DRIVING CLINIC
DRIVING CLINIC
Occupational Therapy Driving Assessments
Following illness or injury, a person’s ability to learn to drive or resume driving may be affected by physical, cognitive, perceptual and/or behavioural changes, compromising the safety of both the driver and other road users. Driving modifications can also be trialled, though this service may have to occur in Townsville or Cairns as these locations have driving schools with these modifications available for testing and practice.
An occupational therapist who specialises in driving will be able to assess you in a two-part assessment. OT Driving Assessments can vary based on the type of vehicle being evaluated. We can complete On-Road assessments for the following:
- Car (Class C)
- Motorcycle (Class R)
- Heavy Vehicle (Classes LR, MR, HR, HC, MC)
Before returning to driving, you need to have a discussion with your treating doctor/s who will need to complete a referral to our service. Doctors will consult the Austroads Guidelines, which are the medical guidelines for driving. These guidelines will discuss when an occupational therapy driving assessment is required.

Occupational Therapy Driving Assessments
Following illness or injury, a person’s ability to learn to drive or resume driving may be affected by physical, cognitive, perceptual and/or behavioural changes, compromising the safety of both the driver and other road users. Driving modifications can also be trialled, though this service may have to occur in Townsville or Cairns as these locations have driving schools with these modifications available for testing and practice.
An occupational therapist who specialises in driving will be able to assess you in a two-part assessment. OT Driving Assessments can vary based on the type of vehicle being evaluated. We can complete On-Road assessments for the following:
- Car (Class C)
- Motorcycle (Class R)
- Heavy Vehicle (Classes LR, MR, HR, HC, MC)
Before returning to driving, you need to have a discussion with your treating doctor/s who will need to complete a referral to our service. Doctors will consult the Austroads Guidelines, which are the medical guidelines for driving. These guidelines will discuss when an occupational therapy driving assessment is required.

Step 1
Off Road Driving Assessment / Pre-Driving Screen
Approx. 1.5 Hours
An off-road assessment is used to determine if your illness or injury has caused any problems that may affect your ability to drive safely.
The assessment tests:
- Physical abilities
- Vision
- Reaction times
- Judgement and planning
- Knowledge of road rules and signs
- Strategic thinking skills e.g. Decision making
The Off-road assessment results will assist your occupational therapist in determining:
- Your readiness for an on-road assessment; and
- If vehicle modifications are required to be trialled
Step 2
On Road Assessment
Approx. 1 Hour
The On-road assessment is usually carried out on the same day as the Off-road assessment on the guidelines that a dual controlled car and driving instructor are available. The vehicle may be automatic or manual with additional modifications if required. The On-road assessment takes approximately 60 minutes during which the occupational therapist will observe from the rear seat to assess the potential effects your illness or injury may have on your driving skills. After the drive, the therapist and driving instructor meet briefly and then sit down with you and provide feedback regarding the drive.
Step 3
Written Report
A detailed report will be compiled to summarise the findings and recommendations from the OT Driving Assessor which is forwarded to yourself and the referring doctor.
Step 1
Off Road Driving Assessment / Pre-Driving Screen
Approx. 1.5 Hours
An off-road assessment is used to determine if your illness or injury has caused any problems that may affect your ability to drive safely.
The assessment tests:
- Physical abilities
- Vision
- Reaction times
- Judgement and planning
- Knowledge of road rules and signs
- Strategic thinking skills e.g. Decision making
The Off-road assessment results will assist your occupational therapist in determining:
- Your readiness for an on-road assessment; and
- If vehicle modifications are required to be trialled
Step 2
On Road Assessment
Approx. 1 Hour
The On-road assessment is usually carried out on the same day as the Off-road assessment on the guidelines that a dual controlled car and driving instructor are available. The vehicle may be automatic or manual with additional modifications if required. The On-road assessment takes approximately 60 minutes during which the occupational therapist will observe from the rear seat to assess the potential effects your illness or injury may have on your driving skills. After the drive, the therapist and driving instructor meet briefly and then sit down with you and provide feedback regarding the drive.
Step 3
Written Report
A detailed report will be compiled to summarise the findings and recommendations from the OT Driving Assessor which is forwarded to yourself and the referring doctor.

