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Q&A
Does the DOT physical include a drug test?
What drugs are tested for, if a DOT drug test is requested?
What if the DOT drug screen tests positive?
Why do I have to have a urine test for my DOT physical?
Is protein in the urine a disqualifier?
Is sugar in the urine a disqualifier?
Is blood in the urine a disqualifier?
Can I get a medical certificate if I’m being treated for a medical condition by my doctor?
What if I take insulin by injection and my diabetes is under control?
My doctor put me on Metformin. Can I still drive truck?
What medications disqualify me from getting a medical card?
Can I be qualified if I have a prescription for medical marijuana?
What if I take nitroglycerine for angina?
Can I still drive if I take prescription Paxil, Imitrex, and Zonisamide?
Can I take Xanax and still drive truck? My doctor put me on it and I don’t want to lose my job.
Can I still drive if I take a blood thinner?
Can I still drive while taking Provigil (Modafinil)?
Does the DOT physical include a drug test?
The DOT physical exam to get your medical card, does not include a drug test. This does not mean that any Company you want to work for, will not request a pre-employment drug test — they most likely will. But the DOT physical exam requirements do not include a drug test.
What drugs are tested for, if a DOT drug test is requested?
The 5 Panel drug test analyzes urine for the following drugs:
- Marijuana (THC metabolite)
- Cocaine
- Amphetamines
- Opiates (including heroin)
- Phencyclidine (PCP)
What if the DOT drug screen tests positive?
The DOT drug screen is looking for illegal or non-prescription drugs. Yet, sometimes normal prescription medications can trip a positive test.
If the urinalysis is positive for one or more of the drugs on the 5 panel drug test, then the driver will be contacted in person by the Medical Review Officer. The MRO will interview the driver to determine if there is an alternative medical explanation for the drugs found in the urine specimen. If the driver provides appropriate documentation from a prescribing physician, a confirmation test with a split sample is performed for each identified drug. Confirmation ensures that over-the-counter medications or preparations are not reported as positive results. If the MRO determines that it is a legitimate medical use of the prohibited drug, the drug test result is reported as negative to the employer. Otherwise the drug test will be reported as positive.
Why do I have to have a urine test for my DOT physical?
The urine test is just a kidney screen to test for sugar and protein. It’s done to determine that there is no early onset of conditions like high blood pressure breaking down the kidneys, or early signs of diabetes, or kidney infection.
Is protein in the urine a disqualifier?
No, not necessarily. Protein in the urine may indicate kidney disease. The medical examiner will make a decision based on the amount of protein in the urine. The medical examiner may certify, time limit your certification or temporarily disqualify your medical certificate while you have the condition checked by a specialist.
Is sugar in the urine a disqualifier?
Yes, it is an indicator of the onset of diabetes or already a diabetic that does not have the condition under control. The driver would be disqualified until the condition is under control, either with medications or diet.
Is blood in the urine a disqualifier?
No, not necessarily. If the medical examiner believes that the blood in the urine may indicate a condition that affects the ability of the commercial driver to safely, the driver may be referred to a primary care physician or specialist for further evaluation. The medical examiner may certify, time limit your certification or temporarily disqualify your medical certificate while you have the condition checked by a specialist.
Can I get a medical certificate if I’m being treated for a medical condition by my doctor?
Depending on the risk posed by the condition and treatment, the medical examiner may require documentation from your doctor. To assist in the preparation of the documentation, you can get more information here, courtesy of Trucker Docs. Even though your prescribing physician may be of the opinion that your condition and treatment is safe to drive, the decision to certify still rests with the medical examiner.
If you have non-insulin treated diabetes the medical examiner will check that your diabetes is adequately controlled. If it is controlled, you will get a time-limited certification and most likely need to re-certify annually.
If your diabetes is treated with insulin, you will be disqualified for inter-state driving. You may be able to drive intra-state.
The DOT does have a few, very stable insulin dependent drivers testing on insulin waivers, but you would have to check with the FMCSA on this issue.
What if I take insulin by injection and my diabetes is under control?
Without a DOT Diabetes exemption waiver the answer is No, not for interstate driving, even if your condition is stable.
You may be able to drive intra-state. Each state has its own rules.
