CDME Module 9: Scheduled Drug Use and Alcoholism (2025)-Optional Medical Form 5895

Optional Medical Form 5895

Pdf Summary

The document is a form related to the medical evaluation of commercial motor vehicle (CMV) drivers as part of the Federal Motor Carrier Safety Administration's (FMCSA) regulatory procedures. It is specifically designed to assess whether medications taken by a driver could impair their capability to safely operate a CMV. The form, MCSA-5895, holds an OMB Control Number of 2126-0064 and is valid until September 30, 2026.<br /><br />This form is voluntary for certified medical examiners (ME) to use and contains sensitive information that must be handled securely to prevent unauthorized disclosure. It requires input from both the certified medical examiner and a prescribing healthcare provider to evaluate the impact of any prescribed medications on a driver’s ability to meet FMCSA medical standards.<br /><br />The document outlines key factors influencing CMV drivers' performance, such as irregular work schedules, adverse road conditions, physical demands including loading and unloading cargo, and additional responsibilities beyond driving. The form also emphasizes the importance of the medical examiner determining if the driver's medication affects their ability to operate CMVs safely, referencing 49 CFR 391.41(b), which outlines the physical qualifications for CMV drivers.<br /><br />Healthcare providers are required to list all medications prescribed to the driver, including those by other medical practitioners, and confirm whether these medications or any medical conditions treated could adversely affect the driver's ability to safely operate a CMV.<br /><br />The form facilitates the final decision of the certified ME on the driver's qualification status, ensuring that medication does not impede safe driving standards. It stresses proper collection and handling practices under the Paperwork Reduction Act and establishes that the requirement to fulfill the form does not expire with the OMB information collection request renewal date.

Keywords

medical evaluation

CMV drivers

FMCSA

medication impact

MCSA-5895

certified medical examiner

driver safety

49 CFR 391.41

healthcare provider

Paperwork Reduction Act