Medical Examination Report FOR COMMERCIAL DRIVER FITNESS DETERMINATION F () 1. DRIVER'S INFORMATION Driver completes this section Driver's Name (Last, First, Middle) Social Security No. Birthdate M / D / Y Age Sex M F New Certification Recertification Follow-up Date of Exam Address City, State, Zip Code Work Tel: () Home Tel: (). · The physical examination you take for your medical certificate confirms that you are healthy enough to safely perform the demanding job of a CMV driver and keep our Nation's roads safe. For commercial motor vehicle (CMV) drivers, the most important safety feature is YOU - the driver! · All commercial drivers of vehicles in interstate commerce with a maximum gross vehicle weight rating of over 10, pounds (4, kilograms) are required to obtain and maintain a valid Medical Examiner's Certificate (ME Certificate) Commercial drivers who drive vehicles requiring a CDL have two additional requirements.
Complete Examination: $ EXAM INCLUDES: Detailed Medical History; Physical Exam, Hearing Test, Vision Test, and Two Blood Pressure Checks; Urine Dipstick Testing; Review of Medical Records and Doctors’ Notes; Quick Completion of Form DL 51; Completion of Physical Fitness Certification Card; Follow-up visits just $ The physical examination you take for your medical certificate confirms that you are healthy enough to safely perform the demanding job of a CMV driver and keep our Nation's roads safe. For commercial motor vehicle (CMV) drivers, the most important safety feature is YOU - the driver!. Medical Examinations. Insulin-Treated Diabetes Mellitus Assessment Form, MCSA; Medical Examination Report (MER) Form, MCSA; Medical Examiner's Certificate (MEC), Form MCSA; CMV Driver Medication Form, MCSA (optional) Medical Exemptions Diabetes Package. This package has been removed due to the update of the Diabetes Standard.
All Commercial Driver License (CDL) holders and Commercial Learner Permit (CLP) holders must provide DMV with a valid Medical Examiner's Certificate. Sept In addition, drivers holding a commercial driver's license (CDL) or commercial learner's permit (CLP) should have a certified status noted in. Sept You can review a driver's current CDL medical certification or a U.S. Department of Transportation (DOT) Medical Examiner's Certificate.
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