(p) 860-627-5230 (f) 860-627-9283
(p) 860-627-5230 (f) 860-627-9283
After you receive the original completed Medical Card, we will upload a copy to the Federal (FMCSA) website. CDL drivers are responsible for self-certifying with their State DMV.
In Connecticut, CDL drivers can self-certify at: https://cdlmedcert.ct.gov
Medical Exam Form. Complete pages 1 and 2. Print, sign and bring to your appointment
Medical Examination Report Form MCSA-5875 exp 2025 (pdf)
DownloadInsulin Treated Diabetes Mellitus (ITDM) Assessment Form. Have your provider complete BEFORE your DOT exam
itdm-assessment-form-final (pdf)
Download