What is the DTOP-DIS-260 driver's license medical certificate in Puerto Rico?
The driver's license medical certificate in Puerto Rico is form DTOP-DIS-260 from the Department of Transportation and Public Works. A doctor authorized to practice in Puerto Rico examines the applicant in person, measures visual acuity and checks the ears, arms and legs. Because the exam is in person, it cannot be done by telehealth, and we don't offer it.
Can we help by telehealth? This is not something we can do by telehealth.
What does form DTOP-DIS-260 ask for?
The form cites Law 22 of January 7, 2000 (Puerto Rico's Vehicle and Traffic Law): anyone applying for a driver's license must be physically able and have no apparent mental incapacity to drive. The instructions to the doctor say, in Spanish, that the doctor will examine the applicant personally ("El médico examinará al solicitante personalmente").
The form records:
- Visual acuity in each eye, with and without corrective lenses, and whether you wear glasses or contacts.
- The condition of the ears, arms and legs, and comments on physical or mental condition.
- Any history of epilepsy, seizures, dizziness or any condition that causes loss of consciousness.
- Heart disease, a pacemaker or a prosthesis.
- Weight, height, eye color and hair color.
- The doctor's certification that they are authorized to practice medicine in Puerto Rico and examined you, with their signature, name and license, plus your signature.
Why the driver's license medical certificate can't be done by telehealth
The form itself requires a personal exam. By video, no one can measure visual acuity with a standardized chart or examine your ears, arms and legs. Any offer to complete the DTOP-260 "online" without seeing you in person does not match what the form certifies.
Our doctor does not complete this form. See what we don't do by telehealth.
When do I need it, and how long is it valid?
When CESCO (the driver's license office) asks for it, and how old a certificate it accepts, depend on your transaction: a new license, a learner's permit, a renewal or something else. Confirm the current requirements with CESCO or DTOP before you see a doctor, and use the latest version of the form, because DTOP revises it from time to time.
Where to get it
From a Puerto Rico-licensed doctor who examines patients in person: your regular doctor, a CDT or a medical office. Call first to ask whether they complete the DTOP-DIS-260 and test visual acuity in the office. Bring your glasses or contact lenses and your ID. If you are new to Puerto Rico, see also medical certificates in Puerto Rico.
Looking for a different certificate?
The work health certificate and a doctor's note are different documents. See the Puerto Rico health certificate guide or our sick note page. If what you need is care for a common health problem, not this form, that can be done in an online doctor visit.
Before you book
- You must be physically in Puerto Rico during the visit (visitors and tourists are welcome).
- We see patients from 6 months old. Patients under 21: a parent or legal guardian must be on camera for the whole visit.
- Real-time video only; we do not do phone-call visits.
- We do not prescribe controlled substances.
Frequently asked questions
- Can a doctor complete the DTOP-260 by telehealth?
- No. The form says the doctor will examine the applicant personally, and it includes a vision test and a physical check.
- What is checked for the driver's license medical certificate?
- Visual acuity in each eye, with and without lenses, and the condition of the ears, arms and legs. You are also asked about seizures, fainting, heart problems, a pacemaker and prostheses.
- Who can sign it?
- A doctor who certifies that they are authorized to practice medicine in Puerto Rico and that they examined you.
Sources
- DTOP-DIS-260 driver's license medical certification form (rev. Aug 24, 2017, Spanish) (accessed 2026-09-30)