Mcsa5875 2025

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The document is the Medical Examination Report Form MCSA-5875, revised on April 1, 2013, used for commercial driver medical certification by the U.S. Department of Transportation. It outlines the requirements for medical examiners to assess a driver's physical qualifications to operate a commercial motor vehicle (CMV) in interstate commerce. The form collects personal and health history information from drivers, mandates record retention for three years, and specifies that all responses are mandatory. It also includes privacy act statements and details about the examination process.

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What is a MCSA form?

If the Medical Examiner determines that the driver examined is physically qualified to drive a commercial motor vehicle in ance with the physical qualification standards, the Medical Examiner will complete and provide the driver with a Medical Examiners Certificate (MEC), Form MCSA-5876.

What is the MCSA 5875 form?

About the Medical Examination Report (MER) Form, MCSA-5875: As part of the physical, drivers are required to fill out the medical history portion of the Medical Examination Report (MER) Form, MCSA-5875.

What will fail you on a dot physical?

DOT disqualifying medical conditions include those that may lead to loss of consciousness or involve inadequate hearing or vision, a compromised nervous system, or physical limitations that interfere with driving ability.

How do I get a copy of my dot physical long form?

Answer: You can contact the Medical Examiner that conducted your evaluation for a copy of your medical certification examination.

What medical conditions disqualify you from DOT?

The FMCSA has identified certain conditions that disqualify drivers from operating CMVs. These include hypertension, respiratory dysfunction, diabetes, vision impairment, epilepsy, and mental disorders.

What is the difference between a DOT physical and a regular physical?

A regular physical exam involves checking your body for health and evaluating your vital signs. A DOT exam goes more in-depth with vision and hearing tests and a drug screening to ensure youre not taking illegal substances and driving.

Mcsa5875 2025

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