What are the requirements for blood sugar limits? I just found a job driving school bus. I am a diabetic, non-insulin dependent. When I took the test my blood sugar was 350, but in the past few days I’ve gotten it down to about 170. I have never had a low or high blood sugar blackout. Will I have to get an exemption?
The medical examiner needs to see your blood sugar levels below 120. That is the level for blood sugar spillover into the urine. The concern is not whether you have ever had a blood sugar blackout, it’s – Could you have a blood sugar blackout while driving a bus full of little people? Safety first for you, the driver, and for the public at large.
My doctor put me on Metformin. Can I still drive truck?
The Metformin is to control your blood sugar as a borderline diabetic. It will limit your DOT medical certificate to one year at a time.
I’m a CDL driver. I had to start insulin for my diabetes. My medical card expires in a month. Will the doctor know I’m taking insulin when he does my tests?
It does not matter whether he knows or not. On the DOT medical examination form that you fill out, it will ask if you are a diabetic and also how you control the condition. So you are the one who is going to tell him about the insulin.
Your examining doctor should ask quite a few questions regarding your insulin usage to help determine your options.
What medications disqualify me from getting a medical card?
Any habit forming drug; methadone; anti-seizure medication, is disqualifying.
The medical examiner will review every medication – prescription, non-prescription, and supplement to determine if its use will adversely affect the safe operation of a commercial vehicle. The medical examiner may require documentation from your prescribing physician. In this case the medical examiner may, but is not required to grant you a medical card.
Can I be qualified if I have a prescription for medical marijuana?
No. Marijuana is a disqualifier, even if you have a prescription.
A CMV driver cannot be qualified if on Methadone. There are exceptions to the rule regarding other drugs prescribed by a physician, but this does NOT apply to Methadone.
What if I take nitroglycerine for angina?
Nitroglycerine use is not disqualifying. The medical examiner may require an evaluation by your Cardiologist to make sure that your angina condition is stable.
Can I still drive if I take prescription Paxil, Imitrex, and Zonisamide?
These three drugs are going to be a red flag for any examiner. You should bring with you a letter from your prescribing physician, explaining the need for the medications and their possible side effects. All three are listed with side effects of drowsiness, weakness, dizziness, and should not be used while driving or using machinery. You are going to have to explain to the medical examiner why and how much if any of these medications you are taking and the basic circumstances for their needs.
Can I take Xanax and still drive truck? My doctor put me on it and I don’t want to lose my job.
One of the best ways for a driver to answer a question about whether a medication may be a disqualifier or not, is to read about the side effects of that medication.
Lets take a look at some of the side effects of Xanax which include: “Drowsiness, light-headedness, headache, tiredness, dizziness, irritability, talkativeness, difficulty concentrating, dry mouth, increased salivation, changes in sex drive or ability, nausea, constipation, changes in appetite, weight changes, difficulty urinating, and joint pain. Some other side effects can be serious. The following symptoms are uncommon, but if you experience any of them, call your doctor immediately: shortness of breath, seizures, seeing things or hearing voices that do not exist (hallucinating), severe skin rash, yellowing of the skin or eyes, depression, memory problems, confusion, problems with speech, unusual changes in behavior or mood, thinking about harming or killing yourself or trying to do so, and problems with coordination or balance.”
As you can see, some of these issues can be unsafe for you and the public. It will cause any medical examiner to question your reaction to this medication. Talk with your prescribing doctor and ask questions with regards to driving while using any medication.
I take Prozac for anxiety and I no longer have anxiety attacks. Will this be a problem for my DOT physical?
If the anxiety disorder is controlled with the medication, then there is no real problem. Just make sure you inform the medical examiner about your condition and the medications you are taking for it.
I have been diagnosed with panic attacks. I don’t have them often but I do take Lorazepam for them on a PRN basis. Can this disqualify me from driving a school bus?
The side effects of the medication could be a disqualifier from driving a bus. I would bring a note from your physician stating how long and how often you use this medication.
A bus-load of kids could be stressful and may trigger your need to medicate. So the medical examiner would be concerned about the side effects of the medication. The big concern here is for your safety and the safety of the children.
I want to keep my CDL but I have anxiety and need to get on some medication. I don’t want to lose my license. What anti-anxiety medication in okay to take and still be safe to drive?
