Visit Saint Michael’s Health Clinic
Dr. Kimberly Cecil-Riddle DNP, APRN, FNP-BC
National Registry of Certified Medical Examiner
This health clinic is open to anyone who needs a DOT, non-DOT, or Department of Defense physical exam or urine drug screen. This clinic is conveniently located off Exit 89 on Interstate 24 directly across from the Pilot. Look for the white and red cross painting on top of the roof. This provides care to our truckers and the military close to home. Like a regular driver’s license, CDLs are state-issued; however, the physical exam does not have to be done in the state where the driver resides. CDL driver include drivers of semi-trailers, school buses, dump trucks, septic tank pumpers, delivery trucks, utility trucks and anything weighing at least 26,000 pounds. Periodic physical exams are required to maintain what drivers call “fed med cards,” their medical clearance to drive with a CDL.
Costs: DOT $75.00, Military History DOT $65.00, School/Sports Physical $45.00, 5-panel UDS $40 and 10-panel $50.
Physical Exam Requirements
1. You must have 20/40 correctable vision in each eye. Glasses or contact lenses are acceptable ways of correcting a driver’s vision.
2. Diabetes controlled through diet or oral medication is permitted. FMCSA revises its regulations to permit individuals with a stable insulin regimen and properly controlled insulin-treated diabetes mellitus (ITDM) to be qualified to operate commercial motor vehicles (CMVs) in interstate commerce. Previously, ITDM individuals were prohibited from driving CMVs in interstate commerce unless they obtained an exemption from FMCSA. This rule enables a certified medical examiner (ME) to grant an ITDM individual a Medical Examiner’s Certificate (MEC), MCSA 5876, for up to a maximum of 12 months. To do so, the treating clinician (TC), the healthcare professional who manages, and prescribes insulin for, the treatment of the individual’s diabetes, provides the Insulin-Treated Diabetes Mellitus Assessment Form (ITDM Assessment Form), MCSA-5870, to the certified ME indicating that the individual maintains a stable insulin regimen and proper control of his or her diabetes. The certified ME then determines that the individual meets FMCSA’s physical qualification standards and can operate CMVs in interstate commerce.
3. Your blood pressure must meet the following criteria: 140-159/90-99 for a three-month temporary certificate at the examiner’s discretion. Blood pressure ranges between 160-179/100-109 and greater than 180/110 is disqualifying.
4. Prescription medication to control blood pressure is permitted. You will receive a one-year certificate.
5. Blood sugar levels must be under 180 for a finger stick test, or under 8% for an A1C test.
6. Use of medications vary – to find out more please see your physician, contact your local DOT office, or visit www.fmcsa.dot.gov.
7. If you have a current diagnosis of cardiac insufficiency, collapse, congestive cardiac failure, or any other cardiovascular disease you will be required to provide the Medical Examiner with a stress test performed within the last 12 months, along with a release from your physician stating that you can drive a commercial motor vehicle without restrictions.
8. Those who require insulin must be cleared by you PCP not the Medical Examiner. You must bring in Form MCSA-5870. https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/docs/regulations/medical/422521/itdm-assessment-form-final.pdf
What To Bring To Your Examination
Blood Pressure Medications
If you are on Narcotics, bring these. Whoever prescribed this will have to clear you to drive while using this scheduled drug.
Diabetics: Bring a copy of your most recent HgA1c.
Your HgA1c cannot be more than 6 months old.
If you are an Insulin user bring in your MCSA-5870.
OSA: Bring a printout showing you were compliant with use.
NO CARD WILL BE ISSUED UNLESS YOU ARE COMPLIANT WITH THESE RULES.