Assessing fitness to drive – information for health professionals

Health professionals play an important part in keeping our roads safe. Here's how to assess a patient's fitness to drive and submit your assessment online.

Submitting Fitness to Drive assessments online

We've recently improved and simplified online fitness to drive forms for GPs, specialists, optometrists, ophthalmologists and allied health professionals.

Medical assessments completed online will ensure detailed, accurate information is securely and instantly sent to Transport for NSW. This means:

  • You can complete the online form and submit it directly through any of the following practice management systems: Best Practice, Genie,Medical Director and MedTech.
  • If you don’t have a practice management system, you can register for and use the online forms for free by visiting the HealthLink portal, by emailing, or by calling HealthLink on 1800 125 036.
  • Forms will automatically populate with relevant information. Online links to the national medical standards are included.
  • You can choose to 'park' a draft or partially filled form and access it later to complete and submit.
  • You will receive real-time confirmation that you can print or email to your patient.

If you complete the assessment online, your patient will not need to visit a service centre to hand in their paper form.

Reference guides to completing the online form

Quick Start Guides are available to step you through the process, including completing, parking and retrieving online forms. Choose the guide for your practice management system, or the MyHealthLink portal if you’ll be accessing the system through your web browser.

EMR and Portal User Guides

View or download the quick reference guides:

How to complete forms according to your specialty

View or download the quick reference guides:

Who can complete a Fitness to Drive form?

For a medical report to be valid, it must be completed by a registered practitioner or specialist as per the Road Transport (Driver Licensing) Regulation 2017 60 (1)(c). This includes GPs, specialists, optometrists, ophthalmologists and allied health professionals.

Unfortunately we cannot accept medical forms completed by a registered nurse.

Assessing fitness to drive

Health professionals play a key role in assessing fitness to drive, based on relevant clinical and functional information and on the relevant published medical standards.

Reporting on a person's fitness to drive includes assessing:

  • their suitability to hold a conditional driver licence under legislated requirements, and
  • public safety and ethical considerations.

As a health professional, you must adhere to the Assessing Fitness to Drive medical standards when recommending conditional licences. If your recommendations conflict with these standards and/or Transport medical review and licensing schemes, they may not be implemented.

Medical reports

Transport has 4 different medical report forms for assessing medical fitness to hold a driver licence. In most cases, we will provide an appropriate medical form to the driver, who will bring it to you.

  • NSW Fitness to Drive Medical Assessment
  • Medical Specialist Fitness Assessment Report for Driver Licences
  • Medical Condition Notification
  • Vision/Eyesight Disorder.

You must only include medical information that is relevant to the person's fitness to drive on the medical form.

About the national standards

Transport for NSW has a legal responsibility to ensure the safety of all road users. This includes ensuring licence holders are medically fit and competent to drive. Health professionals play a vital role in enabling us to meet this obligation.

The medical standards for licensing and clinical management guidelines, Assessing Fitness to Drive, were developed by the National Transport Commission and Austroads in consultation with a wide range of medical experts, peak medical bodies and colleges, the road transport industry and state and territory licensing authorities.

These guidelines have been adopted by all Australian licensing authorities when assessing a licence holder’s medical fitness to drive. You can view the latest guidelines on the Austroads website.

Reporting a medical condition for the first time

During a consultation or treatment with a patient, if you find their ability to drive safely has been affected, encourage them to report their condition to Transport.

You can also start the process with your patient by submitting a Medical Condition Notification Form through your practice management system or the HealthLink portal.

Reporting without patient agreement

In some circumstances, you may consider reporting directly to Transport without the patient's cooperation. This may be in cases where the patient:

  • is unable to appreciate the impact of their condition
  • is unable to take notice of your recommendations, due to cognitive impairment
  • continues to drive despite your advice, and is likely to endanger the public.

To do this, submit a Medical Condition Notification Form online through your practice management system or the HealthLink portal. Or you can complete a Medical Condition Notification Form and email it to

In NSW, statute provides that health professionals who make such reports without their patient’s consent but in good faith are protected from civil and criminal liability.

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