Commercial Drivers

Truck Drivers

The Federal Motor Carrier Safety Administration (FMCSA) now requires commercial drivers to be examined by specifically authorized Medical Examiners.  Dr. Brown is a physician in Snohomish, authorized by the FMCSA to issue CDL's.

Bus Drivers

These Medical Examiners must have taken a specific training course and have passed an examination with a score of at least 80% correct answers.

Long Haul Truck Drivers

The National Registry of Certified Medical Examiners (NRCME) maintains a record of all Medical Examiners who meet the necessary qualifications to issue CDL's to commercial drivers.

School Bus Drivers

You can find an examiner in your area by visiting the NRCME website and inputting either a city and state or a zip code for a list of all examiners within a 10-25-50-75-100-500 mile radius.

Ambulance Drivers

Ambulance drivers often require CDL Medical Certification.  Check with your employer.

Public Transportation Drivers

All commercial drivers involved in transporting the general public require a CDL issued by an FMCSA authorized Medical Examiner.

Note for CDL Candidates

You DO NOT need to go to the FAA Website ( to complete the Pilot's form

It is helpful to bring a list of any  medications you are prescribed.

Any notes or medical records from your doctor is also very helpful

Driver Exemption Programs

Diabetic Requiring Insulin?

If you are an insulin dependent diabetic you may not be issued a CDL until you have received authorization for the Federal Diabetes Exemption Program from the FMCSA.

Federal Diabetes Exemption Program Checklist

1. Applicant Information Checklist;

2. Signed copy of the Medical Examination Report (completed by the Medical Examiner);

3. Signed copy of the Medical Examiner’s Certificate (completed by the Medical


4. Endocrinologist Evaluation Checklist;

5. Vision Evaluation Checklist;

6. Copy of your driver’s license and motor vehicle record.

General Exemptions

 The Federal Diabetes and Vision Exemption Programs have specific  requirements, as well as requests for hearing and seizure  exemptions.  

These requests may include medical exams, employment  history, driving experience and motor vehicle records which must be  submitted with the application. The Agency will make a final decision  within 180 days of receipt of the complete application. 

Vision Exemption

If you can't meet the vision requirements, you may be qualified under the FMCSA Vision Exemption Package.  For details about these requirements please visit the FMCSA website containing the document:

How Medical Issues Impact Driving

There are several reports available at the FMCSA website that detail how issues such as Diabetes, Traumatic Brain Injury, Hearing Impairment and others that may be viewed directly on their website:


Medications can have a profound impact on the mental status and alertness of drivers.  Many medications impair a driver's ability to control a motor vehicle. 

The FMCSA has information on medications you can read about at the following site: