DOT Physical Form
The Federal Motor Carrier Safety Administration requires that interstate commercial motor vehicle drivers maintain a current Medical Examiner’s Certificate to drive. As part of the physical, you are required to fill out the medical history portion of the Medical Examination Report of Commercial Driver Fitness Determination.
All of the forms necessary for your exam should be provided by your TeamCME Physician at the time of your appointment. However, if you would like to speed up the process, you can print and fill in the driver’s information and health history of your own copy of the DOT Physical Form by visiting the following link:
http://www.fmcsa.dot.gov/documents/safetyprograms/Medical-Report.pdf
At the conclusion of your physical exam, you will be given the motor carrier copy of the Medical Examiner’s Certificate to send to your employer. If your employer also requires a copy of the examination form, we suggest that you sign a release of medical information to allow a copy of the Medical Examination Report of Commercial Driver Fitness Determination to be sent to your employer.