Seizure/Loss of Consciousness

A customer who has experienced a seizure, syncope, or any other episode of altered consciousness which will or may affect the safe operation of a motor vehicle is not eligible to obtain a permit/license. If he/she already has a permit/license, he/she must voluntarily surrender it or be subject to suspension or revocation until such time as he/she has remained episode free for a period of at least six months.

 

At the end of the six-month period, the customer may receive a Class D, Class M, or Class D/M permit/license when he/she provides the Medical Affairs with a completed Loss Of Consciousness Evaluation Form or a written statement completed by his/her health care provider confirming that the customer has been free from episodes for a minimum of six months and which states all of the following:

1.  The date of the most recent episode

2.  The cause of the episode (type of disorder suffered)

3.  The means by which the condition is controlled (including any medications and dosages)

4.  The degree of impairment or disability suffered during an episode (extent of episode)

5.  The probability of recurrence of the episode (including frequency of occurrence, degree of assurance that the event will not reoccur, and basis for estimate of probability)

6.  A certification that, to a reasonable degree of medical certainty, the customer’s medical condition and medications will not interfere with the safe operation of a motor vehicle

 

The Registrar or his/her designee may waive or shorten the six-month episode-free requirement upon receipt of a written statement from a health care provider requesting that the six-month episode-free policy be waived because the health care provider has determined that the customer’s medical condition and medications will not interfere with the safe operation of a motor vehicle, with specific reasons provided for that determination.  The written statement must include a specific request from the health care provider to waive the six-month episode-free period, and it must also include all of the following:

1.  The cause of the episode (type of disorder suffered)

2.  The means by which the condition is controlled (including any medications and dosages)

3.  The degree of impairment or disability suffered during an episode (extent of episode)

4.  The probability of recurrence of the episode (including frequency of occurrence, degree of assurance that the event will not reoccur, and basis for estimate of probability)

5.  The date of most recent episode

6.  A certification that, to a reasonable degree of medical certainty, the customer’s medical condition and medications will not interfere with the safe operation of a motor vehicle

 

The Registrar or his/her designee may require that a customer be episode-free for longer than six months prior to issuing, renewing, or reinstating a Class D, Class M or Class D/M permit/license, as an individual case may require.

 

The Registry of Motor Vehicles has chosen a six-month episode-free period as appropriate via recommendation of the Medical Advisory Board because it:

1.  Provides a reasonable estimate of probability that the customer will remain episode free for the indefinite future

2.  Allows the health care provider sufficient time to evaluate and diagnose the cause of the episode and devise the appropriate treatment plan, and thereby more accurately predict the likelihood of recurrence of the event.