DOT Physical Exams

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We perform commercial driver examinations compliant with Department of Transportation (DOT) regulations. All of our providers are on the National Registry of Certified Medical Examiners.

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Essex - 860-358-3840
Middletown - 860-358-2750

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Frequently Asked Questions

For commercial motor vehicle (CMV) operators, the most important safety feature in your work is YOU—the driver!

Each time you turn the key, you are responsible for your own safety, as well as the safety of those who share the road with you. This medical examination helps determine whether you are healthy enough to safely perform the demanding job of a CMV driver and keep our nation’s roads safe.

Requirements for this type of exam are governed by the Federal Motor Carrier Safety Administration (FMCSA).

Visit the FMCSA Website

DOT physical examinations must be conducted by a certified "medical examiner" who is listed on the Federal Motor Carrier Safety Administration (FMCSA) National Registry.

Medical examiners include physicians, physician assistants (PA) and advanced practice nurses (APRN). Middlesex Health Occupational Medicine offers a team of certified providers in two convenient locations. Both locations have tractor trailer parking available.

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Please review this list carefully.  If you do not have the appropriate documentation you may be asked to reschedule your exam. Having a medical examination and documentation from your providers is not a guarantee of receiving a medical card. Additional tests may be required before the card can be issued, some of which may be able to be done on the date of your examination. Some of these tests may require an additional fee, such as an audio booth hearing examination and/or an electrocardiogram (ECG). Fees for these services are available upon request.

Items to Bring
  1. FORMS: Print and complete the Medical Examiner Form

  2. MEDICATION LIST: Bring a list of ALL of the medications that you take, along with the name of the prescribing provider.

    • Prescription drugs
    • Over-the-counter medications
    • Herbal remedies
    • Dietary supplements
  3. VISION SUPPORT: Bring glasses or contacts if you need them for driving.

    • For Cancer: A letter from your treating provider/oncologist addressing the condition, any medication used and whether the condition or medication(s) will impact your ability to operate a CMV.
    • For Diabetes: Your most recent hemoglobin A1C value (usually within 3 months). You also may be required to get a letter from your treating physician specifically addressing your diabetes. If you use insulin to control your diabetes, please also bring the MCSA 5870 Form completed by the provider who prescribes you insulin.
    • For Heart Disease, including valve replacements: A letter from your cardiologist addressing the cardiac condition and medications used, including a statement indicating whether these will impact your ability to operate a CMV. You may also require the results of an echocardiogram and cardiac stress test within the past 1-2 years. If you take Coumadin, please provide an INR result from within the last month.
    • For Mental Health Conditions (such as depression, anxiety, or ADHD/ADD): A letter from your treating provider addressing the condition, any medication used and whether the condition or medication(s) will impact your ability to operate a CMV.
    • For Narcotic Usage: A letter from the prescribing physician stating the medical condition for which the narcotics are used, current medication/dosage, side effects and a statement indicating whether or not the prescribing physician believes it is safe for you to operate a commercial motor vehicle while using these medications.
    • For Neurological Conditions (such as stroke, tremors, seizures or neuropathy): A letter from your treating neurologist addressing the condition, including date of onset, any medication used and whether the condition or medication(s) will impact your ability to operate a CMV.
    • For Recent Surgery: A letter from the surgeon addressing the condition/surgery, any current medication used and whether you have any current limitations that would impact your ability to operate a CMV.
    • For Sleep Apnea: Sleep Apnea Compliance Report with at least 60 days—but preferably 6 months—of data.

Note: The above list of medical conditions is for informational purposes only and does not include all medical issues. If you are unsure about a medical condition that you have, please bring a letter from your provider.