include the form number #735-7230 in your request; and
  • Fax the request to the ODOT Storeroom at (503) 986-2801.

Note: Forms are provided free of charge.  

How to Report
For DMV to process the report, the form must be filled out completely. See an example of an acceptably completed form.
Be sure to list the underlying medical diagnosis or condition, and specify any other factors that may interfere with the safe driving, including drug and/or alcohol abuse and medications. Include pertinent chart notes and test results. Document how the patient’s medical status affects their ability to safely operate a motor vehicle. DMV cannot accept a report that simply describes or lists the impairment(s).
“Determinations regarding a person’s ability to safely operate a motor vehicle may not be based solely on the diagnosis of a medical condition or cognitive or functional impairment but must be based on the actual effect of that condition or impairment on the person’s ability to safely operate a motor vehicle.” ORS 807.710(3)
Page two of the Mandatory Impairment Referral Form includes a list and definitions of the cognitive and functional impairments that are required to be reported. Additional details can be found in the administrative rules for the At-Risk Driver Program.
Completed forms may be faxed to (503) 945-5329, or mailed to:
DMV Driver Safety Unit
1905 Lana Ave NE
Salem, OR 97314-4120
Note: Please do not mail a form that has already been faxed.
After Reporting
In most cases DMV will suspend the individual’s driving privileges. Fewer than 10% of reported drivers ever regain their driving privileges.
DMV notifies the individual that their suspension is effective five days from the date on the notice. They have the right to appeal the suspension by requesting an administrative hearing.
Many drivers surrender their driving privileges and request a quit driving identification card after being suspended under the medically at-risk program. See below to learn how to help your patients retire from driving.
If the individual wishes to regain their driving privileges, DMV’s Medical Determination Officer (a physician on staff at DMV) reviews their medical and driving records to determine if they are safe to test. If it is determined that the person may be capable of safely testing, they must first pass the knowledge test and then vision screening before being allowed to take a drive test. If the individual does regain driving privileges, the Medical Determination Officer will decide under what conditions driving privileges may be reinstated based upon the medical information provided. Drivers may be required to medically recertify on a regular basis.
The reporting health care professional will be notified if their patient’s driving privileges are reinstated.
Reporting health care professionals may inquire about the status of a report by contacting DMV's Driver Safety Unit at (503) 945-5083.

Helping Your Patients Retire from Driving
Your patient may qualify for a no-fee "quit driving" ID card that is good until the expiration of the Oregon driver license being surrendered. Help your patient apply for a “quit driving” ID card by:
  1. Downloading and assisting your patient with completing the Surrender of Driving Privileges form and the Driver License/Permit/Identification Card Application.
  2. Finding the closest DMV Office for your patient to visit to complete the application process.
  3. Informing your patient that they will need to provide DMV with the Surrender of Driving Privileges form, the Driver License/Permit/Identification Card Application, and their driver license.
  4. Ensuring your patient understands that they will also need to have their picture taken and present DMV with proof of legal presence in the U.S., identity, date of birth and current residence address.

In addition, it may be a good time to remind your patient that they will need alternative transportation to and from the DMV office, since they will be surrendering their driving privilege during that visit.

If your patient has a medical condition that makes them unable to physically go to a DMV office, help them by:

  1. Downloading and assisting your patient with completing the Surrender of Driving Privileges.
  2. Calling DMV headquarters at (503) 945-5114 on behalf of your patient to request a Valid with Previous Photograph (VWPP) packet. This packet will be emailed to you or to your patient.
  3. Preparing a letter verifying that your patient has a medical or health condition that prevents them from applying for the “quit driving” ID card at a DMV office. This letter must accompany the VWPP application.
  4. Assisting your patient with completing the VWPP application.
  5. Making copies of your customer’s proof of legal presence in the U.S., identity, date of birth and current residence address. Copies of these proofs must accompany the VWPP application.
  6. Mailing the completed packet to: DMV, Driver Issuance Unit, 1905 Lana Ave. NE, Salem, OR 97314. Incomplete packets will be returned to customer at their address on record.
Related Information
Additional information that may be relevant includes:

If you have questions or need more information you may contact the DMV Driver Safety Unit at (503) 945-5083, or submit an online inquiry.