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WHAT TO BRING TO THE EXAMINATION:

  • Glasses if vision requires a prescription
  • Last MER Card
  • List of medications with dosages
  • Yearly clearance letter from Cardiologist or for other chronic conditions may be required before clearance.
  • MEDICAL EXAMINATION REPORT & DOCTOR CERTIFICATION FORM
    [Form: MCSA-5875 (Revised: 12/09/2015)]
    Medical Examination Report Form (for Commercial Driver Medical Certification). The link follows:

    https://nationalregistry.fmcsa.dot.gov/ResourceCenter/documents/MCSA-5875%20final%20508.pdf
  • To save time, have pages 1 and 2 completely filled out. Each question under the Health History part requires a "YES" or "NO" response.
  • If you cannot obtain this form, we will supply one for you.
  • The DMV Form DL 51 (Medical Examination Report For Commercial Driver Fitness Determination) is no longer in use. If want to review the obsolete form go to: https://apps.dmv.ca.gov/forms/dl/dl51.pdf to download a copy.