Illinois Form DSD DC 163: Medical Report for Drivers – If you hold or are applying for an Illinois driver’s license and have a medical or mental condition that could affect safe driving, the Illinois Secretary of State Form DSD DC 163 — Medical Report is a critical document. This official form helps the Illinois Secretary of State’s Driver Services Department evaluate whether you are medically and mentally fit to operate a motor vehicle. Understanding this form protects both your driving privileges and public safety on Illinois roads.
This guide explains what Form DSD DC 163 is, when it is required, how to complete it, where to submit it, and how to download the current version directly from the official source.
What Is Illinois Secretary of State Form DSD DC 163?
Form DSD DC 163, officially titled “Medical Report For Conditions That May Impair Driving Safely,” is the standard medical evaluation form used by the Illinois Secretary of State. It is completed partly by the driver and partly by a licensed medical professional (MD, DO, NP, or PA). The form gathers detailed information about any physical or mental conditions, medications, and the provider’s professional opinion on the driver’s fitness to drive.
The report is valid for three months (90 days) from the date of completion. It is used during license applications, renewals, and when a medical condition is newly reported or under review by the Medical Review Unit.
You can download the official current version (DSD DC-163.10 ADA, printed February 2026) here:
Download Illinois Form DSD DC 163 Medical Report (PDF).
When Is Form DSD DC 163 Required?
Under Illinois law (Illinois Vehicle Code and Administrative Code Title 92, Part 1030), you must submit a completed Medical Report if:
- You have any medical or mental condition that may result in loss of consciousness or loss of the ability to safely drive a vehicle.
- You take medications that may impair your ability to drive.
- You are renewing a driver’s license that previously required a medical report.
- The Secretary of State receives information (from a physician, law enforcement, court, or family member under specific rules) questioning your physical or mental ability to drive safely.
- You become aware of a new qualifying condition — you must notify the office in writing within 10 days.
Failure to report a qualifying condition within 10 days can lead to cancellation of your driving privileges. If a condition no longer exists, a final favorable Medical Report is required to be removed from the medical follow-up program.
Official guidance is available on the Illinois Secretary of State website under Medical and Vision Conditions:
Medical and Vision Conditions – Illinois Secretary of State.
Who Completes Form DSD DC 163?
The form has clear sections for different parties:
- Section I — Completed by the driver (or applicant). Includes personal information and an Agreement/Release of Information authorizing the physician to release medical details to the Secretary of State.
- Section II (Medical Health) — Completed by an MD, DO, Nurse Practitioner (NP), or Physician Assistant (PA). Chiropractors, podiatrists, residents, interns, RNs, and LPNs are not acceptable signers.
- Sections III–V — Provider details, treatment history, additional information, and professional license information.
The medical professional must give a clear professional opinion on whether the individual is medically and mentally fit to safely operate a motor vehicle.
Key Sections of Form DSD DC 163 Explained
Understanding the form structure helps avoid incomplete submissions that can delay processing:
- Driver Information: Full name, driver’s license number, address, date of birth, gender, and phone.
- Agreement/Release: The driver agrees to remain under medical care, follow treatment, and authorizes ongoing reporting of changes that could impair driving.
- Fitness Opinion: Required yes/no answer from the provider on medical and mental fitness to drive.
- Specific Conditions: Yes/No required for cardiovascular, neurological, musculoskeletal, seizures, diabetes, dizzy/fainting spells, alcohol/drug abuse, developmental, mental, and other conditions. Details must be provided when applicable (hypertension and hyperlipidemia are generally noted as NA for cardiovascular).
- Medications: Full list of current medications and dosages, side-effect assessment, and compliance status.
- Condition Status: Controlled, not controlled (will not affect driving), or not controlled (may affect driving). Supporting clinical details are often needed.
- Recent Impairment History: Any impairment of driving ability or loss of consciousness in the past six months, with dates and details.
- Provider Information: License number, specialty, contact details, and signature. Failure to include license information results in the form being returned.
Always refer to the current guidelines on the Illinois Secretary of State site when completing the form.
How to Submit Form DSD DC 163?
Mail the completed form to:
Secretary of State
Medical Review Unit / Driver Analysis Division
2701 S. Dirksen Parkway
Springfield, IL 62723
Phone for questions: 217-782-7246
In many cases the form must be received within 20 days of a request. Incomplete or late forms can result in cancellation or medical denial of driving privileges. Keep a copy for your records. The medical provider should also retain a copy.
If the condition resolves, submit a new favorable report indicating the condition no longer exists so you can be removed from ongoing medical monitoring.
What Happens After Submission?
The Driver Analysis Division reviews the report. Outcomes include:
- Favorable report: Driving privileges may be issued or renewed (subject to other eligibility).
- Preliminary favorable: Temporary privileges may be granted while additional information is requested.
- Unfavorable report: Privileges may be canceled or medically denied.
- Questionable cases: May be referred to the Medical Review Board for further evaluation, which can include additional testing or a driving assessment.
Drivers may request Board review of medical reports or restrictions in certain situations. All medical information is confidential under Illinois law.
Relevant administrative rules are found in Title 92 Illinois Administrative Code, Section 1030.16 (Physical and Mental Evaluation):
92 Ill. Adm. Code 1030.16.
Tips for Drivers and Medical Providers
- Download and use only the official current PDF from the Illinois Secretary of State website.
- Print clearly or type responses. Incomplete forms are returned.
- Providers must include their professional license number and state of issuance.
- Disclose all relevant conditions and medications — omissions can lead to later problems.
- If you have a communication impairment, ask about license restrictions and the DHS Communication Wallet Card options.
- Contact the Medical Review Unit at 217-782-7246 with questions before submitting.
Download the Official Form DSD DC 163
Always obtain the form directly from the Illinois Secretary of State to ensure you have the latest version:
Official Download – Illinois Form DSD DC 163 Medical Report (PDF)
Additional forms and publications are listed on the official Driver’s License and ID Card Publications page:
Driver’s License and ID Card Publications and Forms.
Protecting Your Driving Privileges in Illinois
Form DSD DC 163 exists to balance individual mobility with public safety. By promptly reporting qualifying conditions, working with your healthcare provider, and submitting accurate documentation, Illinois drivers help keep roads safer while maintaining their ability to drive when medically appropriate.
For the most current requirements, always check the official Illinois Secretary of State website or contact the Medical Review Unit directly. Rules and form versions are updated periodically — the information in this article is based on the February 2026 version of the form and current regulations as of 2026.