Ontario form
MTO medical report
An MTO medical report is a fitness-to-drive document for Ontario’s Ministry of Transportation medical review process. It is not a disability benefit form, not a WSIB FAF, and not permission to seize a licence in the exam room. You report medical facts against driving standards. MTO decides the licence. Physicians also have a separate Highway Traffic Act duty to report certain conditions — that duty is not the same document as a requested medical review.
What MTO is asking
Either MTO asked the driver for a medical report, or you are reporting a condition that may make it dangerous to drive. Read which situation you are in. A requested review uses the medical report (and any specialist addendum MTO named). Mandatory reporting is a different legal obligation under the Highway Traffic Act. Do not mix them into one vague letter.
Use the current MTO medical report the driver was mailed or that medical review issued. Commercial classes (A, B, C, D, E, F) are a higher bar than a G licence. If the envelope says cardiovascular assessment, that is a different page in this set — do not stuff cardio into a general medical and hope.
You do not suspend the licence
You can advise the patient not to drive today. Only MTO changes the licence. Telling someone to park the car is clinical advice. Ticking the form as if you were the Registrar is not.
Who completes the report
- A physician, or another practitioner named on the current MTO form, after examining the person.
- Optometry, neurology, cardiology, psychiatry, and sleep medicine complete the pieces they were asked for.
- Nurse practitioners: complete only what the current form and your college allow. If MTO addressed the letter to a physician, do not assume you can substitute.
- Do not sign a review for a patient you have not assessed, using last year’s physical.
If you are reporting under the Highway Traffic Act because you believe it is dangerous for them to drive, follow the current MTO reporting process and your college’s guidance. That is not a cookbook, and it is not this form’s “fit / unfit” box copied from a blog.
How to complete the clinical sections
- Licence class and whether this is commercial. The standard changes.
- Vision: acuity, fields, diplopia — measured, not recalled.
- Neurology: seizures and the seizure-free interval, stroke residuals, syncope, Parkinsonism, neuropathy affecting pedals.
- Cognition and psychiatric disease that affect judgement, impulse, or attention. Write function (getting lost, running lights, missed doses), not a diagnosis dump.
- Sleep, alcohol, other substances, sedating medications.
- Diabetes: hypoglycaemia awareness and severe events, especially on insulin.
- Musculoskeletal: can they turn the wheel, use the pedals, look over the shoulder.
- Your opinion: meets standards, does not, or needs a specialist exam. Date the exam.
Inconsistency with the chart is how these files explode. If your last three notes mention blackouts and the MTO form says “no syncope,” you will be reading that chart in a coroner’s interview.
Worked example (fictional)
Requested G-licence review — family practice
Fictional 72-year-old. Do not copy into a real MTO report.
Class: G. MTO requested medical review after an ED visit for confusion (2026-06). Vision: 20/30 OD, OS with correction; no diplopia; fields full to confrontation. Neuro: no seizure. CT head from ED: no acute bleed. Clock-draw impaired today; delayed recall 0/3. Daughter reports two missed turns on familiar routes this summer. CV: treated hypertension, no syncope. Meds: no new sedatives. Impression: cognitive impairment affecting navigation and attention; I cannot certify they meet medical standards for unsupervised driving on today’s exam. Neurology / geriatric review suggested. I have advised the patient not to drive pending MTO. I do not suspend the licence. Examined today. This is not Form 1 and not a disability benefit form.
Why medical review comes back
- Blank vision or a commercial file with no discussion of the higher standard.
- Ignoring seizures, syncope, or cognitive loss that is already in the EMR.
- A letter that says “can drive” with no examination date.
- Using an Alberta driver medical PDF for an Ontario licence.
- Putting a mandatory-report narrative on the wrong form, or the reverse.
Complete the MTO medical from today’s exam
In Scribeberry, open Forms, search for the MTO medical report, or upload the official PDF MTO issued to the driver. Generate from the encounter and your notes, then review every field before you sign. The clinician still certifies the content. Scribeberry does not file with the Ministry of Transportation.
Frequently asked questions
Is a requested MTO medical the same as mandatory reporting?
No. Mandatory reporting under the Highway Traffic Act is a physician’s legal duty when a condition may make it dangerous to drive. A requested medical report is MTO asking for information on a specific driver. Use the process that applies. Your college and MTO publish the current rules.
Is this the cardiovascular assessment?
Not unless MTO asked for that addendum. Cardiac devices, cardiomyopathy, and commercial cardiac standards often need the cardiovascular assessment completed by the appropriate clinician.
Can I tell them to stop driving?
You can give that clinical advice and document it. MTO changes the licence. Do not confuse advice with a legal suspension you do not have the power to issue.
Does Scribeberry file the report with MTO?
No. Scribeberry helps you complete the PDF from clinical context. You or the driver submit it through MTO’s process. You keep a copy in the chart.
Forms
