Self-reports of any medical condition can be submitted at the MVA office at the time of renewal, or can be submitted anytime by email or fax to the MVA contact information with all the basic information included.

Referrals from professionals – particularly law enforcement officials and health care providers – should be reported directly to MVA if there are concerns about medical fitness to drive. Health care professionals may report to MVA by simply providing a statement on their letterhead or by completing the DC-220​. Either the letter or form should be sent to the MVA at contact information.  

In addition, the MVA accepts referrals from concerned private citizens – neighbors, friends, and family - of drivers with potential problems regarding their ability to drive. A letter of concern should be mailed to the MVA contact information. The letter of concern should include as much of the basic information as possible. If the concerned citizen wishes to remain anonymous, they should indicate that wish in their communication to the MVA.

• Letters of concern are first investigated for authentication of information. If the concern is validated, the referred driver is requested to submit a medical report and health questionnaire for further review.
• If you have specific concerns about a loved one, it is recommended that you discuss this with their physician or treatment provider. The physician can then contact the MVA directly with the necessary information. This will expedite the review process.

Once MVA receives a referral, they are processed as follows:

• Driver Wellness & Safety Division (DW&S) of the MVA first checks to see if that individual has previously been evaluated.
• DW&S may request an individual to complete a health questionnaire, furnish current reports from their physician or other treatment provider, and to sign an authorization so that those clinicians can be contacted to provide additional information for clarification. In addition, individuals may be asked to complete a Maryland Driver Risk Screening (MaDRS) or a skills driving test.
  
• DW&S may schedule a driver for a personal interview with the MAB physician. At this interview, the individual may submit additional medical information. It is important to stress that the interview is to clarify matters. As it is not a legal proceeding, a lawyer is not required for this interview.
• When all the necessary information is received, the case is thoroughly reviewed by MAB, and a recommendation is made concerning the individual's medical fitness to drive. Examples of possible recommendations are:
  • Approves applicant or driver and recommends the case be closed
  • Recommends retention/return of driving privilege, but requires periodic medical reports to the MVA
  • Allows driving with certain restrictions placed on the license. An example would be daylight driving only
  • Suspension/continued suspension of the driver’s license until the medical condition is corrected or brought under control to permit safe driving
  • Reexamination (which may include a Maryland Driver Risk Screening (MaDRS)​, vision test, law test, and/or a driving test) 
• The case, along with the MAB opinions and recommendation is returned to the Driver Wellness & Safety Division (DW&S) for review, and a decision on the individual's license status. The individual is then informed of the decision regarding their license.
• If the MVA's decision is to refuse, suspend, or revoke the driving privilege and the individual wishes to contest the proposed action, an administrative hearing may be requested.
  • These hearings are conducted in accordance with Code of Maryland Regulations (Title 11) by the Office of Administrative Hearings and presided over by an administrative law judge.
  • Anyone wishing to request an administrative hearing may do so through the MVA's Driver Wellness and Safety Division at the contact information below.
• A decision of an administrative law judge may be appealed to the Circuit Court in the person's county or city of residence.