Pa dot medical card pdf

New medical certification requirements a guide for commercial drivers license cdl holders. The purpose of this test is to check whether a potential driver is fit enough to drive safely at the present time as well as in the foreseeable future. Dot cdl physical exam locations and forms pennsylvania cities a thru f incuding abington, allentown, avondale, baden, bala cynwyd, belle vernon, berwick, bethlehem. Those who have a history of serious heart problems or who use medical devices like defibrillators and pacemakers may be disqualified from receiving a dot medical card. Dec 18, 2019 statebystate instructions for submitting medical certificates for cdl drivers to the state agencies stateinstructionssubmittingmedcertificate. This form is not for drivers that do not have a cdl. All certified medical examiners and medical examiners administrative assistants will soon be required to migrate their national registry account to login.

Fmcsa form mcsa5875 us department of transportation. Here is more information on getting a drivers license or id card in pennsylvania. A dot physical is designed to assess and test the general health of people who want to drive and operate certain types of commercial vehicles. The cdl selfcertification authorization form and the medical examiners certificate, if applicable, must be submitted to the ohio bureau of motor vehicles and processed prior to the issuance of the cdl. Find information and services from pennsylvania state government agencies. Selfcertificationmedical examiners certification fact. The primary mission of the federal motor carrier safety administration fmcsa is to reduce crashes, injuries and fatalities involving large trucks and buses. Department of health medical marijuana approved practitioners. Gov the official website for the commonwealth of pennsylvania. Apr 06, 2016 this profile includes basic information such as your legal name, current address, and contact information.

Please enlarge your medical examiners certificate to 5 inches by 7 inches and make sure that all of the health care provider information is complete and legible. Dot physical exam downingtown, pa afc urgent care clinic. Send this form and a complete copy of your most current medical examination report the dot medical card is not sufficient to. They are part of the requirements for obtaining an interstate commercial drivers license cdl. What to bring to a dot physical exam all drivers bring a complete list of all of your medications, including the doses and your doctors names and addresses you may want to complete page one of the exam drivers portion to save time at the center drivers who require eyeglasses, contact lenses, or hearing aids. All commercial drivers of vehicles in interstate commerce with a maximum gross vehicle weight rating of over 10,000 pounds 4,536 kilograms are required to obtain and maintain a valid medical examiners certificate me certificate commercial drivers who drive vehicles requiring a cdl have two additional requirements. The drivingtype and medical examiners certificate dot physical card information will be recorded as part of the driving record and outlined on the pennsylvania driver abstract. Truck drivers with diabetes dot regulations what is changing. The completed form and required fee should be sent to the department of transportation, bureau of driver licensing, p.

In order to comply with the requirements established by the united states federal motor carrier safety administration fmcsa, the maryland motor vehicle administration mva includes a medical certification med cert status and the information contained on the medical examiners certificate dot card on the driving records of all commercial drivers license cdl holders. Pennsylvania dot and cdl exam and walkin clinics create a much needed healthcare access solution for the states residents and visitors. The federal regulations also require commercial drivers to selfcertify the type of driving in. Department of transportation dot on january 1, 2000, pursuant to the motor carrier safety improvement act of 1999. Dot medical examination formscertificate download dot. Yes, otherwise the commercial drivers designation will be removed downgraded to a noncommercial drivers license upon. Diabetes and the risk for hypoglycemia can make commercial vehicle driving a risky business.

If a cdl holders driving privilege is currently under suspension or disqualified, do they still need to submit the selfcertification form andor medical examiners certificate dot physical card to penndot. Commercial driver license intrastate medical waiver application. Cdl dot physical exam medical card location philadelphia, pa. This form is mandatory after april 16, 2016 for all dot cdl physicals and replaces the old form 649f. New medical certification requirements a guide for commercial. Cdl drivers dot physical exam form 5875 pdf medical card. Pennsylvania dot physical exam for cdl it is mandated by federal guidelines that every commercial diver passes the dot physical exam. Driver id verified by has your usdot fmcsa medical certificate ever been denied or issued for less than 2 years. We know how important it is that you maintain a current cdl medical card. Pennsylvania dot physical exam locations, medical certification. New cdl drivers dot medical exam form, mcsa5875, and cdl medical card certificate, mcsa5876. If youre operating a vehicle or combination just in pa and answered yes to any of the above then a usdot number is required.

Medical examiners certificate to their state driver licensing agency. Our driver friendly dot physical doctors will get your cdl medical card done right, first time. Noncdl holders who require a medical examiners certificate dot physical card will still be required to carry a. Statebystate instructions for submitting medical certificates for cdl drivers to the state agencies stateinstructionssubmittingmed certificate. Pennsylvania dot forms renewals, power of attorney. Stay informed, and choose your dot medical examiner wisely. Commercial motor vehicles with how do i get a usdot number. Dot physical form wallet card tsa notification card. Nov 03, 2016 becoming pa dot compliant, dot medical card, dot numbers. Below are seven of the most frequent questions about dot medical cards, according to j.

