LTO Medical Certificate: Where It Comes From
Land Transportation Office · licences
Quick answer
An LTO medical certificate must come from an LTO-accredited medical clinic and be electronically transmitted, with the original presented and one photocopy submitted. It is required for a student permit, a new licence and a renewal. LTO does not publish what the clinic charges.
Last verified
Where these figures come from
About these figures: the numbers below come from LTO's official published sources: Land Transportation Office | Citizen's Charter 2026 (1st Edition) (https://lto.gov.ph/wp-content/uploads/2026/07/Citizens-Charter-2026-1st-Edition-2.pdf, retrieved 2026-08-31); Land Transportation Office | Citizen's Charter (https://lto.gov.ph/citizens-charter/, retrieved 2026-08-31). Agencies change fees and rates without notice, so confirm with LTO before you rely on them. Last verified: 2026-08-31.
Every LTO licensing transaction starts with the same line on the checklist: an electronically transmitted medical certificate from an LTO-accredited medical clinic. This page covers what LTO publishes about it, and is direct about the one thing it does not.
Where it is required
| Transaction | Medical certificate required | LTO fee |
|---|---|---|
| Student-Driver’s Permit, walk-in | Yes, requirement 2 | ₱250.00 |
| Student-Driver’s Permit, portal | Yes, requirement 2 | ₱250.00 |
| New Non-Professional Driver’s License | Yes, requirement 2 | ₱685.00 |
| Plain or advance renewal | Yes, requirement 1 | ₱585.00 |
| Renewal with examination | Yes, requirement 2 | ₱685.00 |
| Conductor’s License | Yes | ₱685.00 |
On a renewal it is the first item on the list, ahead of the licence itself.
What the requirement actually says
| The charter’s wording | |
|---|---|
| Document | Electronically transmitted medical certificate from an LTO-accredited medical clinic |
| Copies | Submission of 1 photocopy and presentation of the original |
| Where to secure | Medical clinics accredited by the Land Transportation Office |
The word doing the work is electronically transmitted. The clinic sends the result to LTO directly; the paper you carry is a presentation copy.
The price LTO does not publish
LTO sets no fee for the medical examination in its 2026 Citizen’s Charter. The clinics are private and government facilities operating under an LTO accreditation, and the charter regulates their accreditation rather than their prices. Following this site’s own rule, no figure is invented to complete the picture.
What the charter does price is the accreditation itself.
| Accreditation | Fee | Published total time |
|---|---|---|
| Medical clinic, new | ₱5,000.00 | 17 working days 2 hours 28 minutes |
| Medical clinic, renewal | ₱3,000.00 | 19 working days 3 hours |
| Physician, new | ₱3,000.00 | 11 working days 3 hours 3 minutes |
| Physician, renewal | ₱1,000.00 | 12 working days 2 hours 3 minutes |
All four are handled by the Central Accreditation Committee on Driving Schools and Medical Clinics (CAC-DSMC). Clinic accreditation is described as a yearly authority, granted to previously accredited private and government clinics or health facilities on renewal, and to qualified private and government physicians on the physician side.
What the whole transaction costs, with the gap marked
| Line | Amount |
|---|---|
| Medical certificate | Not published by LTO |
| Student-Driver’s Permit fee | ₱150.00 |
| Application fee | ₱100.00 |
| Subtotal LTO collects for a permit | ₱250.00 |
| Driver’s licence fee, first application | ₱585.00 |
| Application fee | ₱100.00 |
| Subtotal LTO collects for a first licence | ₱685.00 |
| Renewal, on time | ₱585.00 |
| Renewal penalty, up to 1 year expired | ₱75.00 |
| Renewal penalty, 1 to 2 years | ₱150.00 |
| Renewal penalty, beyond 2 years | ₱225.00 |
The other things the clinic does not supply
Two more certificates come from outside LTO, and neither is priced in the charter either.
| Certificate | Where it comes from | Required for |
|---|---|---|
| 15-hour Theoretical Driving Course | LTO DEC, accredited driving school, accredited TESDA centre | The Student-Driver’s Permit |
| Practical Driving Course | The same three | A first Non-Professional Driver’s License |
| Comprehensive Driver’s Education | LTO Public Portal e-Learning, a district or extension office, a DLRO, or a DEC | The initial renewal of the 5-year licence |
The theoretical driving course guide covers all three, and the accreditation fees driving schools pay.
