Driving licence, Medical Report Form

The Medical Report Form is a list of questions about your physical and mental health. You need to complete this questionnaire to obtain a medical declaration.

What is it?

The Medical Report Form is a form with questions about your health. Sometimes you need to include a doctor’s certificate as well. You will need the Medical Report Form when applying for a driving licence for the first time or, in some cases, when you want to renew your driving licence.

Flowchart: converting a foreign driving licence and how to fill in the medical statement  (PDF, 577 kB)

How does it work?

You need the Medical Report Form to obtain a medical declaration from the Central Office for Motor Vehicle Driver Testing (CBR). A medical declaration is a document stating that you are of sufficient physical and mental health to operate a motor vehicle.

What are the conditions?

There are different types of Medical Report Forms:

• Medical Report Form 70-
  Complete this form if you:
  - want to do the driving test at the CBR for category A, B or BE
  - are issued a driving licence with a shorter validity period on medical grounds
  - want to exchange a foreign driving licence in category A, B or BE.
• Medical Report Form 70+
  Complete this form if you:
  - are aged 70 or older
  - are aged 65 or older and your driving licence expires after your 70th birthday. This applies to all driving licence categories.
• Medical Report Form CDE
  Complete this form if you:
  - want to extend a driving licence in category C, D or E
  - want to do the driving test for category C, D or E

What does it cost?

The Medical Report Form costs € 23.80 in 2013.

How long does it take?

At least 2 weeks. The CBR will contact you.

How do I apply / What do I need to do?

• You may purchase the Medical Report Form from a sub-municipal office, the CBR in Rijswijk or your driving school
• Complete the Medical Report Form.
• You or your driving school should then send the form to the CBR, with a doctor’s certificate if applicable.
• The CBR will review your form and decide whether to issue the medical declaration.
• The CBR will register your medical declaration and send you notification of this.
• You may then apply for a driving licence from your sub-municipal office.

See also

• Rijbewijs, Eigen verklaring (Dutch article)
  
• Driving licence, general information
• Rijbewijs.nl