Driver Assessment & Rehabilitation 


We are the experts at helping you get behind the wheel!

About CBI's Driver Assessment and Rehabilitation Program

CBI’s Driver Assessment and Rehabilitation Program provides driver assessments, driver training, vehicle evaluations and vehicle modifications for clients with medical conditions. We have sites throughout Ontario and British Columbia that are utilized by the Ministries of Transportation as Functional Assessment Centres. Our mandate is to ensure that drivers with cognitive, visual, physical or mental health barriers are able to use our motorways as competent, independent drivers and if required, using modifications that are customized to their unique needs. We employ a highly skilled team of Occupational Therapists and Driving Instructors to perform driving assessments

It's easy to arrange a driving assessment; in fact, a referral is not needed — and an assessment is mandatory for those with medically suspended licenses who want to get back behind the wheel. In addition, our programs are registered with provincial authorities and can be covered by healthcare, compensation and insurance plans. Find out how CBI Health Group can take the guesswork out of driving abilities and provide the step-by-step treatment our patients need to drive safely.

Programs and Services

Driving Assessment The Driving Assessment is comprised of three parts:

1. Occupational Therapy Assessment: Your evaluation begins with an Occupational Therapist who will review your medical history and current physical abilities (range of movement, strength, balance and reaction time) and perform a visual screen. Evidence-based tools will be utilized to assess perceptual, cognitive, and complex problem solving abilities that are paramount to driving. The Clinical Evaluation may also include an assessment of your vehicle and discussion of potential adaptive driving equipment for your specific medical condition and functional abilities.

2. On-Road Assessment: The second part of the assessment consists of an in-vehicle driving evaluation with a Certified Driving Instructor and an Occupational Therapist. This will be conducted in one of our dual-controlled vehicles. We use our evaluation vehicle for safety reasons. The evaluation will begin in a residential area and progress to four-lane roads and highway driving. The Driving Instructor will be seated in the front passenger seat. The Occupational Therapist will be seated in the back seat to observe your responses. The On-Road Evaluation assesses the following:

  • Physical ability and endurance
  • Cognitive/behavioural skills
  • Visual/perceptive skills
  • Response to the traffic environment
  • Impact of your disability on driving competency
  • Feasibility of participation in a driver rehabilitation program, if recommended

3. Feedback Session: The third and final part of the assessment is the feedback session. Based on all of the information gathered during both parts of the evaluation, the Occupational Therapist, in collaboration with the Driving Instructor, will make a recommendation regarding your suitability to drive. This recommendation will be shared with you at the time of the assessment; additionally a written evaluation will be mailed to you. The goal of the assessment is to determine whether your medical condition is impairing your ability to drive safely.

The complete assessment takes approximately 2-3 hours. Test results and recommendations are sent to the family doctor, the client, and if applicable, the Ministry of Transportation and third party payers. The final decision rests with the Société de l'assurance automobile du Québec (SAAQ).


Driving Anxiety Program

Comprehensive driving assessments and driving instruction are also available for individuals who are experiencing driving-related fear and/or anxiety. The assessment is similar to Parts 1-3 as outlined above with a stronger focus on fears and anxiety related to driving.


A Driving Desensitization Treatment Program is formulated based on the results of the assessment. Treatment is individualized and includes in-car driver training with a licenced Driving Instructor, as well as one-to-one in-clinic Cognitive Behavioural Therapy (CBT) sessions with an Occupational Therapist as required.

Vision Waiver Assessments

CBI’s Driver Assessment and Rehabilitation Program offers Vision Waiver Assessments at two of our accredited facilities, CBI Health Centre - Markham Copper Creek and CBI Health Centre - Brampton Gateway. Vision Waiver Assessments are appropriate for individuals who do not meet the Ministry of Transportation’s visual field requirement. Vision Waiver Assessments allow individuals to demonstrate whether they can compensate for their visual defects and drive safely. A Vision Waiver Assessment includes a number of standardized tests, including both in-clinic and on-road evaluations.


Anyone can make a referral.

Referrals can be made directly by an individual online, through your doctor, by the WSIB or an Insurance Adjuster (if you have been in a car accident).

We have offices throughout Ontario and British Columbia and we are available to meet with clients in their homes and communities.


In Ontario, the Ministry of Transportation or the Ministry of Health does not cover costs for a Driving Assessment. An extended healthcare plan that covers occupational therapy services may fund a portion of the assessment. Please check with your extended healthcare provider.