Submission ensures your pa driving record remains valid while youre stationed outofstate. Penndot to resume construction on project to reconstruct u. King of prussia, pa the pennsylvania department of transportation penndot announced today that construction will resume wednesday, april 22, on th. A study conducted by the university of pennsylvania and sponsored by the federal motor carrier safety administration fmcsa and the american transportation research institute of the american trucking associations found that almost onethird 28 percent of commercial truck drivers have mild to severe sleep apnea. Department of health medical marijuana approved practitioners this is a listing of physicians approved to certify patients to participate in pennsylvanias medical marijuana program as of march 30, 2020. Trucker docs writes about news and issues that affect commercial drivers. With more than 1046 walkin clinics in pennsylvania, you are certainly able to find location near you. Because of this large group of people needing medical cards, we are finding that medical card questions are baffling those responsible for qualifying commercial drivers.

Given such commercial drivers dont selfcertify, if you are one of them. Military status endorsement card application for pennsylvania drivers license submit this form to penndot if you are an active member of the military or are the spouse or child of a military member. Selfcertification cdl and dot medical card requirements for penndot. Pa dot medical card form fill online, printable, fillable, blank.

As part of the motor carrier safety improvement act, the federal motor carrier safety administration fmcsa amended the federal motor carrier safety regulations fmcsrs to require commercial drivers license cdl holders, subject to the physical qualification requirements of the fmcsrs, to provide a current copy of their medical examiners certificate to their state driver licensing agency. Most cdl holders who drive in interstate commerce are nonexcept interstate commerce drivers. If the medical examiner determines that the driver examined is physically qualified to drive a commercial motor vehicle in accordance with the physical qualification standards, the medical examiner will complete and provide the driver with a medical examiners certificate mec, form mcsa5876. Obtaining this certification requires passing a basic physical exam. Recent changes to federal regulations are designed to keep our roads safe while allowing drivers to keep on truckin.

Please mail the selfcertification form and medical certificate if applicable to. Dot medical card form printable medical alert card dot medical card sample dot medical card. Dot cdl physical exam locations and forms pennsylvania a f. Moving within pennsylvania if you are a pennsylvania resident and move to a new address, you must notify the department of transportation, within 15 days, of your change in residence.

Cdl drivers dot medical exam form certificate mcsa 5875 pdf. Selfcertification medical examiners certification dmv. For a single vehicle, it is the value specified by the vehicle manufacturer as the maximum loaded weight of the vehicle. National registry of certified medical examiners fmcsa. Whether you are a healthy 21yearold with a learners permit, or have a medical condition youre concerned about, this is the dot exam location youre looking for. Inspiring printable dot medical card printable images. Federal regulations along with the state of texas administrative rules now require a commercial driver to certify to 1 of 4 different commercial motor vehicle categories intrastate or interstate, and excepted or nonexcepted. Diabetes and the commercial motor vehicle driver clinician. The fmcsa was established as a separate administration within the u. If you are an employer whose employees need dot physicals completed on a regular basis, make afc urgent care downingtown your goto place for all of your dot physical needs. Noncdl drivers who are subject to the medical exam requirement must have a valid medical certificate dot med card in their possession while driving, and their employing motor carrier must have a copy of the certificate in the drivers qualification file.

A driver who doesnt keep his certification current may lose his commercial drivers licenses. Non cdl holders who require a medical examiners certificate dot physical card will still be required to carry a. The department of transportation dot and the federal motor carrier safety administration fmcsa adapted medical guidelines that diabetic truck drivers must meet. The official website of the commonwealth of pennsylvania. Most frequent questions about dot medical cards cleanfleet. Noncdl holders are not required to selfcertify or submit a copy of their medical card to their state licensing agency. Medical reporting forms pa commutes reporting of medical conditions affecting driver safety pdf talking with older drivers pdf what to expect when my medicial condition has been reported to penndot. To register for the medical marijuana program, you must have a pennsylvania drivers license or an id card issued by the pennsylvania department of transportation. The selfcertification authorization form and the medical examiners certificate can be submitted by mail, fax, email, or a deputy registrar. Medical examiners certificate mec, form mcsa5876 fmcsa. Nov 26, 2018 if the medical examiner determines that the driver examined is physically qualified to drive a commercial motor vehicle in accordance with the physical qualification standards, the medical examiner will complete and provide the driver with a medical examiners certificate mec, form mcsa5876. Dr dan explains the dot physical exam requirements orlando forida.

For questions about your drive record we suggest you check your driving status online at dol. Medical certification requirements a guide for cdl holders. Selfcertificationmedical examiners certification faq. Sign, fax and printable from pc, ipad, tablet or mobile with pdffiller. Recent changes to federal regulations are designed to keep our roads safe while allowing drivers to. Na i drive a commercial vehicle only within the boundaries of pennsylvania, and i currently carry a medical examiners certificate dot physical card. What commercial drivers need to renew their medical certificate for pennsylvania cdl. Having a valid dot medical card, also known as a medical examiners certificate, is a requirement for interstate truck drivers. Assuming you pass your dot examination, you will receive your medical examination report and a dot medical card.

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