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Information For CDL, CLP and CMV Medical Examiners

This page offers information that medical examiners may use to help ensure federal and state laws associated with commercial driver license (CDL), commercial learner permit (CLP) and commercial motor vehicle (CMV) medical certification are satisfied.

Use any of the links below to go directly to any section:

Medical Examination Requirements

Commercial motor vehicle (CMV) operators must undergo a U.S. Department of Transportation (DOT) medical examination performed in accordance with federal regulations, CFR 49 §391.41 and CFR 49 §391.43.

A patient who does not meet the standards described in regulations may still qualify for commercial driving privileges depending on whether a federal or state waiver, exemption or skills performance evaluation (SPE) is available for the disqualifying condition and whether the driver intends to operate a vehicle in interstate commerce or intrastate commerce only.

Federal exemptions, acceptable for use in INTERstate commerce, may be available for vision, hearing, seizure or diabetic conditions. A federal skills performance evaluation (SPE), also acceptable for use in INTERstate commerce, may be available for loss/impairment of limbs.

An Oregon Waiver of Physical Qualification, acceptable for use in INTRAstate commerce only, may be available for vision, insulin dependent diabetes mellitus, limb impairments or amputation, hearing or seizure/seizure disorder.

Who May Perform CDL, CLP and CMV Medical Examinations

The medical examination may only be performed by a medical examiner listed on the National Registry of Certified Medical Examiners. 49 CFR, Part 390, Subpart D describes the requirements to be listed in the National Registry.

Completing the Medical Examiner's Certificate

When a CMV operator meets medical qualifications, with or without waivers, exemptions or skills performance evaluations (SPEs), a Medical Examiner's Certificate must be issued. Federal rules and state law compel states to disqualify commercial driver license (CDL) and commercial permit holders who do not submit current, complete and legible Medical Examiner's Certificates to their state licensing agency.

DMV must manually enter all the information shown on the Medical Examiner's Certificate into a database that is accessible to other state licensing agencies and law enforcement. It is imperative, therefore, that the Medical Examiner's Certificate DMV receives is FMCSA approved Medical Examiner's Certificate form, fully legible and properly completed. Otherwise we cannot process the document and driver’s commercial driving privileges may be cancelled.

Drivers began submitting copies of the Medical Examiner's Certificates to DMV towards the end of 2011 and DMV has noted a large number of Medical Examiner's Certificates that are not on a FMCSA approved form, are missing information, improperly completed or not entirely legible.

For more information about FMCSA approved Medical Examiner’s Certificate forms please visit the National Registry of Certified Medical Examiners website.

For Medical and Health-Related Questions:

Related Information

Additional information that may be relevant includes: