Harmonised Medical Examination Report (HMER)

Find out more on the new digital Harmonised Medical Examination Report (HMER).

At a glance

Benefits of HMER

With effect from 2 February 2026, the Traffic Police (TP) and the Land Transport Authority (LTA) have introduced the new digital HMER, to simplify the medical assessment process for elderly vocational licence (VL) drivers.

 

Key Benefits

  1. No physical medical form submission is required.
  2. Digital medical submission is done by medical practitioner on behalf of drivers.
  3. Single submission of medical report to TP or LTA.

 Medical Examination Requirements

 

Frequency of Medical Examinations

Age Group

Vocational Licence (LTA)

Driving Licence (TP)

50 to 64 years old

Every 2 years

No requirement

65 years and older

Every year until the age of 74

Class 2 & 3: Every 3 years

Class 4 & 5: Every year until the age of 74

Scenarios for Medical Assessment
  1. Fulfil yearly/every 2 years medical requirements
  2. For VL Application
  3. For VL Renewal

 

Understanding HMER

The new digital HMER streamlines the medical assessment and submission process for VL drivers.

Key features and benefits

  1. VL drivers aged 65 years and above will receive only 1 medical notification letter from TP or LTA, instead of 2 separate letters from both agencies when they are due for medical examination.
  2. VL drivers only need to undergo 1 medical assessment.
  3. VL drivers are no longer required to upload and send completed medical form to TP or LTA. 
  4. Medical assessment is submitted digitally by medical practitioner on behalf of drivers.

 

Below infographic highlights the harmonised medical submission journey for VL drivers.

Med Sub Journey
 

Sample 1st SMS (acknowledge form submission)

Sample 2nd SMS (medical accepted)

   

 

Medical Examination Requirements

Below table summarizes the medical requirements for driving licence and VL holders

  Frequency of Medical Examinations
Age Group Vocational Licence (LTA) Driving Licence (TP)
50 to 64 years old Every 2 years No requirement
65 years and older Every year until the age of 74*

Class 2 & 3: Every 3 years

Class 4 & 5: Every year until the age of 74*

*The statutory upper age limit is 75 years old for Class 4, Class 5 and vocational licence drivers. Drivers who reach 75 years old on their birthday can no longer hold these licences.

 

Scenarios for Medical Assessment

A medical assessment is generally required for VL under the following scenarios:

  1. Fulfil yearly/every 2 years medical requirements
  2. For VL Application
  3. For VL Renewal
Purpose of Medical Assessment How and when will you be notified? Actions Required Type of fees applicable

Fulfil yearly/every 2 years medical requirement

Medical letter will be sent to your registered address 2 to 3 months before your check-up is due

1. VL holder undergoes medical check-up at any Singapore registered clinic.

 

2. Medical Practitioner submits medical assessment digitally on behalf of VL holder to LTA.

 

3. VL holder receives 1st SMS to confirm on HMER submission.

 

4. VL holder receives 2nd SMS within 3 working days to confirm HMER accepted.

 

1. Applicable medical fee (by clinic)

For VL application Approval-to-Attend-Course (ATC) letter will be emailed to you upon VL approval.

1. VL applicant undergoes medical check-up and chest X-ray examination at any Singapore registered clinic.

 

2. Medical Practitioner submits medical assessment digitally on behalf of VL applicant to LTA.

 

3. VL applicant receives 1st SMS to confirm on HMER submission.

 

4. VL application receives 2nd SMS within 3 working days to confirm HMER accepted.

 

5. Present the 2nd SMS to training providers to register for training course.

1. VL Application fee of $40

 

2. Applicable X-ray and medical fee (by clinic)

 

3. Applicable training course fee (by training provider)

For VL renewal

Renewal notice will be sent to your registered address 1 to 2 months before your licence expires

1. VL holder undergoes medical check-up at any Singapore registered clinic.

 

2. Medical Practitioner submits medical assessment digitally on behalf of VL holder to LTA.

 

3. VL holder receives 1st SMS to confirm on HMER submission.

 

4. VL holder receives 2nd SMS within 3 working days to confirm HMER accepted.

 

5. VL holder ensures all other renewal requirements are fulfilled and submits renewal application to renew VL via the GoBusiness portal. Refer to Renew VL User Guide.

1. VL Renewal fee of $40

 

2. Applicable medical fee (by clinic)

 

 

1. Fulfil yearly or every 2 years medical requirements

Notification Letter Infographic
 

2. Medical submission for VL application

3. Medical submission for VL renewal