Talk with your MD and explain that you are a commercial OTR driver. That way the doctor can work out which, out of dozens of medications, will work best and not interfere with your ability to operate a commercial motor vehicle. Most of the anxiety meds do not run positive for drug testing. They usually have side-effects that cause drowsiness and that is the main problem. So give the provider as much information as possible and go from there.
You will need to get documentation from your MD stating that no side effects are present that will impact your ability to safely operate a commercial vehicle.
Can I still drive if I take a blood thinner?
Yes, you may still drive. You will need to get documentation from your treating physician as to when the condition started, what was the diagnosis, what has the treatment consisted of, what medication are you on, and is the condition stable. All of these things are to help the medical examiner determine whether you are medically fit to operate a CMV safely.
Can I still drive while taking Provigil (Modafinil)?
The use of Provigil needs careful supervision. Drivers being prescribed Provigil should not be qualified until they have been monitored closely for at least 6 weeks while taking Provigil. The medical examiner will require documentation from your treating physician stating that the treatment is effective, and that no side effects are present that will impact your ability to safely operate a commercial vehicle.
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If a drive is diagnosed with add and they give him prescription for methylphenidate is it okay to drive and still maintain your dot card in the state of mass.
@David
Best bet is to take the medications for a period of time prior to going back to driving. You and the doctor don’t know how you are going to react to the medications and there are side-effects that would be potentially dangerous for a driver. So test it out first, see how it works for you and then go back to driving, with a prescribing doctors medical release form in hand.
Hi
I have a question……I notice some companies including the one I am going to work for now do Hair Follicle Testing………is this still a 5 Panal Test or do they test for more. I also heard that some examining Drs. now look at some national database for perscription drugs when examing an applicant. Is this true? I mean I am honest and all but just wondering because this is all new to me since I have not driven since 2009 so I was just wondering, this hair follicle is completely new
Thnak
Kenny
@Kenny V
When the employer is requesting the test, they can ask for whatever they want.
In most cases they are looking for schedule one drugs, not standard prescription medications.
Ok, thank you…..goes to show what I know……..I thought it all had to be the 5 panal test thats why it confused me…….no I dont take schedule one drugs or anything but like I said it was new so I was like this is wierd because I thought they could only Use a 5 panal test test at least this is what I was always told then I go to work for this employer and they go cutting some of my hair off
I had open heart surgery on Mar 31. The Doctors put me on Eliquis for my heart, Lipitor for my cholesterol and Nuvigil for sleep apnea. When they realized they had to do an ablation for Arrhythmia, they put me on Lisinopril and Carvedilol. I had the procedure about 6 weeks ago. can I get my medical card while on all these medications? Lisinopril and carvedilol both say not to drive or operate equipment while taking until familiar to the effects. Do I just need to get my cardiologist to sign off on them?
Thanks
@Ted
First you need to be fully healed and fully recovered from the surgery. Then once you are there you will want to have your cardiologist fill out a medical release form for you. By then he may remove some of your medications and the list may be short. When you are at that point, your questions may have changed. You are just a little ahead of yourself here. Get healed up and then go from there. Good Luck.
Hello,
Maybe some can clear this up for. I have DOT physical card that is still valid. I have no experience driving a truck I am considering a driving school I passed all my written tests ect.
Now the issue I have is Medicines I have prescriptions that I take that i take that may not be allowed
Klonipin being one of them.
I also have a note from my doctor stating “patient cleared to drive with DOT regulations with current medication regime.
All sounds good but inst it the insurance company that makes the judgement call?
If I go too a driving school and I pay Im sure I can get a CDL but can I get hired?
I may also go to a school that train you and then you drive for them for a year to pay off the school
Will they accept me?
Maybe I can Finally find out.
Thanks so much
@Phillip
If your doctor is a CME and can justify why you are taking these medications and he feels that you are safe to drive, then get a card from him. Otherwise you are going to have difficulty getting into driving school, if you are considering over-the-road driving.
Your medications are the issue. Your doctor should know whether the medications will allow you to pass.
As a CME, there would be lots of questions to be able to justify you being behind the wheel while on these meds. Start with a proper medical release form from your prescribing doctor and then check with your state drivers license department. You may be able to drive intra-state only while taking these meds.
