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What is the DTOP-DIS-260 driver's license medical certificate in Puerto Rico?
The driver's license medical certificate in Puerto Rico is form DTOP-DIS-260 from the Department of Transportation and Public Works. A doctor authorized to practice in Puerto Rico examines the applicant in person and measures visual acuity in each eye. Because it needs an in-person vision exam, we don't complete it. By video, we do complete school, university and job forms for US$35.
What does form DTOP-DIS-260 ask for?
The form cites Law 22 of January 7, 2000 (Puerto Rico's Vehicle and Traffic Law): anyone applying for a driver's license must be physically able and have no apparent mental incapacity to drive. The instructions to the doctor say, in Spanish, that the doctor will examine the applicant personally ("El médico examinará al solicitante personalmente").
The form records:
- Visual acuity in each eye, with and without corrective lenses, and whether you wear glasses or contacts.
- The condition of the ears, arms and legs, and comments on physical or mental condition.
- Any history of epilepsy, seizures, dizziness or any condition that causes loss of consciousness.
- Heart disease, a pacemaker or a prosthesis.
- Weight, height, eye color and hair color.
- The doctor's certification that they are authorized to practice medicine in Puerto Rico and examined you, with their signature, name and license, plus your signature.
Why the driver's license medical certificate isn't part of our forms visit
The DTOP-DIS-260 needs a vision exam with a standardized chart, done in person. So we don't complete it by video, and it isn't included in the School and work forms visit.
What we do by video
Dr. Diana Nieves Castro, MD, a Puerto Rico-licensed general practice physician with several years of emergency-department experience, sees adults and children of all ages by video:
- School, university and job forms, and the certificado de salud lab order (US$35): see school and work medical forms.
- Doctor visit (US$79) for a new problem, or virtual urgent care for something that isn't an emergency: see the online doctor visit. A doctor's note after your visit is included at no extra charge.
- A refill of a medicine you already take (US$49): see prescription refills.
If a condition such as high blood pressure or diabetes worries you before a license renewal, the doctor evaluates you and, if needed, gives you a lab order for a lab near you.
When do I need it, and how long is it valid?
When CESCO (the driver's license office) asks for it, and how old a certificate it accepts, depend on your transaction: a new license, a learner's permit, a renewal or something else. Confirm the current requirements with CESCO or DTOP before you see a doctor, and use the latest version of the form, because DTOP revises it from time to time.
Where to get it
From a Puerto Rico-licensed doctor who examines patients in person: your regular doctor, a CDT or a medical office. Call first to ask whether they complete the DTOP-DIS-260 and test visual acuity in the office. Bring your glasses or contact lenses and your ID.
Looking for a different certificate?
The work health certificate and a doctor's note are different documents. See medical certificates in Puerto Rico or the Puerto Rico health certificate guide.
How we care for you
We evaluate, diagnose and treat; if needed, we give you a lab order for a lab near you.
We see adults and children of all ages. Patients under 21: a parent with patria potestad (parental authority) or a legal guardian is on camera for the whole visit and shows photo ID.
Real-time video visit. We send you a secure video link. It works on your phone, tablet or computer.
If appropriate, the doctor prescribes and we send your prescription to your pharmacy. We do not prescribe controlled substances.
You must be physically in Puerto Rico during the visit (visitors, tourists and cruise passengers are welcome).
In an emergency, call 911.
Frequently asked questions
Can a doctor complete the DTOP-260 by telehealth?
What is checked for the driver's license medical certificate?
Who can sign it?
About this page
Author: The Health Initiative
Medical care provided by Dr. Diana Nieves Castro, MD (PR license 24027)
Disclosure: Founding Executive Director of The Health Initiative
Published: 2026-10-02 · Updated: 2026-10-02