CDME Module 1: Overview-Medical Examination Report Form

Medical Examination Report Form

Pdf Summary

The document is a Medical Examination Report form for Commercial Driver Medical Certification. It is used by the U.S. Department of Transportation's Federal Motor Carrier Safety Administration to assess the health and fitness of commercial drivers. <br /><br />The form consists of several sections that need to be completed by both the driver and the medical examiner. The driver needs to provide personal information, such as their name, address, date of birth, and driver's license number. They are also required to disclose their medical history, including any surgeries, medications, or health conditions they have or had in the past.<br /><br />The medical examiner is responsible for conducting the physical examination and reviewing the driver's health history. They need to record vital signs, such as pulse rate, blood pressure, and height and weight measurements. The examiner also needs to assess various body systems, such as the eyes, ears, cardiovascular system, and respiratory system.<br /><br />Based on the examination and review, the medical examiner needs to make a determination regarding the driver's qualification. This includes determining whether the driver meets the standards outlined in the Federal Motor Carrier Safety Regulations (FMCSRs). If the driver meets the standards, they may be issued a 2-year Medical Examiner's Certificate. If there are any concerns or the driver needs periodic monitoring, the examiner can note those as well.<br /><br />The form also includes instructions for completing each section and provides details about the purpose and usage of the form.<br /><br />Overall, the MCSA-5875 form is essential for ensuring that commercial drivers meet the necessary health requirements to safely operate commercial motor vehicles.

Keywords

Medical Examination Report

Commercial Driver Medical Certification

U.S. Department of Transportation

Federal Motor Carrier Safety Administration

health and fitness assessment

driver information

medical history disclosure

physical examination

vital signs recording

driver qualification determination