New FMCSA Medical Exam Forms and Certificates Now Mandatory

As of April 20, 2016, motor carriers and medical examiners are required to use the newly revised Medical Examination Report Form and Medical Examiner’s Certificate from the Federal Motor Carrier Safety Administration (FMCSA).

Those changes were announced one year ago; however, a four-month extension was granted in December.

The new medical forms include:

  • The Medical Examination Report Form, MCSA-5875 — the long medical exam form that the driver and examiner complete during the course of the exam;
  • The Medical Examiner’s Certificate, MCSA-5876(wallet card/fed med card) provided to drivers who are medically certified.
  • The electronic-only CMV Driver Medical Examination Results Form (MCSA-5850) that examiners complete through the National Registry website to report exam results to the FMCSA.

The new forms are part of a larger FMCSA effort that will launch in 2018 to streamline medical certification information from medical examiners to the FMCSA and back to state driver licensing agencies electronically.

What changed on the forms?

The new forms have a new look but are substantially the same as the old forms, with only a few significant changes, including the following:

  • Both forms must appear exactly as shown in the regulations, although they can be enlarged or reduced in size. Previously, the forms only had to be “similar” to the forms shown in the regulations.
  • The examiner must specify whether the driver is fully qualified for interstate commerce or is only qualified to drive in-state only. The driver will no longer have to answer the Yes/No question about whether he/she is an “intrastate only” driver.
  • The examiner will have the option to make the exam result “pending” for up to 45 days, in order to wait for test results or get more information from the driver. During that time, the driver must rely on his/her existing medical card in order to drive. If the existing card expires, the driver would become disqualified.
  • Examiners will not be able to issue an extension for an existing medical card. Whenever a new medical certificate is needed, a completely new exam must be performed; examiners cannot simply update a prior exam.

Until June 22, 2018, all commercial drivers will still need to be issued an original medical certificate (wallet card) after their exam, and the long exam form must be retained on file at the medical examiner’s office.

What happens in June 2018?

Drivers who hold a commercial driver’s license (CDL) or commercial learner’s permit (CLP) will no longer receive a paper medical card after June 22, 2018. Rather, the only official proof that a CDL/CLP driver is medically qualified as of that date will be their motor vehicle record from the state, not their medical card.

Also, motor carriers will no longer need to verify that their CDL/CLP drivers were examined by someone appearing on the National Registry.

These changes will not be occurring for non-CDL drivers; they will still receive, and must carry, a paper medical card.

For more information, contact Dr. Erin Merril at (317) 753-5550 or email her at


Creekside Testing and Compliance performs DOT medical examinations by physicians who are members of the National Registry of Certified Medical Examiners. Our physicians are available for CDL Medical Examinations at your location or ours.

Strategically located in Metro Indianapolis, Creekside Testings Serves all of Indiana, and parts of IL, KY, OH with on-site DOT Physicals, Drug Testing and more.


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