Learn about the significant upcoming shifts in mandatory medical examinations for drivers diagnosed with ADHD or ADD in the Netherlands, which come into effect on April 1, 2026. This information is vital for anyone with these conditions who plans to acquire or renew their driving licence, helping you navigate the new process smoothly and understand your obligations under Dutch law.

The Dutch driving landscape is set to experience a significant shift concerning medical requirements for individuals with ADHD and ADD. As of April 1, 2026, the mandatory medical examination previously required for obtaining or renewing a driving licence for these conditions will be discontinued. This pivotal change, coordinated by the CBR (Centraal Bureau Rijvaardigheidsbewijzen) and the Minister of Infrastructure and Waterstaat, aims to streamline the process while maintaining road safety standards. Understanding these upcoming regulations is essential for any driver in the Netherlands, particularly those with ADHD or ADD, to ensure compliance and a smooth journey through licence acquisition and renewal processes.
For a considerable period, drivers diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) or Attention Deficit Disorder (ADD) have been subject to mandatory medical assessments. This requirement was established to evaluate potential risks associated with driving while managing these neurological conditions. However, recent comprehensive research conducted by the CBR has led to a reassessment of these measures. The findings indicated that the risks historically associated with ADHD and ADD in the context of driving can be effectively identified and managed through alternative means. Consequently, the necessity of a blanket, mandatory medical screening for all individuals with these diagnoses has been deemed disproportionate and is now being phased out.
This decision reflects a broader trend towards more nuanced and evidence-based medical requirements for drivers. The focus is shifting from broad categorisation to individual risk assessment where specific medical concerns are present. The CBR's research has empowered regulatory bodies to move towards a more efficient and less burdensome system for drivers who manage ADHD or ADD, without compromising the overall safety of Dutch roads.
The discontinuation of the mandatory medical check for ADHD/ADD drivers represents a substantial simplification for many individuals. Previously, applicants and those renewing their licences would need to navigate a specific medical examination process, often involving specialist reports and a Certificate of Fitness (VvG). From April 1, 2026, this particular requirement will no longer apply to them when seeking their driving permit. This change is expected to reduce administrative hurdles and potentially lower the overall cost and time associated with obtaining or maintaining a Dutch driving licence for affected individuals.
This reform aims to make the licensing process more accessible, particularly for those whose conditions do not pose a demonstrable, heightened risk to road safety. The emphasis will likely shift to the general fitness to drive, as applicable to all applicants, rather than a condition-specific mandatory check. It's crucial for drivers to stay informed about these evolving regulations to avoid any unexpected complications.
Remember that while the mandatory medical check for ADHD/ADD is being removed, all drivers are still expected to be medically fit to operate a vehicle. If you have specific health concerns that might affect your driving ability, you are still obligated to report them to the CBR.
The cessation of the ADHD/ADD medical checks is part of a larger review of medical fitness requirements by the CBR. Alongside this significant change, other adjustments are being implemented to create a more modern and appropriate framework for driver health assessments. For instance, mandatory driving fitness assessments for individuals diagnosed with Autism Spectrum Disorder (ASS) are also being removed, aligning with the principle of reassessing blanket requirements.
Furthermore, the recovery period following a psychotic episode for individuals deemed unfit to drive has been reduced. Previously, a six-month waiting period was enforced, but this has now been shortened to two months. These interconnected reforms demonstrate a progressive approach to medical regulations in driving, aiming to be both responsive to current research and considerate of the practicalities faced by drivers. The implementation of these changes, including system adjustments for REG2000, necessitates careful planning, hence the shift in the effective date to April 1, 2026, from the initially considered January 1.
For those preparing for their driving theory or practical exams, or for existing licence holders anticipating renewal, understanding these changes is paramount. The CBR's adaptation of regulations means that the specific process for ADHD/ADD drivers will align more closely with that of the general driving population. This simplification should, in theory, make the application and renewal process more straightforward.
The core principles of Dutch traffic law remain unchanged: drivers must always be in a fit state to drive safely, be aware of traffic signs, and adhere to all road rules. Even with the removal of specific medical checks, the general obligation for a driver to possess good traffic insight, maintain awareness, and act responsibly on the road remains a constant. The theory exam, which assesses knowledge of these rules and behaviours, will continue to be a crucial step in demonstrating this capability.
As these changes come into effect, it's natural for drivers to have questions. The primary concern for many will be confirming that they no longer need to undergo the specific ADHD/ADD medical evaluation. The CBR has indicated that detailed guidance will be provided closer to the implementation date, but the overarching message is the discontinuation of this particular mandatory step.
For individuals who have previously had to undergo these checks, it's important to note that the new regulations apply from April 1, 2026, onwards. Any applications or renewals prior to this date will still be subject to the existing rules. If you are unsure about your specific situation, especially if you have existing medical designations on your licence, consulting directly with the CBR or your general practitioner (huisarts) is advisable.
While these medical changes focus on licence acquisition and renewal, the Dutch driving theory exam continues to be a critical hurdle. The exam, administered by the CBR, covers a comprehensive range of topics including road signs, traffic rules, priority situations, and safe driving behaviour. Understanding general traffic laws, speed limits, and the importance of a clear mind while driving are all fundamental aspects tested.
The removal of a mandatory medical check for ADHD/ADD does not exempt drivers from general health requirements or the responsibility to drive safely and attentively. Always ensure you are fit to drive.
The CBR employs various question types to assess your knowledge effectively, including multiple-choice, yes/no, and multi-response questions, often accompanied by images or video clips to simulate real-world scenarios. Regardless of individual medical circumstances, mastering the theoretical knowledge is key to passing the exam and becoming a safe road user in the Netherlands.
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Find clear and practical answers to common questions learners often have about ADHD/ADD Driving Licence Medical Checks NL. This section helps explain difficult points, remove confusion, and reinforce the key driving theory concepts that matter for learners in the Netherlands.
As of April 1, 2026, the mandatory medical examination specifically for drivers with ADHD or ADD will be discontinued in the Netherlands. This means these individuals will no longer need to undergo this particular check to obtain or renew their driving licence.
The decision was made by the Minister of Infrastructure and Waterstaat in consultation with the CBR (Centraal Bureau Rijvaardigheidsbewijzen), following research indicating the current mandatory checks were disproportionate.
Research conducted by the CBR concluded that the relevant risk factors associated with ADHD/ADD can be identified through other means, making the separate mandatory medical screening unnecessary and disproportionate.
The new regulations, removing the mandatory medical check for ADHD/ADD drivers, will officially take effect on April 1, 2026.
Yes, along with changes for ADHD/ADD drivers, the new regulations also include the removal of mandatory driving fitness assessments for individuals with Autism Spectrum Disorder (ASS).