New Dot Physical Form 2025. Printable Dot Medical Card Form Printable Forms Free Online A valid (original or copy) federal MER MCSA-5875 form Medical Examiner's Certificate Form, (MEC) MCSA-5876 These forms need to be completed by a United States (U.S.) licensed doctor of medicine (M.D.), licensed doctor of osteopathy (D.O.), licensed physician's assistant (P.A.), registered advanced practice nurse (APN), or licensed doctor of chiropractic when you apply for a DL or learner. As part of the physical, drivers are required to fill out the medical history portion of the Medical Examination Report (MER) Form, MCSA-5875.
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This article has been updated a number of times as new information regarding Medical Examiner's Certification has been published by FMCSA About the Medical Examination Report (MER) Form, MCSA-5875The Federal Motor Carrier Safety Administration requires that interstate commercial motor vehicle drivers maintain a current Medical Examiner's Certificate (MEC), Form MCSA-5876 to drive
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A Department of Transportation (DOT) physical examination must be conducted by a licensed "medical examiner" listed on the Federal Motor Carrier Safety Administration (FMCSA) National Registry This article has been updated a number of times as new information regarding Medical Examiner's Certification has been published by FMCSA However, MEs that have purchased these forms in bulk, or require time to reprogram electronic system forms, may continue to use the old forms until stocks have been depleted or forms have been reprogrammed but should transition to use of the new forms as quickly as possible.
FREE 5+ Sample DOT Physical Forms in PDF. As part of the physical, drivers are required to fill out the medical history portion of the Medical Examination Report (MER) Form, MCSA-5875. Department of Transportation Federal Motor Carrier
Free Printable Dot Physical Forms. About the Medical Examination Report (MER) Form, MCSA-5875The Federal Motor Carrier Safety Administration requires that interstate commercial motor vehicle drivers maintain a current Medical Examiner's Certificate (MEC), Form MCSA-5876 to drive MEDICAL RECORD # *CLP/CDL Applicant/Holder: See instructions for definitions