(p) 860-627-5230 (f) 860-627-9283
(p) 860-627-5230 (f) 860-627-9283
After you receive the original Medical Card, we upload our 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
*effective June 23, 2025, self-certifying by drivers MAY be discontinued.
Medical Exam Form. Complete pages 1 and 2. Print, sign and bring to your appointment
2028 Medical Examination Report Form MCSA-5875 508pdf (pdf)
DownloadInsulin Treated Diabetes Mellitus (ITDM) Assessment Form. Have your provider complete BEFORE your DOT exam
2028 Insulin-Treated Diabetes Mellitus Assessment Form MCSA-5870_508 (pdf)
DownloadVision Assessment Form *** NOTE: Must be completed and signed within 45 days BEFORE your physical
2028 Vision Evaluation Report Form MCSA-5871_508 (pdf)
Download