![]() specific questions about surgery and medication.questions about whether the driver ever was denied a medical card.federal privacy act statement that the driver must sign.What is new on the Medical Examination Report Form (5875) and Medical Examiner’s Certificate (5876)? In addition, employer representatives with proper authorization will be able to view and print completed 58 forms online. To speed up the procedure, we have the ability to send emails directly to drivers to pre-fill their part of the form, which can be done on a smartphone. ![]() This procedure will improve accuracy by eliminating empty boxes in health history, eliminating cross outs and write overs, and eliminating illegible handwriting. ![]() Here at Partners In Safety, we will be using an electronic DOT exam form for all exams done in the office. Therefore, each exam will take longer to complete. There are more questions for the driver to answer. These forms and their instructions are available at On April 20, 2016, all DOT exams will need to be recorded on the new DOT Medical Examination Report form MCSA-5875 and drivers will be issued the new Medical Examiner’s Certificate MCSA-5876, commonly called the DOT medical card. New Dot Forms And Procedures Starting ApAll Articles
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