Medical fitness and eyesight

By the end of this topic you can

• You can explain when you must declare a medical condition.
• You can describe the eyesight check at the learner stage.
• You can name common conditions that may need a medical review.
• You can explain what a licence condition such as 'must wear glasses' means.

What you need to know and understand

• You must declare any medical condition that could affect your driving when you apply for a licence, and tell the road authority if one develops later.
• In some states, such as SA and the NT, health professionals are also required to report a condition that could affect driving to the licensing authority.
• Common conditions reviewed include blackouts, seizures and epilepsy, diabetes, heart conditions, sleep disorders, some psychiatric conditions and vision problems.
• The eyesight check uses a standard chart. The Austroads guidelines use the 6/12 line of the chart as the benchmark for car drivers, with glasses or contacts if you need them.
• The guidelines also require a wide enough field of vision: at least 110 degrees across, measured with both eyes.
• If you need glasses to pass, your licence will usually carry a condition that you must wear them when driving.

Declaring a condition

When you apply, the form asks about your health. Answer honestly. A condition does not mean you will be refused. It might mean a doctor's report, regular reviews, or conditions such as driving only an automatic car. Failing to declare a condition, or ignoring medical advice, can lead to losing your licence and may affect insurance after a crash.

• Victoria: bring a medical report if you have an illness or disability that may affect your driving.
• NSW: some conditions, such as epilepsy or heart conditions, need regular medical assessments.
• NT: a practical assessment with an occupational therapist may be needed for some conditions.

The eyesight check

Most states check your eyes when you apply for your learner licence. Victoria, for example, has you read an eyesight chart as part of the learner permit test and again at the probationary test. If you have poor vision you may need a certificate from an optometrist or ophthalmologist. If you have any doubt about your eyesight, book an eye test before your appointment so there are no surprises on the day.

Medicines, tiredness and everyday fitness

Being fit to drive is also about today. Some prescription and over-the-counter medicines cause drowsiness, and driving while impaired by them is illegal. Read the label, ask your pharmacist, and do not drive if you feel unwell or very tired.

Common mistakes

• Leaving glasses at home on test day. Bring them if you use them.
• Not declaring a condition because you think it is minor. Declare it and let the authority decide.
• Driving after taking a new medicine without checking its warnings.
• Ignoring changes in your vision. Get an eye test if signs look blurry.

Test yourself: Medical fitness and eyesight

Answer each question, then read the explanation. Questions come in a random order each time.

Go deeper

• Medical Conditions and Driving in Australia
• Australian Driving Eyesight Standards
• Medical Conditions and Disability