CDME Module 8: Drug Abuse & Alcoholism-8-1: Optional Medication Form MCSA

8-1: Optional Medication Form MCSA – 5895

Pdf Summary

This document is a form titled "CMV Driver Medication Form" issued by the United States Department of Transportation's Federal Motor Carrier Safety Administration. The form is used by certified medical examiners to evaluate whether an individual meets the medical standards to operate a commercial motor vehicle (CMV) in interstate commerce.<br /><br />The form includes information on the physical demands and responsibilities of commercial drivers, such as different types of driving, potential factors affecting driver performance, and additional duties beyond driving. It emphasizes the need for drivers to be physically fit and have the necessary skills to operate a CMV safely.<br /><br />The form also requests information from the prescribing healthcare provider regarding medications and dosages prescribed to the driver, as well as any other medications prescribed by treating healthcare providers. The prescribing healthcare provider is asked to indicate if the medications have any side effects or if any medical conditions being treated could adversely affect the driver's ability to safely operate a CMV.<br /><br />The certified medical examiner is required to review the regulations outlined in the form and complete it with the prescribing healthcare provider's information and opinion. The final determination of whether the individual is physically qualified to drive a CMV will be made by the certified medical examiner.<br /><br />The form includes a warning about the sensitive nature of the information provided and the need to handle and secure it appropriately to prevent inadvertent disclosure. It also provides contact information for sending comments or suggestions regarding this collection of information.<br /><br />This summary provides an overview of the main points and purpose of the CMV Driver Medication Form.

Keywords

CMV Driver Medication Form

United States Department of Transportation

Federal Motor Carrier Safety Administration

certified medical examiners

medical standards

commercial motor vehicle

interstate commerce

physical demands

driver performance

prescribing healthcare provider