CDME Module 1: Overview-Medical Examiners Certificate

Pdf Summary

The document is a Medical Examiner's Certificate for Commercial Driver Medical Certification issued by the U.S. Department of Transportation's Federal Motor Carrier Safety Administration. The certificate certifies that the individual named on the form has been examined by the medical examiner and found to be qualified according to the Federal Motor Carrier Safety Regulations.<br /><br />The medical examiner must check the applicable boxes indicating any specific conditions or circumstances under which the individual is qualified to drive. This may include wearing corrective lenses, wearing a hearing aid, being accompanied by a waiver/exemption, having a Skill Performance Evaluation (SPE) Certificate, driving within an exempt intracity zone, being qualified by operation of 49 CFR 391.64, or being grandfathered from state requirements.<br /><br />The medical examiner certifies that they have provided true and complete information regarding the physical examination and that the Medical Examination Report Form, MCSA-5875, with any attachments, is on file in their office.<br /><br />The certificate includes the expiration date of the medical examiner's certificate as well as the medical examiner's signature, name, and contact information. It also provides space for the driver's signature, driver's license information, address, and whether they are a CLP/CDL applicant/holder.<br /><br />The document contains a notice emphasizing the confidentiality and sensitivity of the information and the need for proper handling and secure storage to prevent inadvertent disclosure. It also advises properly disposing of the document when it is no longer required to be maintained by regulatory requirements.

Asset Caption

(MCSA 5876)

Keywords

Medical Examiner's Certificate

Commercial Driver Medical Certification

Federal Motor Carrier Safety Administration

Corrective lenses

Hearing aid

Waiver/exemption

Skill Performance Evaluation (SPE) Certificate

49 CFR 391.64

Medical Examination Report Form

Expiration date