Medical referral — Missouri Permit Test

Medical referral on the Missouri permit test — 2 rules, each with the reason behind it and a question on it while it is fresh.

The rules

You may be required to submit a physician's statement if you have had epileptic seizures, convulsions, or blackouts in the six months before you apply.

A blackout at the wheel is the one symptom that ends a trip instantly. Six months is the window the state looks back over.

You have had epileptic seizures, convulsions, or blackouts within the six months prior to your application for a license.

Missouri Driver Guide, p.9

A driver examiner, license clerk, family member, or one of several named health professionals may file a Driver Condition Report if they believe a medical condition makes you unsafe to drive.

The people who notice first are rarely doctors. A relative who sees the near-misses can start the review too.

A driver examiner, license clerk, family member, law enforcement officer, physician, physical therapist, occupational therapist, chiropractor, registered nurse, psychologist, social worker, professional counselor, optometrist, or emergency medical technician, believes you may have some other medical condition that would make you an unsafe driver. This person must complete a Driver Condition Report (Form 4319) and submit it to the Department.

Missouri Driver Guide, p.9

On the test

Seizures, convulsions, or blackouts within how long before applying can call for a physician's statement?

Six months. A blackout at the wheel is the one symptom that ends a trip instantly. Six months is the window the state looks back over. Missouri Driver Guide, p.9: “You have had epileptic seizures, convulsions, or blackouts within the six months prior to your application for a license.”

How this works

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Where these come from

Every rule here is checked against Missouri Driver Guide, published by the Missouri Department of Revenue, and against the state code itself. Last checked 2026-09-16.