Potential Outcomes of an OT Driving Assessment
It is important to understand, your referring doctor must make the final decision on resuming driving. Following the assessment, the occupational therapist and driving instructor may advise you of the following options:
- Unsafe to drive at the present time
- Vehicle modifications and lessons to learn to use controls are required.
- Required driving lessons to develop safe driving skills
- You are safe to drive
Driving Requirements:
- Medical Referral – Austroads guidelines, a referral to an Occupational Therapist for a driving assessment requires support of a referring doctor, as they are ultimately responsible for providing medical clearance to Queensland Transport to individuals with a disability or medical conditions. Our website has a Driving Assessment form, which your doctor can fill in.
- Valid Driver’s license – a current driver’s license is required; this can be either a learner’s permit or open license.
- If you do not hold a current driver’s license, please attend the QLD Department of Transport and Main Roads to be provided with a temporary license for the purpose of the OT Driving Assessment (Your doctor will need to complete this form QLD Transport Medical Certificate for Motor Vehicle Driver – Form 3712 for a temporary driver’s licence to be provided)
- Vision – an Optometrist / Ophthalmologist that includes computerised perimetry testing is required for all OT Driving Assessments.
- Neuropsychological report – if you have had a serious acquired brain injury.


Case Studies:
- Spinal Cord Injury: We supported an individual with a spinal cord injury who had lost functional use of their legs. By fitting their vehicle with hand controls for braking and acceleration, they were able to return to driving.
- Amputation: A client with a right leg amputation could no longer use the standard accelerator pedal. We installed a left-foot accelerator, enabling them to return to driving comfortably and safely.
- Brain Injury Recovery: A year after a brain injury, a client was approved by their rehabilitation consultant to explore driving. We assessed their abilities and found they could safely drive both automatic and manual cars. Later, we assisted them in starting truck driving for work, recommending a gradual return-to-driving plan with their employer.
- Workplace Accessibility and Comfort: We assist workers and employers in addressing challenges such as symptom aggravation, accessibility issues, and control adjustments in vehicles and mobile plants used in diverse workplaces.
- Motorbike Riding Post-Amputation: A client with lower limb amputations was able to return to motorbike riding, achieving their goal with customized support and adaptive solutions.
These examples reflect our commitment to providing tailored solutions, ensuring safety and independence for all our clients.

Potential Outcomes of an OT Driving Assessment
It is important to understand, your referring doctor must make the final decision on resuming driving. Following the assessment, the occupational therapist and driving instructor may advise you of the following options:
- Unsafe to drive at the present time
- Vehicle modifications and lessons to learn to use controls are required.
- Required driving lessons to develop safe driving skills
- You are safe to drive
Driving Requirements:
- Medical Referral – Austroads guidelines, a referral to an Occupational Therapist for a driving assessment requires support of a referring doctor, as they are ultimately responsible for providing medical clearance to Queensland Transport to individuals with a disability or medical conditions. Our website has a Driving Assessment form, which your doctor can fill in.
- Valid Driver’s license – a current driver’s license is required; this can be either a learner’s permit or open license.
- If you do not hold a current driver’s license, please attend the QLD Department of Transport and Main Roads to be provided with a temporary license for the purpose of the OT Driving Assessment (Your doctor will need to complete this form QLD Transport Medical Certificate for Motor Vehicle Driver – Form 3712 for a temporary driver’s licence to be provided)
- Vision – an Optometrist / Ophthalmologist that includes computerised perimetry testing is required for all OT Driving Assessments.
- Neuropsychological report – if you have had a serious acquired brain injury.


Case Studies:
- Spinal Cord Injury: We supported an individual with a spinal cord injury who had lost functional use of their legs. By fitting their vehicle with hand controls for braking and acceleration, they were able to return to driving.
- Amputation: A client with a right leg amputation could no longer use the standard accelerator pedal. We installed a left-foot accelerator, enabling them to return to driving comfortably and safely.
- Brain Injury Recovery: A year after a brain injury, a client was approved by their rehabilitation consultant to explore driving. We assessed their abilities and found they could safely drive both automatic and manual cars. Later, we assisted them in starting truck driving for work, recommending a gradual return-to-driving plan with their employer.
- Workplace Accessibility and Comfort: We assist workers and employers in addressing challenges such as symptom aggravation, accessibility issues, and control adjustments in vehicles and mobile plants used in diverse workplaces.
- Motorbike Riding Post-Amputation: A client with lower limb amputations was able to return to motorbike riding, achieving their goal with customized support and adaptive solutions.
These examples reflect our commitment to providing tailored solutions, ensuring safety and independence for all our clients.
Costs if Insured
If you are covered by some form of compensation (e.g. WorkCover, Private Disability Insurance or Compulsory Third-Party Insurance), the cost of the assessment may be met by them. For all other costs involved with a driving assessment contact our office to receive a quote.