In British Columbia, if RoadSafetyBC requires you to take a Functional Driving Evaluation, they will reimburse you the cost of the assessment upon submission of your receipt and their office receiving a copy of the final report.

The Driver Assessment fee includes the services of an Occupational Therapist and a Driving Instructor, the use of the vehicle, the associated insurance costs and the preparation of a detailed report.

Only the Ministry of Transportation has the authority to suspend a driver’s license. We evaluate your cognitive, visual and physical abilities and determine if a medical condition is affecting your ability to drive safely. Our report is forwarded to the Ministry of Transportation, Medical Review Section for their review and decisions.

All of the Occupational Therapists conducting Driving Assessments are trained Driver Rehabilitation Assessors. All of the Driving Instructors on staff have years of experience working with clients with medical issues. While they are all Licensed Driving Instructors, each one has taken many courses on medical issues and training with modified equipment. All of the Driving Instructors work under the supervision of an Occupational Therapist.

We have an extensive fleet of modified vehicles. All of our vehicles have automatic transmission and are dual-controlled. A vehicle may also include modified driving controls including a number of different styles of hand controls, left foot accelerators, steering spinner devices, special mirrors, crossover signal bars and extensions for dash controls.

Referrals can be made by physicians, specialists, eye doctors, occupational therapists, case managers, driving schools, gerontologists, parents or spouses, the individuals themselves, the Worker’s Compensation Board (in the event of a work related accident) or automobile insurance adjusters (in the case of a motor vehicle accident). We also work with older drivers and their families to address the challenges of diminishing driving skills. In all cases, our Occupational Therapists and Driving Instructors are able to assess and treat all physical and mental impairments.

Dozens of physicians, occupational therapists, and case managers across the Ontario and British Columbia rely on our expertise and professionalism for their patients’/clients’ transportation issues.

We use our evaluation vehicles for the assessment. For safety reasons, our vehicles have an instructor’s brake installed on the front passenger side and extra mirrors.

A Driving Assessment consists of a clinical and behind-the-wheel component. The evaluation process generally includes assessment of physical function, vision, perception, attention, motor function and reaction time, in addition to an actual driving performance assessment. Based on the evaluation results, the Occupational Therapist will determine if your medical status is impacting your driving ability, if any adaptive driving equipment is needed or whether you require driver rehabilitation or training. A comprehensive Driving Assessment takes approximately 2-3 hours to complete and training is customized to the unique needs of each individual. Some of the recommended vehicle adaptations could include lifts; ramps; custom seating; steering devices, such as spinner knobs and other specially-designed handles for the steering wheel; hand controls; foot pedal extensions; special mirrors; extenders and extensions for dash controls; and other adaptive tools.

In Ontario, you must have a valid driver’s license to participate in the on-road portion of the evaluation. However, if your driver’s license is medically suspended, CBI can request a One Day Temporary Driver’s license through The Ministry of Transportation, Medical Review Section for evaluation purposes. The Ministry will review your file and may provide you with a temporary driver’s license for rehabilitation purposes in order to participate in the Driving Assessment or training sessions. In British Columbia, your family doctor is required to write to RoadSafetyBC and inform them of an improvement to your medical status. RoadSafetyBC would then make the decision about whether they would issue a restricted temporary licence required for you to complete the Driving Assessment.

We are able to complete trucking and motorcycle assessments and training for persons with disabilities and provide modifications to assist with independent driving. Trucking and motorcycle licensing is completed through the Ministry of Transportation.

We will not use or disclose your personal information without your consent except in the following circumstances:

  • When required by law or law enforcement purposes
  • For an emergency that threatens life, health or security i.e. imminent danger Find out how CBI Health Group can take the guesswork out of driving abilities and provide the step-by-step treatment plan you need to drive safely.



To book an appointment or to make a referral in Ontario, please call 1.800.558.4599

To book an appointment or to make a referral in British Columbia, please call 1.844.254.0444 ext. 0015


In Ontario, this is a self-paid program; however funding may be available through extended health benefits or accident benefits if you were involved in a motor vehicle accident or an accident in the workplace (WSIB). We are not funded by the Ministry of Health orf Ministry of Transportation.

In British Columbia, if RoadSafetyBC requires you to take a Functional Driving Evaluation, they will reimburse you the cost of that assessment upon submission of your receipt and their office receiving a copy of the final report.