LOCATED IN THE SAPP BROS TRUCK STOP - CLEARFIELD, PA
LOCATED IN THE SAPP BROS TRUCK STOP - CLEARFIELD, PA
In some instances, additional medical records are required prior to issuance of a Medical Examiners Certificate, as per FMCSA Regulations. To better prepare for your appointment, we have listed that information below. Please contact out office with any questions about these conditions or any other medical conditions or medication use.
Please bring a CPAP Compliance Report for the last 90 days of use. This is issued by the company that provided your CPAP. They may be able to read the data remotely and email it directly to my office. With older machines, you may have to have the data card read at the equipment supplier.
Any history of heart surgery, heart attack, bypass, stents, pacemaker - you must provide a copy of the LVEF% from your cardiologist. This information is obtained from an echocardiogram or exercise tolerance test (stress test). This number must be 40% or greater.
Please bring the most recent A1C% Report from your primary care doctor. This must be below 8%, as required by the FMCSA.
Bring the A1C% AND your endocrinologist must complete FMCSA Form-5870 to satisfy requirements. https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/2025-04/Insulin-Treated%20Diabetes%20Mellitus%20Assessment%20Form%20MCSA-5870_508.pdf
This report is required to provide information for an individual who has “monocular vision,” as defined by FMCSA, or did not meet FMCSA's vision standard at a physical qualification examination. To be completed by an ophthalmologist or optometrist. https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/2025-04/Vision%20Evaluation%20Report%20Form%20MCSA-5871_508.pdf
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