FMCSA Resources

Federal Regulations on Physical Qualifications and Examinations

Access and review the FMCSA Regulations and Standards, 49 CFR 391.41 Subpart E: Physical Examinations and Driver Qualifications for DOT-Certified Medical Examiners.

Medical Advisory Criteria

This Appendix to the Federal Regulations on Physical Qualifications and Examinations contains the Agency's guidelines in the form of advisory criteria aimed at helping medical examiners assess a driver's physical qualification.

FMCSA Recertification

Learn more about the periodic training that certified medical examiners are required to participate in, and the recertification process with the NRCME.

DOT Physical Forms

Access downloadable DOT medical examination forms for drivers and employers.


Stay up to date with the latest developments in occupational health examination through informative webinars and online events.

FMCSA Audit Report

Read the Office of Inspector General's audit report to learn more about where the FMCSA has not fully met oversight requirements and the proposed recommendations.

Skill Performance Evaluation Certificate Program

Learn more about the Skill Performance Evaluation program for CMV drivers with missing or impaired limbs who drive in interstate commerce.

General Vision Exemption Package

Find out about the FMCSA’s Vision Standard Final Rule, effective March 22, 2022 (87 FR 3390).

Federal Hearing Exemption Application

Access the Federal Hearing Exemption Application document for CMV drivers who are looking to obtain a Federal hearing exemption.

Federal Seizure Exemption Application

Access the Federal Seizure Exemption Application document for CMV drivers who are looking to obtain a Federal seizure exemption.

Driver Exemption Programs

Learn more about the requirements and application process for exemptions programs, for drivers who intend to operate CMVs in interstate commerce.

Medical Examiner’s Handbook 2024 Edition

The January 2024 edition of the Medical Examiner’s Handbook replaces all previous handbook editions.

Regulatory Guidance

Check out the FMCSA Guidance Portal, which is a searchable database containing all the current guidance documents from the FMCSA.

FMCSA Oversight Requirements

In 2021, the Office of Inspector General issued a highly critical report of the FMCSA, concluding that the agency had not fully met its oversight requirements of the National Registry of Certified Medical Examiners. In response, the FMCSA was instructed to fully implement medical examiner audits.

Medical Examiner Performance Monitoring and Auditing

On June 28, 2024, the FMCSA sent an email notice to all medical examiners announcing the launch of the medical examiner performance monitoring and auditing program.

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