The Federal Motor Carrier Safety Administration (FMCSA) now requires commercial drivers to be examined by specifically authorized Medical Examiners. Dr. Brown is a physician in Snohomish, authorized by the FMCSA to issue CDL's.
These Medical Examiners must have taken a specific training course and have passed an examination with a score of at least 80% correct answers.
The National Registry of Certified Medical Examiners (NRCME) maintains a record of all Medical Examiners who meet the necessary qualifications to issue CDL's to commercial drivers.
You can find an examiner in your area by visiting the NRCME website and inputting either a city and state or a zip code for a list of all examiners within a 10-25-50-75-100-500 mile radius.
Ambulance drivers often require CDL Medical Certification. Check with your employer.
All commercial drivers involved in transporting the general public require a CDL issued by an FMCSA authorized Medical Examiner.
Please bring a current list of any medications you are prescribed.
Any notes or medical records from your doctor is also very helpful.
A driver cannot take a controlled substance or prescription medication without a prescription from a licensed practitioner.
If a driver uses a drug identified in 21 CFR 1308.11 (391.42(b)(12)) or any other substance such as amphetamine, a narcotic, or any other habit forming drug, The driver is medically unqualified.
There is an exception: the prescribing doctor can write that the driver is safe to be a commercial driver while taking the medication. In this case, the Medical Examiner may, but does not have to certify the driver.
Any anti-seizure medication used for the prevention of seizures is disqualifying.
The Medical Examiner has 2 ways to determine if any medication a driver uses will adversely affect safe operation of a CMV:
The Federal Diabetes and Vision Exemption Programs have specific requirements, as well as requests for hearing and seizure exemptions.
These requests may include medical exams, employment history, driving experience and motor vehicle records which must be submitted with the application. The Agency will make a final decision within 180 days of receipt of the complete application.
If you can't meet the vision requirements, you may be qualified under the FMCSA Vision Exemption Package. For details about these requirements please visit the FMCSA website by clicking on the link above.
Medications can have a profound impact on the mental status and alertness of drivers. Many medications impair a driver's ability to control a motor vehicle.
The FMCSA has information on Disqualifying Medications you can read about by clicking the link above.
There are several FAQ's available at the FMCSA website that detail answers to questions about issues such as Diabetes, Traumatic Brain Injury, Hearing Impairment and others that may be viewed directly on their website by clicking on the above link.
If you are an insulin dependent diabetic you may not be issued a CDL until you have received authorization for the Federal Diabetes Exemption Program from the FMCSA.
1. Applicant Information Checklist;
2. Signed copy of the Medical Examination Report (completed by the Medical Examiner);
3. Signed copy of the Medical Examiner’s Certificate (completed by the Medical
Examiner);
4. Endocrinologist Evaluation Checklist;
5. Vision Evaluation Checklist;
6. Copy of your driver’s license and motor vehicle record.
Please note, as of November 1, 2022, I have added a new, revised fee schedule, My principle income source has been derived from my work in the Emergency Department, with which my work as an AME has been subsidized. Since the new Balance Billing Act took effect at the beginning of January 2021, the insurance payers have ratcheted down their reimbursements and they refused to even negotiate with the ER Groups:
https://websites.godaddy.com/reason-for-fees-increase.