CDME Module 1: Overview-Review instruction on completion of 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. The form collects information about the driver's personal details, driver health history, medications, and any medical conditions the driver may have. <br /><br />The form also includes sections for the medical examiner to review and discuss the driver's health history and to conduct various tests, such as pulse rate, blood pressure, urinalysis, vision, and hearing. The physical examination section allows the medical examiner to note any abnormalities in body systems.<br /><br />After conducting the examination, the medical examiner must make a determination regarding the driver's qualification for operating a commercial motor vehicle. There are two options provided: one for federal regulations and one for state regulations. The determination is based on whether the driver meets the standards outlined in the applicable regulations, and if any periodic monitoring or follow-up is required.<br /><br />The medical examiner must sign and date the form, provide their contact information, and specify the expiration date of the driver's Medical Examiner's Certificate.<br /><br />The form also contains instructions for both drivers and medical examiners on how to complete each section of the form.<br /><br />Overall, the form is used to assess the physical health and fitness of commercial drivers and determine their eligibility to operate commercial motor vehicles.

Asset Caption

(MCSA – 5875)

Keywords

Medical Examination Report

Commercial Driver Medical Certification

U.S. Department of Transportation

Federal Motor Carrier Safety Administration

driver health history

medical examiner

physical examination

driver qualification

commercial motor vehicle

Medical Examiner's Certificate