In order to expedite your exam and certification, additional information may be needed if your medical history includes the following conditions:

 

Diabetes Type I

You can be certified; however, you must bring a completed MCSA-5870 Insulin-Treated Diabetes Mellitus Assessment Form (to be completed by treating clinician)

 

Diabetes Type II

  • Blood work, including HbA1c, completed within last three months
  • If on insulin therapy, you must bring a completed MCSA-5870 Insulin-Treated Diabetes Mellitus Assessment Form (to be completed by treating clinician)
  • Letter from primary care provider or podiatrist stating that you do not have diabetic neuropathy
      • If you have been diagnosed with diabetic or peripheral neuropathy, you will need an evaluation by a neurologist or physiatrist to determine level of impairment
  • Eye exam within the last 12 months with statement from the eye doctor or your family medicine provider that you do not have diabetic retinopathy

 

Sleep Apnea

  • Current sleep apnea patients will need a compliance report printed out from the company who rents your CPAP/BiPAP or download from machine
  • If you have risk factors for sleep apnea determined at the time of your exam, you may be given a shorter certification and be required to obtain a sleep study prior to your next certification

 

Coronary Disease (Heart Attack, Angioplasty, or Stents)

    • Copy of stress test (within last two years)
    • Copy of echocardiogram or nuclear stress test (within last two years) showing ejection fraction over 40 percent
    • Letter from cardiologist stating you are fit to drive a commercial vehicle from a cardiology standpoint

 

Coronary Disease (Post-CABG)

      • Copy of a recent stress test if it has been more than five years since your surgery
      • Echocardiogram report and letter from cardiologist, as above

 

Seizure Disorder

      • Taking no seizure medications and seizure free for five years. You cannot be certified if you are on medications for an active seizure disorder
      • Letter from neurologist stating that you are fit to drive a commercial vehicle from a neurology standpoint
      • Chronic Medical Conditions Requiring Medication
      • If you have a chronic medical condition requiring ongoing medication, please provide a letter from your primary care provider that states:
          • The stability of your condition on the medication
          • That there is no recent change in medication dosage
          • That you have the ability to safely operate a commercial motor vehicle while on the medication

 

Other Medication

      • You will not be certified if you are taking methadone, Suboxone, or long-acting or transdermal narcotic medications
      • Anti-anxiety or depression medication will require a letter from the prescribing provider indicating you are on a stable dose and free of side-effects
      • You may be required to bring in additional documentation as determined by the provider performing your physical, in compliance with FMCSA standards. Final determination is the decision of our certified medical examiners based on your history, physical exam, and supporting documentation. We appreciate your time and please feel free to call with any questions.

 

Forms available for download:

https://www.fmcsa.dot.gov/medical/driver-medical-requirements/medical-applications-and-forms

 

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