
Yes, you can get an instruction permit in Missouri if you have a disability. The Missouri Department of Revenue (DOR) does not deny driving privileges based on a diagnosis. Eligibility is based on your functional ability to safely operate a vehicle, potentially with adaptive equipment or specific restrictions.
Medical review, test accommodations, and optional credential notations are separate processes. A disability does not automatically place every applicant into medical review.
If DOR needs medical information to determine whether a condition affects safe driving, it may require a physician's examination. The current physician form for that process is Physician's Statement (Form 1528). Form 4319 is a Driver Condition Report used to report a potentially unsafe driver; it is not the applicant's standard physician-review form.
For conditions like ADHD or anxiety, a doctor's letter is not automatically required for the knowledge test. However, if your condition could affect your driving ability, DOR may request medical information, including Form 1528, as part of a medical review. Extended time for the knowledge test due to a learning disability is available, request an oral test or headphones for the audio version.
The MSHP administers the 25-question permit test and offers several accommodations. You generally do not need to prove a severe disability for basic tools.
For standard accommodations like headphones, request them when you check in. For a human reader or other specialized request, contact your local MSHP Troop Headquarters in advance, ideally at least 3 weeks before your planned test date, and complete the MSHP Reasonable Accommodation Request (Form SHP-885) if needed so the station can arrange the appropriate support.
Yes. MSHP provides oral testing options, including computer audio assistance and examiner-read testing when appropriate. Ask the examination station about the available format before you begin.
Yes. The current Class F written-test language options include an American Sign Language video version.
If you need vehicle modifications, use the adaptive equipment required for you to drive safely. Common examples include hand controls, spinner knobs, or left-foot gas pedals. Consulting a Certified Driver Rehabilitation Specialist (CDRS) may be useful.
DOR may place restriction codes on a credential when a driving limitation requires them. A deaf/hard-of-hearing indicator is different from a driving restriction.
| Code / Notation | Purpose |
|---|---|
| A (Corrective Lenses) | Required when corrective lenses are a driving condition. |
| C (Daylight Driving Only) | Limits driving to daylight when imposed. |
| D (Auto Transmission/Power Steering) | Applies when the credential carries that equipment restriction. |
| DHH notation | Optional deaf/hard-of-hearing notation; it is not a standard driving-restriction code. |
For road-test vehicle requirements involving adaptive equipment, use the dedicated road-test vehicle guidance rather than assuming a separate statewide equipment-certification rule.
No. DHH is an optional deaf/hard-of-hearing notation. It is not itself one of Missouri's standard driving-restriction codes.
Medical review is the DOR process used to decide whether a condition affects safe driving and whether medical information or driving restrictions are needed. A notation or disability indicator communicates information on the credential or record; it does not by itself create a driving restriction unless DOR separately assigns one.
The current total fee for a Class F instruction permit is $10. The permit is valid for 12 months.
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