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Medical Fitness for Driving

Who needs a medical report, what conditions apply, and how to get the forms you need.

Last updated: February 2026

Do You Need a Medical Report?

Not everyone needs a medical report to apply for a learner permit or driving licence. However, you will need one if:

  • You are applying for a bus or truck licence (Category C or D)
  • You are aged 70 or over
  • You have a medical condition that may affect your ability to drive safely
  • You answered "yes" to any of the medical questions on the licence application form

What Conditions Must Be Declared?

You must declare any condition that could affect your driving, including:

  • Epilepsy or seizures
  • Diabetes (especially if treated with insulin)
  • Heart conditions
  • Visual impairments
  • Mental health conditions
  • Neurological conditions (e.g. stroke, multiple sclerosis)
  • Sleep disorders (e.g. sleep apnoea)
  • Substance dependency
Important: It is a legal requirement to declare any medical condition that could affect your fitness to drive. Failure to do so could invalidate your licence and your insurance.

The Medical Report Form

The medical report form is available from the NDLS website. It must be completed by a registered medical practitioner (your GP).

Costs vary but typically range from €40-€80 for a GP visit and form completion.

Eyesight Requirements

All learner permit applicants must meet minimum eyesight standards:

  • Category B (car): Minimum visual acuity of 0.5 (6/12) in the better eye with both eyes open
  • Category C/D (truck/bus): Minimum 0.8 (6/7.5) in the better eye and 0.1 (6/60) in the worse eye

An eyesight report (Form D502) from an optician or doctor is required for first-time applicants.

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