Roads and Maritime Services (RMS) has a legal responsibility to ensure all drivers have the appropriate skills and ability, and are medically fit to hold a driver licence. To meet this responsibility, NSW road transport legislation gives RMS the authority to ask any driver licence holder or applicant to provide medical evidence of their suitability to drive and/or to undergo a driver assessment.
This is facilitated by a medical report. In most cases, RMS provides the medical report form to the driver who will present it to the health professional for completion at the time of the examination. This form is the key communication between health professionals and RMS. It should be completed with details of any medical criteria not met as well as details of recommended conditions and monitoring requirements for a conditional licence. Medical information that is not relevant to the patient’s fitness to drive should not be included on this form for privacy reasons.
Assessing Fitness to Drive
The medical standards for private and commercial drivers are set out in 'Assessing Fitness to Drive' which is jointly published by the National Transport Commission and AUSTROADS. The standards are used by all licensing jurisdictions across Australia and available on the AUSTROADS website.
Completed medical report
If a patient has presented you with one of our green RMS medical report forms, once completed the medical report form should be returned to the patient to take back to an RMS registry for immediate processing.
Health professionals seeking further information about Assessing Fitness to Drive standards or the medical report form or the older driver or medical review schemes can contact our Licence Review Unit through our Contact Centre on 13 22 13. Alternatively, direct contact details for the RMS Licence Review Unit can be found in the Assessing Fitness to Drive publication.
Reporting a medical condition for the first time
If, in the course of treatment, a patient’s condition is found to affect their ability to drive safely and they are not in the possession of a RMS medical report form the health professional should, in the first instance, encourage the patient to report their condition to RMS. A standard form, Medical condition notification form, has been produced to facilitate this process. The health professional completes the form, explains the circumstances to the patient and asks the patient to return the form to their nearest RMS registry.
Forms can be downloaded from the box at the bottom of this page.
Health professional direct reporting to RMS
A health professional may feel obliged to make a report directly to RMS in certain situations. For example where the patient is either:
- unable to appreciate the impact of their condition, or
- unable to take notice of the health professional’s recommendations due to cognitive impairment, or
- continues to drive despite appropriate advice and is likely to endanger the public.
This may be done using a copy of the medical condition notification form and sending it to RMS Licence Review Unit at either Locked Bag 14 Grafton NSW 2460 or facsimile to 02 6640 2894. Even when making a report directly to RMS, the health professional should inform the patient that they are doing so.
RMS will also accept a letter directly from the treating health professional. The letter should include sufficient information to enable RMS to make a decision. That is, the patient’s details (full name, date of birth address), any relevant medical conditions or concerns, and if the patient meets the relevant medical criteria specified in the ‘Assessing Fitness to Drive’. You may also, if deemed appropriate, make recommendations for the patient to undergo further assessments, such as a specialist review or driving assessment.
Health Professional’s Checklist when completing the ‘green’ RMS medical report form
What does each result option mean to RMS?
Option 1 – Meets the relevant medical criteria for an unconditional driver licence and requires no further periodic medical reviews
Option 2 – Does not meet the relevant medical criteria for an unconditional or conditional driver licence.
Option 3 – Meets the relevant medical criteria for a conditional licence, subject to a periodic review.