Skip to main content

Texas Medical Evaluation Process for Driver Licensing

Medical Advisory Board (MAB)

The Medical Advisory Board (MAB) is a panel of licensed doctors appointed by the Texas Department of State Health Services (DSHS) to review medical documentation relating to an individual’s ability to drive. MAB evaluates all medical information concerning an individual’s medical condition and provides the Texas Department of Public Safety (DPS) with a recommendation on driver licensing.

DPS may revoke the driver license of any individual found to be medically incapable of safely operating a motor vehicle.

Medical Evaluation Process (Medical information required)

DPS is responsible for maintaining the safety of all individuals who share the roadways in Texas. As a result, it is sometimes necessary to request information from individuals regarding their current medical condition and determine how that may affect their ability to operate a motor vehicle.

Customer Service Representatives (CSR) are trained to evaluate an applicant’s physical appearance and conduct a basic investigation on every individual who applies for a driver license. The CSR may sometimes ask individuals additional questions or require them to take a driving, written and vision test. Based on the results of these tests, an individual may be called back to the driver license office for further investigation.

MAB Referrals

The most common ways an individual is referred to MAB are:

  1. The individual self-reports his/her medical condition.
  2. DPS refers an individual due to the medical evaluation conducted at the driver license office.
  3. The individual has multiple convictions for alcohol or drugs on their driver record.
  4. Law enforcement, a physician or a private citizen has cause for concern and reports an individual to DPS for a medical evaluation.


In certain circumstances, individuals may be eligible to request a hearing to contest the revocation of their driver license. If the request is approved, DPS will send a letter to the individual to the address on record. The letter will provide the date, time and location of the hearing. Please allow up to 120 days for a hearing to be scheduled.

Hearings are conducted in a municipal or justice court in the county where the individual lives. During the hearing, the individual is responsible for providing facts to the presiding officer who will determine if the grounds for the revocation are valid.

Driver License Reinstatement Requirements

All of the following revocation actions require the individual to pay reinstatement fees prior to the renewal or issuance of their driver license:

  1. Revoked Incapable - The driver must be medically approved by MAB.
  2. Revoked MAB No-Reply - The driver must submit current medical information to MAB.
  3. Revoked Test Required - The driver must pass a driving test at the driver license office.

Report Concerns of Unsafe Drivers

An individual may submit, in writing, their concerns of drivers who may have a medical condition that could affect their ability to safely operate a motor vehicle. All written concerns may be submitted anonymously to DPS (i.e. the document is not required to be signed by the individual reporting the concern).

Verbal notification is not sufficient evidence for DPS to take action. Please provide a detailed explanation as to why it is unsafe for the individual reported to operate a motor vehicle. Avoid personalizing information in the written statement and focus on the facts. Be advised all information submitted to DPS is subject to the Open Records Act / Texas Public Information Act.

Information may be submitted to DPS by mail, fax or email.

Mailing Address:

Texas Department of Public Safety
Enforcement and Compliance Service
P.O. Box 4087
Austin, TX 78773-0320

Fax Number:



Evaluating Driving Skills

Several organizations provide free seminars and other assessment tools to help individuals evaluate their driving skills, including:

  1. National Safety Council
  2. AARP
  3. Texas Department of State Health Services

Occupational License

Individuals who have their driver license denied and/or revoked for medical reasons may not be eligible for an occupational license.

Driver Eligibility Status

For individuals who are required to submit compliance documents (i.e. certificate of completion, SR-22, etc.), their driver eligibility status will change from “ineligible” to “eligible” on the License Eligibility website once all documents have been processed and fees have been paid.