HEALTH CONDITIONS

Drivers should be below 140/90 on the day of exam.
Do not smoke or consume caffiene prior to exam to prevent spiking blood pressure
For more information on controlling blood pressure click here

A urine sample is required on the day of exam.
If positive for sugar/glucose a Hemoglobin HgA1C report no older than 6 months must be provided
If using injectable insulin waiver must accompany card. See paperwork page to find a link.

At minimum, bring a letter from your cardiologist (heart specialist) that outlines your medical history and current medications and indicates you are safe to drive a DOT vehicle
You may also need to bring the results of a recent stress test, ECHO cardiogram, or other testing completed within the past 2 years
Current FMCSA guidelines require individuals who have undergone coronary artery bypass surgery to be recertified every year for 5 years, then undergo an ETT every 2 years.
Drivers who had a Pericutaneous Coronary Intervention (PCI) are required to have an exercise tolerance test three to six months post PCI and EVERY TWO YEARS thereafter. For symptomatic individuals or if you had an abnormal resting echocardiogram, or unable to meet requirements of the ETT a stress radionuclide or echocardiography imaging is required.

If you have been diagnosed with sleep apnea and us a CPAP machine:

a reading of your machine should be brought to the medical exam appointment showing compliance of use
Bring approximately 90 days of data
a letter from your sleep specialist may be required.

This test requires exercising to workload capacity of at least six METS (through Bruce Stage II or equivalent)
Attaining a heart rate >85% of predicted maximum (unless on beta blockers)
A rise in SBP >20mmHg without angina
Having no significant ST segment depression or elevation