Fill in the health declaration

To participate in traffic, you have to be physically and mentally healthy. This is not only important not only for yourself but also for others in traffic. The health declaration consists of several questions about your health that you need to answer.

You must complete your health declaration online via the CBR. The driving school cannot do this for you because it concerns privacy-sensitive information. you are obligated to complete your health declaration truthfully. Failure to do so may have severe consequences at a later stage.

Do you have doubts about your health or a question on the health declaration? If so, first consult your driving school or family doctor before submitting it. If you accidentally fill in a possible issue with your health, while you are actually in good health, this may cause a serious delay in your driving course.

If you do have a health issue, the CBR may first send you to a medical specialist for an assessment. This process can sometimes take months. Submitting your health declaration early is therefore very important.

1. Go to mijn.cbr.nl and log in with DigiD.

Choose DigiD with SMS or the DigiD app.

1. Go to mijn.cbr.nl and log in with DigiD.

2. Choose Gezondheidsverklaring rijbewijs (driving licence health declaration) and follow the steps.

Fill in the health declaration truthfully!

3. Sign your health declaration with SMS code.

3 Sign your health declaration with SMS code.

4. Pay for the declaration with IDEAL.

Attention: the declaration has only been submitted once you have paid.

4 Pay for the declaration with IDEAL.

5. You will receive an e-mail notification when you have a message.

This may be:

  • the acknowledgement of receipt of the declaration;
  • an overview of your supplied answers;
  • the Certificate of Fitness (Verklaring van Geschiktheid);
  • or a request to contact a doctor.

6. Inform your driving school when you have received a Certificate of Fitness.

Attention: the declaration has only been submitted once you have paid.

6 Meld het je rijschool als je een Verklaring van Geschiktheid hebt gekregen.

Questions in the health declaration

Below you can read the questions you will be asked filling out a health declaration to get a driving licence. You can fill in the real health declaration via the CBR website. Watch out for different websites that offer the health declaration, they usually charge way more!

1. Do you have limited use of an arm, hand or fingers?

Fill in "yes" if:

  • you have limited strength in an arm, hand or fingers;
  • you have no use at all of an arm, hand or fingers (for example, due to paralysis);
  • you are missing an arm or hand; or part of an arm or hand;
  • you have a prosthetic arm.

2. Do you have limited use of a leg or foot?

Fill in "yes" if:

  • you have limited strength in a leg or foot;
  • you have no use at all of a leg or foot (for example, due to paralysis);
  • you are missing a leg or foot; or part of a leg or foot;
  • you have a prosthetic leg;
  • you use walking aids, such as a stick or walker.

3. Do you have impaired vision in one or both eyes even when wearing glasses or contact lenses?

Can you see well when wearing your glasses or contact lenses? If so, fill in "no". If you cannot see well even when wearing your glasses or contact lenses, fill in "yes". Contact lenses also include night contact lenses.

4. Are you being treated or have you ever been treated by an ophthalmologist for any reason other than for your glasses or contact lenses?

For example, for treatment of cataracts or for laser eye surgery.

5. Do you have diabetes?

Fill in "yes" if you have been diagnosed by a doctor.

6. Do you have chronic kidney disease (reduced kidney function)?

Also fill in "yes" if you undergo dialysis.

7. Do you have a lung disease (COPD), high blood pressure or a blood disorder? Or have you had an organ transplant?

Fill in "yes" if you have one of these ailments or if you had an organ transplant.

8. Do you have a heart disorder or vascular disorder?

Fill in "yes" if you have a pacemaker or an ICD, for example. Or if you have had a heart attack or open-heart surgery. Or if you have a blood vessel disorder, such as arteriosclerosis, or if you have had an angioplasty or vascular surgery.

9. Have you ever been diagnosed with a disorder of your brain, spinal cord or nervous system (for example, a stroke or muscular disease)?

This includes, for example:

  • stroke, brain haemorrhage, brain tumour, brain injury;
  • Parkinson's disease, multiple sclerosis, ALS;
  • muscle weakness;
  • dementia (all forms);
  • spinal cord injury, nerve injury or neuropathy.

Also fill in "yes" if you have been diagnosed with a brain or nervous system disorder that is not included in this list. You can provide more details in the following questions.

10. Have you ever had an epileptic fit?

There are many types of epileptic fit. For this question, the type of epileptic fit does not matter. Fill in "yes" if you ever had an epileptic fit.

11. Have you ever experienced abnormal sleepiness during the day?

Fill in "yes" if you have ever felt so sleepy that you were not able to stay awake. Consider, for example, disorders such as sleep apnoea and narcolepsy.

12. In the last three years, have you, on more than one occasion, suddenly lost consciousness (for example, fainting)?

Sudden loss of consciousness can have many causes. Fill in "yes" if you have suddenly lost consciousness, whatever the reason, on more than one occasion.

13. In the past year, have you had attacks of dizziness due to Meniere’s disease?

Fill in "yes" if you have suffered from this.

14. Do you have ADHD or ADD?

Fill in "yes" if you currently have a diagnosis of ADHD or ADD. Fill in "no" if you were diagnosed as a child, but your treatment ended before you turned 16. In that case, a doctor decided that treatment was no longer necessary. You no longer have symptoms and you do not use medication. Not sure? Then we recommend that you first discuss this with your general practitioner.

15. Have you ever been diagnosed with autism or a form of autism, such as PDD-NOS, McDD or Asperger syndrome?

Fill in "yes" if you have been diagnosed by a doctor.

16. Have you ever been diagnosed with any other psychological or psychiatric disorder?

Fill in "yes" if you have ever consulted a general practitioner or psychiatrist who diagnosed you with a psychiatric disorder. Consider, for example, depression, psychosis or an anxiety disorder.

17. In the last five years, have you excessively used (abused) alcohol, drugs or other addictive substances?

Fill in "yes" if:

  • it is difficult for you to function without alcohol or drugs;
  • you regularly drive under the influence of alcohol or drugs;
  • you have been treated for alcohol or drug abuse within the last five years.

Not sure whether you abuse alcohol or drugs? Then take the test on: jellinke.nl.

18. Do you use medications that can have a negative affect on your ability to drive?

This concerns medicines that can make you sleepy or drowsy, or medicines with serious side effects. There will often be a warning on the packaging, but not always. However, it will always be mentioned in the patient information leaflet.

Not sure? On the website rijveiligmetmedicijnen.nl you can check whether you are taking a medicine that means you should avoid driving.

19. Do you have any other illnesses, diseases or disabilities that make it difficult to drive a motor vehicle?

You could answer "yes" to this question if, for example, you made little progress during driving lessons, or if you wish to inform the CBR that you are deaf or that you have a mental disability.