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Dr.DOTUSA.COM
Dr. John M. Popowich, DC,CME
203-300-4922

CDL DOT Physical Exam Trucker

Links

Below are some helpful links for forms and paperwork.

Insulin Treated Diabetes

Form MCSA-5870

https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/2022-03/Insulin-Treated%20Diabetes%20Mellitus%20Assessment%20Form%20MCSA-5870.pdf

Drivers Exam Form

https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/2022-03/Medical%20Examination%20Report%20Form%20MCSA-5875.pdf

Vision Evaluation Form
(if needed)

https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/2022-03/Vision%20Evaluation%20Report%20Form%20MCSA-5871_0.pdf

Drivers with missing or impaired limbs

https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/2021-05/New%20Driver%20Application%20Package%20NEW%20SSC%20ADDRESS.pdf

Doctor Checking a Form

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