Driving Safety and Driving Evaluations in St. Louis

Driving evaluations help determine whether a person can continue driving safely. These assessments are performed by occupational therapists or Certified Driving Rehabilitation Specialists. Most include both a clinical assessment and an on-the-road test in a dual-controlled vehicle.

Driving evaluations can help with:

• Safety concerns related to aging or memory changes

• Changes after stroke, TBI, or major illness

• Assessing reaction time, vision, and decision making

• Recommendations for adaptive equipment

• Supporting family conversations about driving

• Planning for driving retirement when needed

Insurance rarely covers these services. Most programs require self-pay.

Typical Out-of-Pocket Costs

Most St. Louis programs fall within these ranges:

• Comprehensive evaluation: $350 to $500

• On-road test only: $150 to $250

• Adaptive equipment evaluation: $100 to $200

• VA patients: usually covered by VA benefits

Costs vary by program. Families should call directly for exact pricing.

Do You Need a Doctor’s Order?

• Most programs do not require an order, but it can be helpful

• Orders are required if using insurance (rare)

• The VA requires a referral from a VA provider

Driving Evaluation Clinics (St. Louis Area)

Washington University Occupational Therapy – Driving Evaluation Program

4444 Forest Park Ave., St. Louis, MO 63108
Phone: (314) 286-1640
Driving evaluation and rehabilitation services - Occupational Therapy Services

Cost: Usually $350 to $500
Order required: No, but recommended

Driver’s Assessment and Training Program – Mercy Therapy Services

1176 Chesterfield, MO 63017
Phone: (636) 893-1100
2019-OP-Therapy-Driving-Program-Rack-Card.pdf
Cost: Approx. $300 to $450
Order required: No

Veterans Administration Driving Assessment Program

1 Jefferson Barracks Dr., St. Louis, MO 63125
Phone: (314) 652-4100 x63447
Cost: Covered for eligible veterans
Order required: Yes, VA provider referral needed

AARP Driving and Advance Planning Resources

AARP “We Need to Talk” – Family Driving Conversations

A free online guide for families navigating concerns about an older adult’s driving.
Includes suggested language, warning signs, and next steps.
Website: https://www.aarp.org/auto/driver-safety/we-need-to-talk/

AARP Driver Safety Course

Online and in-person programs that help older drivers refresh skills and learn strategies for safe driving.
Completing the course may reduce insurance premiums in some states.
Website: https://www.aarpdriversafety.org/