Saincheisteanna Leighis

The conditions and disabilities that require a medical report, what the medical report should cover, and what right of appeal you have against a licence refusal

Medical issues

There are circumstances in which a medical report is required for a driving licence to be issued.

If you are:

  • suffering from any specified disease or physical or mental disability
  • taking drugs or medication on a regular basis that would be likely to cause your driving to be a source of public danger
  • dependent on psycho-active drugs or have ever suffered from alcoholism or epilepsy

The specified diseases and disabilities in question are:

  • alcoholism
  •  any physical disability likely to affect the ability to drive safely
    cardiovascular diseases
  •  diplopia (ie, double vision), defective binocular vision or loss of visual field
  •  epilepsy
  • encephalitis, multiple sclerosis, myasthenia gravis or hereditary diseases of the nervous system associated with progressive  muscular atrophy and congenital myotonic disorders
  •  diseases of the peripheral nervous system
  •  trauma of the central or peripheral nervous system
  •  cerebrovascular diseases
  •  lesion with damage to spinal cord and resultant paraplegia
  •  mental disturbance due to disease or trauma of, or operation upon, the central nervous system
  • severe mental retardation
  •  psychosis
  •  psychoneurosis or personality disorders
  •  serious diseases of the blood
  •  any disease of the genito-urinary system likely to affect the ability to drive safely

Content of medical report

The medical report must, in particular, refer to your eyesight, hearing, general physique and overall medical condition insofar as it is relevant to your ability to drive. This is the case whether the report is needed for age reasons or for illness/disability reasons.


If you are refused a driving licence by a licensing authority, you may appeal to the District Court against this decision.