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Appealing Medical Review Decisions

​Drivers who disagree with decisions by the Medical Review Unit are entitled to a hearing before the Medical Review Hearing Board, if they request the hearing in writing within 10 calendar days of receiving the decision.

Hearings before the Medical Review Board are not subject to hearing fees.

Requests can be faxed to (919) 733-9569 or mailed to:

Medical Review Program
3112 Mail Service Center
Raleigh, NC 27697-3112

If a driver requests a hearing, their case will be reconsidered by the Medical Review Program's medical advisers in preparation for the hearing. The reconsideration process determines if the initial decision on the driver license was accurate and warranted. A driver will be notified by mail if the status of their case changes.

Medical Hearings

A hearing officer with the N.C. Division of Motor Vehicles as well as two physicians appointed to the Medical Review Hearing Board conduct all medical hearings at the NCDMV driver license office at 3231 Avent Ferry Road in Raleigh.

If you wish to contest the cancellation, you may request a hearing before the Medical Review Board, as permitted under NCGS §20-9, by submitting a signed, written request with 10 days of receiving this notice. A request for a hearing will postpone the imposition of any restriction unless the Division of Motor Vehicles notifies a driver to surrender their driving privilege.

At the time of the hearing, you will present evidence regarding your request for restoration of your license to a panel consisting of a hearing officer and at least two physicians. The hearings are recorded and last approximately 30 minutes. The hearing officer and physicians can ask you questions about your medical, driving and personal history. You will be notified by mail once your reconsideration or hearing is completed.

Reconsideration Process

To request  reconsideration, you must submit a signed, written request to the Medical Review Board, 3112 Mail Service Center, Raleigh, NC, 27699-3112 or fax to the NCDMV Medical Review Board at (919) 733-9569. 

If you request reconsideration, the Medical Review Unit will review your request within 30 days. You may provide additional information from your medical provider in support of your request for reconsideration. If the cancellation is not lifted following reconsideration, you may request a hearing at that time. 

If a customer requests a hearing, their case will be reconsidered by the Medical Review Unit's medical advisers in preparation for the hearing. The reconsideration process determines if the initial decision on the driver license was warranted. Upon completion, the customer will be notified by mail if the status of their case changes.

To learn more about the DMV’s recommendations or the information required to have a decision reconsidered, please contact the Medical Review Unit at:

Medical Review Unit
3112 Mail Service Center
Raleigh, NC 27699-3112
Phone: (919) 861-3809 
Fax: (919) 733-9569  

Drivers who disagree with the Medical Review Hearing Board's decisions can appeal to Wake County Superior Court.​

Requesting Medical Records

Drivers may request a copy of their medical records on file at the N.C. Division of Motor Vehicles by mailing a completed and notarized release form and $10 check or money order to:

Medical Review Program
3112 Mail Service Center
Raleigh, NC 27697-3112

An attorney requesting the records on a driver's behalf must submit the signed and notarized form, along with a Letter of Representation.

Please allow up to seven business days for processing.

Learn More

8/8/2025 9:05 AM

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