I have been on clonazepam for 9 years. I have had a medical card and been driving. I applied for a new job and this time the doc has a problem with the clonazepam. I don’t understand why. Please help
@ Steve
Start with a medical release form from your primary doctor explaining your situation and need for the meds. That release should answer most of the CME’s questions and gives the CME enough information to make a good decision.
i know a person still driving over the road but he`s on total disability can he still obtain a medical card and still drive?
@ Vern
Some of the drivers have some level of disability, but they still need to be able to pass the medical examination. The examination is designed to determine ‘medical fitness for duty’. If a driver is on total disability and is drawing funds of the government and he is driving and gets found out, the fed’s will fine him and want their money back, because he is not totally disabled. He’s working for a living and asking you and I to foot his other funds. Not good for anybody at this point.
Just prescribed Prednisone 50 mg for the next 5 days for Gout. Is this DOT legal for a truck driver?
@Charley
Shouldn’t be any problems with it.
i been taking prednisone 5mg for a couple of years. will this disqualify me from DOT exams? Please help.
@Mark
The medication is not one that would have you disqualified, but what is the underlying condition that is being treated may. Get a medical release form from your doctor explaining your situation. That would be a great help to the DOT examiner.
I was given a sleep study some time ago. The doctor that reviewed the results determined I did NOT have sleep apnea. He prescribed Ambien to help me sleep. Am I allowed to carry and use Ambien in a CMV? I’m about to go back OTR and don’t want to jeopardize my career. Thanks!
@ C Dub
That’s one of those questionable medications. This medication has been known to cause some very strange side-effects. If you have a medical release form from your doctor and you know how you react to the medication, then you just need to let the CME know how and when you use the medication along with the prescribing doctors medical release form. That should answer most of the examiners question right up front.
I was prescribed morphine as a pain reliever for my back. I read that I can get an exemption letter from my doctor. What I want to know is what are the realistic chances of me getting my medical card? What steps to I need to take to get it?
@Tom
I know of no exemption letter that is going to let you drive while on morphine.
You might get a medical release form completed by your prescribing doctor and take that with you when you take the DOT physical examination. But the medical release form is only going to be advantageous once you have healed from your injury, if there was one. Otherwise you will need to consider another medication or wait and get over the back pain.
Can I take cyclobenzaprine and drive 18 wheeler ?
@Charles
This medication is for short term usage and while you are treating for your condition, it would probably be best if you didn’t try to drive and take the medication. The side effects would be the major question and you may not be as safe a driver, as you usually are, while under this medication regime.
Ok, im trying to go get my cdl permit but i need to get my dot physical first. I’ve been on suboxone for about a year and a half. I’ve read as long as you have a script and also have your doctor sign a form saying it wont affect your driving that it wont disqualify you. But i also read that it does disqualify you. I had gone to a doctor and i told her i was on it then she gave me that form saying to have my doctor sign it saying it wont affect my driving. So since she couldnt finish it she said i can give u half your money back so i told her yea plase cause i travel for work and i need to get everything done fast. So she said she understood. But it seemed that she didn’t know much about it. So should i return their and give her that form she wanted my doctor to fill out. Or should i go somewhere else and not even mention the suboxone and have clean urine. I really need my cdl cause i have 3 kids and my wife is pregnant with twins and she will have to stop working and become a stay at home mom so everything will fall on me. My family lives depend on me getting my cdl. So does suboxone disqualify me or should i go somewhere else and give clean urine.
@Roger
Get the medical release form filled out by your primary doctor. Have him explain the need and usage of the properly prescribed medications, that should answer the CME’s questions.
Go back to the original doctor and finish the test with her.
To lie on the federal forms will cost you more in the long run, including your CDL and the trust of others that depend on you.
You should do fine with the proper information in hand. Good Luck
Well i went back to my doctor to get the release form filled out and they told me that they can’t due to legal matters. Im pulling my hair of my head. What now!!#
@Roger
Your doctor does not understand what he is being ask for.
No legal matters, just answer questions regarding you and the need for the medications.
The responsibility of the decision to qualify a driver for a medical card falls on the CME, not your doctor.
