Living with a disability shouldn’t limit your independence—especially when it comes to driving. In New Hampshire, individuals with physical or cognitive challenges can obtain or retain their driver’s license through adaptive resources and specialized evaluations. However, the process of navigating the DMV with a disability can feel overwhelming if you’re unsure where to start.

At DriveAbility LLC, we specialize in helping individuals with disabilities safely return to or begin driving with confidence. In this guide, we’ll break down what you need to know about navigating the DMV in New Hampshire if you have a disability.

1. Do You Need a Driver Evaluation?

Before the DMV makes any decisions about issuing or renewing your license with a medical condition, you may be required to undergo a comprehensive driver evaluation. This is especially important if:

• You’ve experienced a stroke, traumatic brain injury, or spinal cord injury
• You have a degenerative condition such as MS, Parkinson’s, or dementia
• You are an older adult experiencing changes in vision, reaction time, or cognition
• Your medical provider has submitted a form requesting an evaluation

At DriveAbility LLC, our licensed Occupational Therapists and Certified Driver Rehabilitation Specialists conducts detailed evaluations that assess both cognitive, visual, perceptual and physical driving ability. These results are essential for medical review boards or licensing authorities.

2. What Is the Medical Review Process in NH?

The New Hampshire Division of Motor Vehicles (NH DMV) has a Medical Review Program that ensures all drivers are medically fit to operate a motor vehicle. Here’s how it generally works:

1. Referral or Notification: A healthcare provider, police officer, or even a family member may refer you to the DMV for a medical driving review.
2. Medical Documentation: You may need to complete a form with your physician that details your current diagnosis and whether driving is recommended.
3. Functional Evaluation: This may include a clinical and behind-the-wheel assessment, which DriveAbility is fully licensed to perform.
4. DMV Review and Decision: Based on the results, the DMV will determine if you can keep your license, need restrictions, or require further testing.

Pro Tip: Always ensure that any paperwork from evaluations or assessments is shared promptly with the DMV to prevent delays in your application or renewal.

3. Adaptive Driving Equipment & License Restrictions

If you require adaptive driving equipment—such as hand controls, spinner knobs, or left-foot accelerators—this will typically be noted in your driving evaluation. The DMV may then place restrictions on your license to reflect that you must use this equipment when driving.

Common restriction codes may include:

• “A” – Automatic transmission
• “B” – Corrective lenses
• “E” – Special adaptive equipment required
• “F” – Outside mirrors required
• “W” – Wheelchair accessible vehicle required

At DriveAbility LLC, we provide training in vehicles equipped with a wide range of adaptive equipment. This allows clients to gain comfort and competence using the tools they’ll need every day on the road.

4. License Renewal or Testing Considerations

When renewing your license with a disability or medical condition, the DMV may:

• Request updated medical evaluations
• Require you to take a written, vision, or road test
• Add or remove restrictions depending on your current status
• Ask for verification from a Certified Driving Rehabilitation Specialist

If you’re unsure whether you’ll need to retest, it’s best to contact the NH DMV’s Medical Review Unit directly or consult with a local driver rehabilitation provider like DriveAbility.

5. Parking Placards & Accessibility Resources

Don’t forget to apply for a disability parking placard or plate if you meet the requirements. You’ll need a completed form from your healthcare provider. Placards are available for both temporary and permanent conditions and can make everyday errands far more manageable.

You may also benefit from state or federal programs that assist with:

• Vehicle modification funding
• Vocational rehab driving support
• Travel training or accessible public transport

Our team at DriveAbility can connect you with these resources as part of your rehabilitation plan.

6. How DriveAbility LLC Can Help

At DriveAbility LLC, we’re more than just a driving school—we’re a certified driver rehabilitation program uniquely qualified to help you navigate the DMV with confidence. Here’s what we offer:

• Clinical & Behind-the-Wheel Evaluations by licensed professionals
• Customized Training with Adaptive Equipment in our outfitted vehicles
• Medical Documentation & DMV Support to streamline your licensing process
• Ongoing Support to help you regain or maintain driving independence

We work closely with the NH DMV, local physicians, and families to provide safe, personalized pathways back to the driver’s seat.

Conclusion

Navigating the DMV with a disability in New Hampshire may feel complex, but with the right guidance and support, it doesn’t have to be a barrier to independence. Whether you’re returning to driving after a medical event or facing new mobility challenges, DriveAbility LLC is here to help you every step of the way.