Timing your trip
The certificate is transmitted before you queue, so the office clock only starts once you submit a complete file.
| Transaction | Walk-in | Portal |
|---|---|---|
| Student-Driver’s Permit | 1 hour 53 minutes | 49 minutes |
| Permit renewal | 1 hour 53 minutes | 48 minutes |
| New Non-Professional Driver’s License | 5 hours 38 minutes | Not available |
| Plain or advance renewal | 2 hours 11 minutes | 38 minutes |
| Renewal with examination | 5 hours 40 minutes | 4 hours 32 minutes |
| Enhancement of Driver’s License | 2 hours 11 minutes | 1 hour 7 minutes |
LTO states processing time includes waiting time and starts on submission of complete requirements, at offices running 8:00 AM to 5:00 PM.
Medical requirements at other agencies
For comparison, these agencies do publish what their medical-adjacent documents cost or require.
| Agency | Document | Published position |
|---|---|---|
| DFA | Medical certificate or prenatal records | Proof of pregnancy for Special Lane eligibility; no fee attached |
| DFA Authentication | Medical certificate for employment | A DOH stamp per document before an apostille at ₱100.00 or ₱200.00 |
| OWWA | Pre-Departure Orientation Seminar | Covered under membership at USD $25.00 |
| SSS | Sickness notification and medical certification | Part of the benefit claim, not a fee |
What this page does not cover
LTO does not publish, in the charter pages read for this guide, the price of the medical examination, a validity period for the certificate, the list of accredited clinics, the medical standards applied, or what happens when an applicant fails the examination. None of those are stated here.
A note on this page’s template. It was planned as a fee-and-requirements guide. Because LTO publishes no fee for the medical certificate itself, it is written as a requirements-and-process guide instead, which is what this site’s rules prescribe when a fee is not genuinely published.
Related
The student permit guide, the new driver’s licence guide and the renewal guide each list this certificate on their checklist.
Frequently asked questions
- How much is an LTO medical certificate?
- LTO does not publish it. The certificate is issued by LTO-accredited medical clinics, and the 2026 Citizen's Charter sets accreditation fees for the clinics themselves but no ceiling on what they charge a driver. No figure is stated on this page.
- Which transactions need one?
- The Student-Driver's Permit on both the walk-in and portal routes, the New Non-Professional Driver's License, the Conductor's License, plain and advance renewal of a driver's or conductor's licence, and renewal with examination. It is the first standard requirement on the renewal checklist.
- What form does it take?
- An electronically transmitted medical certificate from an LTO-accredited medical clinic. You submit one photocopy and present the original.
- Where do I get one?
- From a medical clinic accredited by the Land Transportation Office. The accreditation is a yearly authority granted by the Central Accreditation Committee on Driving Schools and Medical Clinics.
- How long is the accreditation good for?
- LTO describes it as a yearly authority granted to medical clinics to issue medical certificates to student-permit and driver's or conductor's licence applicants.
- What does a clinic pay to be accredited?
- ₱5,000.00 for a new accreditation, published at 17 working days 2 hours 28 minutes, and ₱3,000.00 for a renewal, published at 19 working days 3 hours. A physician's own accreditation is ₱3,000.00 new and ₱1,000.00 on renewal.
- Is a hospital certificate accepted?
- The charter names medical clinics accredited by LTO, and its accreditation service covers private and government clinics or health facilities. Anything outside that accreditation is not described in the pages read for this guide, so this page does not state that it is accepted.
- Does it expire?
- LTO does not publish a validity period for the certificate on the pages read for this guide, so none is stated here. What it does publish is that the certificate must be electronically transmitted, which ties it to a current accredited clinic record.