MED 2 PDF Details

If you received an Official Notice/Order of Suspension, you must provide DMV with the required MED 2 prior to the effective date to avoid having your driving privilege suspended.

Your part: complete Customer Information and Information Release Approval; provide your signature at the end of the Information Release Approval section.

Medical provider: provide the entire MED 2 and your DMV letter to your medical provider at the time of your medical examination.

Part F: must be completed by your physician, physician assistant or nurse practitioner.

Charges: any charges related to or incurred as part of the completion of this form are the customer's responsibility.

QuestionAnswer
Form NameMED 2
Form Length9 pages
Fillable?Yes
Fillable fields471
Avg. time to fill out60+ min
Edition07/01/2024
Issuing agencyVirginia Department of Motor Vehicles
Where to sendFax to DMV Medical Review Services at (804) 367-1604
Suspension noticeIf you received an Official Notice/Order of Suspension, prior to the effective date noted in the Notice/Order
Matches the agency's fileYes, checked October 7, 2026
Other namesMED 2, MED2, DMV MED 2, Customer Medical Report, Virginia DMV MED 2 form
Official sourceMED 2 (Rev 07/01/2024), Virginia Department of Motor Vehicles