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CDL Drivers DOT Medical Exam Form MCSA-5875 PDF


Current Form & Medical Card

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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This form is obsolete after April 16, 2016.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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