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To bring with you

  • Completed (driver portion) FMSCA medical examiner form

  • Clearance letters or last visit note from provider managing your medical condition (diabetes, sleep apnea, cardiologist)

  • Lab and Test Reports within 3 months

  • Condition-Specific Documentation

  • List of Medications

    • Prescription and over-the-counter​

    • List the name, dose, how often, reason for taking, and the prescriber

  • List of Providers

    • Name and phone numbers​

Day of Exam

  • What to Expect

    • Urine Test​

    • Hearing Test

    • Vision Test

    • Documentation Review

    • Physical Exam

  • Remember to Bring

    • Driver's License​

    • Hearing Aids

    • Glasses

    • Documentation

Health Conditions
Documentation Needed

  • High Blood Pressure

    • Must be <140/90​ with or without treatment for one year certification

    • >140/90 but less than 179/109 qualifies for 3 month certification

    • >180/110 cannot be certified

  • Cardiac Events (heart attack, stent/angioplasty, open heart surgery, heart failure, etc.)

    • A stress test and/or echocardiogram are required every 1-2 years​

    • Bring a statement or most recent office visit note from your cardiologist

  • Diabetes

    • A1C within 3 months must be <10%, bring labs

    • Bring a statement or most recent visit note from your treating provider that documents adequate blood sugar control without hypoglycemia

    • Insulin dependence: bring this form completed by your treating provider within 45 days

  • Obstructive Sleep Apnea (OSA)

    • Must attest to no daytime sleepiness, episodes of apnea, or falling asleep at the wheel, and show evidence of treatment compliance​

    • Documentation of annual assessment from sleep doctor

    • Compliance report from your CPAP machine, within the last month must show 70% compliance >4 hours

  • Vision

    • Visual acuity must be 20/40 in each eye and both together (with or without glasses/contacts)​

  • Hearing

    • No more than 40 dB (5500-2000 Hz) hearing loss in your better ear, with or without hearing aids​

  • Mental Health (depression, anxiety, ADD/ADHD, etc.)

    • Bring your most recent office visit note from the treating provider.  ​

    • The note should state that your condition, treatment, and medications are safe with commercial driving duties

  • Medications

    • Automatic disqualifiers:  methadone, medical marijuana​

    • Coumadin (warfarin)

      • Last 3 months of INR results​

      • Could be disqualifying depending on reason for use

    • Narcotics

      • Schedule 1 are disqualifying​

      • Letter or this form completed from prescribing physician that states you are safe to operate a commercial motor vehicle

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