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Forms & FAQ

• DOT Physical FAQ for CDL Drivers Medical Exam
• CDL Drivers DOT Medical Exam Form MCSA-5875 & CDL Medical Card MCSA-5876 PDF New Forms Expire 12/31/24
• DOT Physical Insulin Diabetes Assessment Form MCSA 5870 PDF New Form Expires 12/31/24
• DOT Physical Visual Evaluation Report Form MCSA 5871 pdf print New Form Expires 03/31/25
• DOT Physical CMV Driver Medication Form MCSA 5895 PDF New Form Expires 04/30/23
• DOT Drug Testing Form CCF OMB 0930 0158 pdf

Find DOT Physical Exam Provider Locations. Active, Certified Medical Examiners (CME) Directory. Get Your CDL Medical Card Fast.

CDL Drivers DOT Medical Exam Form 649f pdf1

Updated 1-16-2015. CDL Drivers DOT Medical Exam Form 649f pdf 9 pages. Includes CDL (NRCME) Medical Card Certificate on page 9. Includes Instructions to Physician, Minimum Requirements and Physical Qualifications for Commercial Drivers.

This form is obsolete after April 16, 2016. After that date, Use The New Form - MCSA-5875. The new form may be used after Dec. 22, 2015.

Under current regulations, If the medical examiner determines that the driver is fit to drive and is also able to perform non-driving responsibilities as may be required, the medical examiner signs the medical certificate. The certificate (page 9) is valid for two years, unless the driver has a medical condition that does not prohibit driving but does require more frequent monitoring. In such situations, the medical certificate should be issued for a shorter length of time. The physical examination should be done carefully and at least as complete as is indicated by the attached form.

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