Hello my situation is as follows and any advice would be appreciated. I have been driving a box truck that’s rated 12-13000 for the past 6 years. During this time I have been stopped various times for dot inspection and never was told an ything about a medical card. this week I was stopped and told to go online and answer the questions on the dot website and it told me I needed a dot medical card. So I went to an examiner and was honest that I take suboxone which is similar to methadone. It’s used for treating people who are/were opiate dependent. I have been taking it for 2-3 years and driving without issue. Now I’ve been told suboxone disqualifies me from getting a medical card which I believe means I can’t drive anymore aleast for now. Just wondering what the options I have and what the best course of action is. My doctor was aware of my job the entire time and thought it was fine but evidently didn’t know the regulations. Once again any input is much appreciated
@Sean
Since you are not a class A driver and are not operating an 80,000 lbs truck, you do not need to qualify as an OTR type driver. So get a note , along with a medical release form from your doctor, explaining your need for the properly prescribed medications that you are taking. Also explain to the examiner that you drive a 12-13,000 pound truck and stay local. That should answer most of the examiners questions.
I drive an under 16,000 pound, 25 passenger + driver bus for our church. Passengers do not pay nor am I compensated. I am a diabetic on insulin. When I went to have my medical card renewed I was told that, because I am on insulin, I could no longer drive the bus. But that I could apply for an exemption through US DOT. All I found on their site were exemptions for commercial drivers. My license does not allow me to drive commercially. This license only allows me to drive a church bus meeting the above qualifications. My A1C, checked every 6 months has been 6.9, 6.9, and most recently /6.8. Do I have any alternatives or am I just out
@Juhn
You need to find a CME who is not over-reading the regulations and understands what you do for the church.
Get a medical release form from your primary doctor and take it with you to the next DOT examination. Also explain to the examiner what it is that you do and that you are a volunteer. He should make your card good for one year and intra-state only, which should allow you to do your church bus driving again.
I just have a quick question about a medication that I was given for a skin condition. It is a steroid cream called Halcinonide (halog). I was wondering if I can used this product and still drive a CMV? Is there possibly any problems that could come up taking a random drug test? And lastly if you know do I need to tell my employer that I am using this medication? Thank you very much.
@Snazzy_hat
This is an over-the-counter medication, so unless you are prescribed a stronger version and the medications have a negative side effect you should not have any issues.
If your doctor prescribed a stronger version, then you have to look at the side effects to determine what your safety issues may be. Also, if you were prescribed this medication and you popped positive on a random, all you have to do is provide the MRO with a copy of the prescription and you should be fine.
If a diabetic that injects insulin takes the dot physical, would he be taken off the road till he completes the waiver process.
@Thomas
When a driver is insulin dependent and takes his medical certificate examination, his examination is completed and his medical card states on it that the certificate is good ONLY with a diabetes waiver. So to answer your question, the answer is Yes.
my husband needs to recertify. He had passed all the requirements, and needed to go for a follow up after a simple eye surgery. He now has 20/20 vision! SO we went for the card, as stated he would receive as the eye surgery was of course important to complete the medical exam. While there, his doc was out, and the PA told him he had to go for a A1C test first!!! He is type 2 NON INSULIN dependent, and well controlled with his medication!! Now, his card will be late! I never heard about this test for non, or borderline diabetes// Can she really do this?? were a mess. we went there because he had a pulled muscle, and now this?? really??
@Marge
If the diabetes is controlled and you have a medical release form from your primary doctor, then there is no FMCSA regulation for any CME to do an A1c.
Someone is out of line and over reading the FMCSA guideline. Either go back with your regular doctor or somewhere else. No CME is to be making any type of diagnosis. They are to require information from the primary doctor use the medical release form from your PCP.
Ma’am, I’d like to offer my congratulations on your husband’s very successful eye surgery! I’d also like to offer a different perspective from another CME who administers the exam…
A CME may not have any idea if your husband is compliant. Sadly, I have run across drivers who tell me they are compliant, but when I ask about a recent lab, it’s either out of date, or very recently, I had one that was 14%! So any driver simply telling me that he is well controlled doesn’t really mean anything.
If the PA is part of the same practice and asking for one, it’s entirely possible that your husband hasn’t had one done in a while. It’s also possible that there is something in your husband’s chart/exam that raised a red flag and prompted the request. Were you able to ask the PA for her rationale?
