Fast and easy DOT examination!
Call to schedule your appointment at (661) 235-5658, or click here to submit your information and we’ll reach out to you.
Complete your portion of the Medical Exam Report (MER) at home or in our office. The information you provide helps us pre-populate your paperwork and save you time.
You’ll receive a paper copy of your Medical Exam Certificate (MEC) for your records, along with an emailed copy for your convenience.
We submit your MEC directly to the California DMV—saving you a trip and a long wait.
Things to be prepared for:
Limit caffeine intake before your exam, as it may raise blood pressure.
Be prepared to provide a urine sample (we test for sugar and other indicators).
Bring a list of any medications you are currently taking.
In addition to the above, we will send to your Local the Medical Examiners Certificate (MEC) and the Medical Reimbursement Form along with proof of payment. We will email it and CC you as well for proof of submission.
Local 399 is requiring you to obtain a copy of your Driving Record from the DMV.
Medical examiners are still required to issue a paper copy of the Medical Exam Certificate (MEC). Several states including California have not met the deadline of June 23, 2025 to implement NRII. When it does, you will no longer be required to carry your MEC.
• Begin the certification process with a medical examiner well in advance of the current Medical
Examiner’s Certificate, Form MCSA-5876, expiring to allow time for errors to be corrected in
the driver data validation process if they occur.
• If you are a driver with a medical condition in which you believe the medical examiner may
require supporting documentation from your treating clinician, be sure to bring it with you to
your physical qualification examination to expedite the qualification decision.
• When completing the Medical Examination Report Form, MCSA-5875, ensure that you provide
accurate information exactly as it appears on your driver’s license as these key identifiers (last
name, DOB, licensing state, license #) will be used when transmitting the medical certification
information from the National Registry to the SDLA. As discussed above, if inaccurate
information is provided, there will be an error and your medical certification information will
not be transmitted from the National Registry to the SDLA.
• If a medical examiner’s office enters the results of your examination into the National Registry
during your examination, this may be an opportunity for you to verify that all your information
has been entered correctly. However, not every medical examiner enters the results of
examinations in this manner, while the driver is present. Therefore, when possible, drivers are
encouraged to review their information as the medical examiner has entered it into the
National Registry system to ensure accuracy.
Current FMCSA guidelines state that individuals who have undergone coronary artery bypass surgery that meet the requirements for certification should be recertified on an annual basis for five years. After this time, such individuals should undergo an exercise tolerance test annually. The MEP recommended extending the time between exercise tolerance tests to two years.
The driver should not return to driving sooner than 3 months after CABG, to allow the sternal incision to heal. The driver should meet all the following criteria:
Clearance by physician (usually cardiologist)
Resting echocardiogram with an LVEF >40% after CABG
Asymptomatic status with no angina
An ETT may be required, particularly after five years, to assess the driver's cardiovascular fitness and ability to tolerate exertion
Drivers with a history of CABG may need annual recertification for five years after surgery, with the possibility of annual ETTs after that period
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FMCSA standards address diabetes mellitus, particularly insulin-treated diabetes. Drivers with insulin-treated diabetes must provide documented control and may require specialist forms (MCSA-5870) showing stable regimen and no complications that could impair safe driving (e.g., severe hypoglycemia).
A CPAP compliance report showing the required usage.
High blood pressure is evaluated to ensure it is controlled and unlikely to interfere with driving safety. Uncontrolled hypertension (very high levels) may require treatment and more frequent monitoring or could lead to disqualification until controlled.
Schedule your DOT Exam today! Call (661) 235-5658 or click here.