Photo: Gerdel, Public domain, via Wikimedia Commons
In British Columbia, medical fitness to drive is decided by RoadSafetyBC, not ICBC. RoadSafetyBC uses the national CCMTA Medical Standards for Drivers, plus BC-specific guidelines. A new driver usually only hears from RoadSafetyBC if they disclose a condition when applying, or if someone reports a concern. RoadSafetyBC may then send a Driver’s Medical Examination Report (DMER) for your doctor or nurse practitioner to complete. A review does not automatically mean losing your licence: outcomes range from carrying on as normal to conditions on your licence.
This page explains how the process works. Your doctor or nurse practitioner is the person to ask about your own condition.
How RoadSafetyBC finds out about a condition
- You tell them, for example when you answer the health questions for your learner (Class 7L) licence.
- A health professional reports. Under Motor Vehicle Act s. 230, doctors, nurse practitioners, psychologists and optometrists must report a patient aged 16 or over who, in their opinion, has a condition that makes driving dangerous and who keeps driving after being warned. The legal detail is in does your doctor have to report you.
- Someone else reports. Police, family members and ICBC can provide information, and anyone can report a concern using RoadSafetyBC’s online form.
When you get a DMER
RoadSafetyBC may ask for a DMER because of:
- a known medical condition
- a report that you have a condition affecting safe driving
- your licence class (commercial drivers)
- your age (80 or older)
For a learner or new driver, the first two are the usual triggers.
Completing the DMER: step by step
- Book your doctor or nurse practitioner. The exam covers cognition (memory, attention, judgment), eyesight and overall physical health. It is not a road test.
- Meet the deadline on the form. The report must be returned within the timeline printed on it. If you can’t, contact RoadSafetyBC straight away.
- Your practitioner faxes it. DMERs go by fax to 250-952-6888. Don’t send duplicate or emailed copies.
- Wait for the decision. An adjudicator reviews most files; nurse case managers handle complex ones.
Cost (as of November 2026): the Medical Services Plan covers a DMER for a known or suspected condition up to $75. You pay any amount your practitioner charges above that. Lost your DMER? ICBC can give you a replacement at no charge.
Other assessments you may be asked for
| Assessment | What it is |
|---|---|
| Enhanced Road Assessment | A road-based assessment of how a condition affects your driving |
| Occupational therapist assessment | A functional driving assessment, often used for physical disabilities or vehicle adaptations |
| Road test re-examination | A road test ordered for medical reasons |
For learning to drive with a physical disability, including the Enhanced Road Assessment, see drivers with disabilities learning to drive in Canada.
ICBC’s handbook says RoadSafetyBC calls almost 3,000 drivers a year in for a re-examination, usually after a medical report or a police report about a driving situation the driver handled poorly. A vision screening and signs test alone needs no appointment. If the notice includes a road test, call your local driver licensing office within 30 days of receiving it to book, and bring ID, your glasses or contacts and, ideally, a licensed driver in case you do not pass.
Possible outcomes
- You can continue driving.
- You must report future changes in your condition.
- Conditions or restrictions are placed on your licence.
- You are found unfit to drive, or your licence is cancelled.
RoadSafetyBC can add a restriction when a condition means you need a device or technology to drive safely. ICBC can add restrictions too, such as a corrective lenses restriction. If you move to BC with a medical restriction, the equivalent BC restriction is added. Removing a restriction usually means passing a road test; ask ICBC.
Disagreeing with a decision
- RoadSafetyBC has a process to review a driver medical fitness decision.
- If you disagree with restriction 25, 26, 28 or 51, you can submit a Request for Reconsideration of the Application of Restriction. An adjudicator reviews it and replies in writing.
What standards are used
BC has adopted the CCMTA Medical Standards for Drivers (based on the March 2017 edition). No province is legally required to adopt them, but most do, so the core rules are similar across Canada. Condition guides: epilepsy, diabetes and insulin, vision.
Contact RoadSafetyBC
- Toll-free 1-855-387-7747 (Canada and US); 250-387-7747 in Greater Victoria or outside Canada and the US
- Email [email protected] with your full name, licence number and phone number; replies can take up to seven business days
Related guides
- Driving with a medical condition or disability in Canada (national overview)
- Learning to drive in BC
- BC learner licence rules
- Does your doctor have to report you?
Sources
- Government of British Columbia, “Driver medical fitness” (gov.bc.ca)
- Province of British Columbia, Motor Vehicle Act, section 230 (bclaws.gov.bc.ca)
- Government of British Columbia, “Driver’s Medical Examination Report” (gov.bc.ca)
- Government of British Columbia, “Driver medical fitness restrictions” (gov.bc.ca)
- Government of British Columbia, “Driver medical fitness information for medical professionals” (gov.bc.ca)
- Government of British Columbia, “CCMTA Medical Standards for Drivers: Chapter 1, Introduction”, RoadSafetyBC (gov.bc.ca)






