Medical License Revocations in Delaware: Appealing the Medical Advisory Board (MAB)

Current as of: September 17, 2026 Driver's License Suspension & Restoration Delaware
Delaware law allows the DMV to suspend a driver's license if a medical condition like epilepsy or dementia makes driving unsafe. To restore your driving privileges, your doctor must submit clearance forms to the Medical Advisory Board (MAB), and you have the right to request a hearing if denied.

A driver's license is a symbol of independence, making a medical suspension one of the most frustrating experiences a Delaware resident can face. Under Del. Code Ann. tit. 21, § 2707, the Delaware Division of Motor Vehicles (DMV) has the authority to revoke or suspend driving privileges if an individual suffers from a physical or mental disability that prevents them from operating a vehicle safely. This process is entirely separate from traffic violations or DUIs; it focuses purely on public safety and health.

When a doctor, family member, or law enforcement officer reports a potentially unsafe driver, the case is referred to the Delaware Medical Advisory Board (MAB). Navigating the MAB's requirements can be highly confusing. If your license was suspended due to health issues and you believe you are safe to drive, reviewing our US Lawyers Directory to find a local administrative law attorney can provide you with the advocacy needed to successfully appeal the board's decision.

Step-by-Step Process in Delaware

Restoring a medically suspended license involves gathering comprehensive medical documentation and successfully passing the Medical Advisory Board's review. Here is how the process works for various common conditions.

Step 1: Epilepsy and Seizure Free Periods

Neurological conditions, particularly those that cause loss of consciousness, are heavily regulated. In Delaware, if you suffer a seizure, you are generally required to surrender your license. To be considered for reinstatement, the MAB typically requires you to be completely seizure-free for a specific period (often 3 to 6 months, depending on the circumstances). Your treating neurologist must complete Form MV-346, Delaware, Division of Motor Vehicles, Medical Report of Physician's Findings, certifying that your condition is controlled by medication and that you are fit to drive.

Step 2: Seniors with Early-Stage Dementia

Age alone is not a reason for license suspension, but cognitive decline is a serious concern. If a senior citizen with early-stage Alzheimer's or dementia is reported to the DMV, the MAB will usually mandate a comprehensive driving evaluation. This involves both a cognitive screening by a physician and an on-the-road driving test with a certified rehabilitation specialist. If the condition is progressive, the MAB may issue a restricted license requiring annual medical reviews.

Step 3: Vision Loss and Corrective Surgery

Delaware enforces strict visual acuity standards. Drivers must generally maintain at least 20/40 vision in one eye (with or without corrective lenses). If macular degeneration, cataracts, or glaucoma causes your vision to drop below this threshold, your license may be suspended. If your vision is between 20/40 and 20/50, the MAB may grant a restricted daylight-only license. If you undergo corrective surgery, your ophthalmologist must submit Form MV-312, Delaware, Division of Motor Vehicles, Report of Visual Status by an Optometrist or Ophthalmologist to the Delaware Medical Advisory Board, Dover before reinstatement.

Step 4: Psychiatric Holds

Mental health crises, including voluntary or involuntary psychiatric holds, can also trigger a medical review if the condition impairs judgment or motor skills. Severe depression, bipolar disorder, or psychotic episodes may lead to a temporary suspension. Reinstatement typically requires a detailed assessment from a licensed psychiatrist confirming that you are stable, medication-compliant, and do not pose a danger to yourself or the public while driving.

Step 5: Appealing a Negative MAB Decision

If the Medical Advisory Board reviews your doctor's forms and still denies your reinstatement, you are not out of options. You have the right to request an administrative hearing with a DMV Hearing Officer. During this hearing at the Delaware Division of Motor Vehicles, Wilmington or the Delaware Division of Motor Vehicles, Georgetown, you and your attorney can present expert witness testimony from your doctors, submit additional medical evidence, and argue why the MAB's recommendation should be overturned.

How Much Does it Cost in Delaware?

Clearing a medical suspension is generally less about state fines and more about the cost of medical evaluations and legal representation.

Expense CategoryEstimated Amount (USD)
DMV Medical Reinstatement Fee$50.00 for Medical Suspension ($0 if voluntary Medical Surrender)
Specialist Copays (Neurologist/Eye Dr)$50 - $250+ per visit
Clinical Driving Evaluation$300 - $500 (rarely covered by insurance)
Attorney Representation (Appeals)$1,500 - $3,000+

How Long Does the Process Take?

The timeline relies heavily on your medical recovery. Once your doctor submits the completed medical forms to the Medical Advisory Board in Dover, the board usually takes 2 to 4 weeks to review your file and issue a recommendation. If you are required to schedule an administrative appeal hearing, expect the process to take an additional 30 to 60 days to secure a date on the docket.

Frequently Asked Questions (FAQ)

Who can report an unsafe driver to the Delaware DMV?

Under Delaware law, physicians, law enforcement officers, and even concerned family members can submit a written report to the DMV if they believe a driver's medical condition makes them a hazard on the road.

Are doctors legally required to report patients with seizures in Delaware?

No. Effective August 2024, the Delaware DMV eliminated mandatory physician reporting for medical conditions and seizures. Instead, licensed medical practitioners are encouraged to voluntarily report patients whose conditions may impair their ability to drive safely.

Will a medical suspension raise my auto insurance rates?

Generally, no. A medical suspension is an administrative action related to health, not a moving violation or criminal conviction. However, maintaining continuous insurance coverage during the suspension period is crucial to avoid rate hikes when you resume driving.

Do I have to retake my driving test after a medical suspension?

It depends on the MAB's recommendation. If you suffered a stroke, severe cognitive decline, or a long-term suspension, the DMV may require you to pass the written, vision, and road skills tests before reinstating your license.


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