Index of DOT Physical Forms
Downloadable DOT medical examination forms for drivers and employers
DOT Exam Forms
Use this form to report a driver’s medical history for the Medical Examiner’s Certificate (MEC).
Have this form completed by a DOT medical examiner to certify a driver for an interstate commercial driving license.
Have this form completed by a driver’s ophthalmologist or optometrist and submit it to the DOT medical examiner within 45 days.
If requested by a DOT medical examiner, have this form completed by a driver’s prescribing healthcare provider.
Have this form completed by a driver’s treating clinician and submit it to the DOT medical examiner within 45 days.
This form requests additional information regarding the diagnosis, monitoring, and stability of non-insulin-treated diabetes mellitus.
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