So, I politely disagree with Trucker Doc. If your husband is well controlled on meds, he very likely has a recent lab, and can share that with the CME. And if not, it’s important for him to know how he is doing.
I *do* ask for a recent hemoglobin A1c. It indicates that the driver is getting regular care and follow up and it shows whether or not they are taking care of themselves. I would, of course, accept a letter from a PCP saying that the person is well controlled. In an ideal world, every driver would come with the necessary paperwork, but in reality, very few do.
In the absence of other documentation supporting that statement, I feel that a HgbA1c is a reasonable way to assess control. There are existing recommendations regarding ranges of hemoglobin A1c values which are helpful in guiding certification decisions.
I am sorry that you had such a frustrating experience! I hope that you are able to resolve this in a time frame that is is useful. Best of luck.
Question regarding the storage of prescription inside the cab of my semi… in the state of Fl must you retain your meds in their individual containers or may I place them in one of those daily organizers, you know the ones that are divided by the day and then by ‘morning’ and ‘evening’ and ‘bedtime’ (for example)? I would still have the script bottles with me but it is just so much more handy to open one container and not three or four.
@Mitzi
As far as I know, as long as you have the prescription on hand, you should be able to store them any way you like.
My blood sugar #’s have been increasing fast the past few months and my dr is sending me to an endocrinologist who I expect will put me on insulin. Once that happens do I lose my medical card when I take that first shot or is my card good until it expires? If so, what is the quickest way to re-establish my card?
@Tim
If they are going to place you on insulin, you need to start the process of acquiring a insulin waiver. There is going to be a waiting period to get your diabetes under control and stable. During that time frame your medical card is invalid as an interstate driver. Remember, anything that takes you from behind the wheel causes your medical card to be invalid. It is a safety issue not a personal thing.
You will need to pass the new medical examination after the waiting period and start the FMCSA waiver process as soon as possible.
I’m on baclofen 20mg 3x a day. Will this dq. me, or will I be ok, or do I need to have the prescription changed
@koi
All you need to do is get your prescribing doctor to fill out your medical release form for you and explain the need for the medications and if it would interfere with your ability to operate a CMV safely. After that you should be good to go.
If your just renewing your medical card and a drug screen is not requested will they even no your prescribed medication ?
@Troy
You are asked a multitude of times to give that information. Not just prescribed medications, but over the counter medications, as well as, vitamins and nutritional supplements. Many of these can present with a safety issue during long driving periods.
I went to renew my dot medical card a d got an automatic fail due to methadone. As of january this year. Methadone is no longer allowed. Can you tell me what pain med My Dr can give me now ? Nobody seems to know. Im from NH and the dot here can’t give me any solid info. On guy said none. When I told him about the 391.41 rule. He said he never heard of it. Please let me know. I have a week left before I lose my job. I was told oxycodone is ok and my dr will give me the exception letter like he did with the methadone. Thank you. Rick G. NH.
@Rick
You need to talk with your primary prescribing doctor. Methadone is a disqualified for a driver. Have your doctor work with you on some other pain medication and after you are stable on the new medications, then have the prescribing doctor fill out a medical release form for you.
Take that information to the DOT examiner and he should be able to work with you from there. The CME has to work with rules and regulations that your primary doctor doesn’t even know about. So help the CME with information from the medical release form and you should be good to go.
if I don’t list a certain medication that could cause trouble on my dot physical paperwork, will I get into trouble
@Matt
If you get caught lying on the forms, it can cost you your job and driving license.
Not really worth it and potentially you place yourself and other in harms way. Still not worth it.
well ive been on Suboxone for 7 years and have had my class A cdl for 17 years.I have a letter from my prescribing doctor that states he knows my job description very well and feels I am safe to drive a commercial vehicle.I have been to 2 different CME’s and they wont clear me.Im A mechanic for a constuction company and only drive once in a while.I love my job and have been there almost 5 years.Please help Im willing to travel wherever i need to find a doctor that understands my situation.Im located in Saratoga N.Y.
@Matt
Not real sure what the major issue is with not being able to understand your situation. A medical release form completed by your prescribing doctor and a clear understanding of what your job entails, is really all that is needed.
Unfortunately I don’t know anyone in your area to send you to.
A big thank you to this site. It pointed me in the right direction to finding someone to medically certify me.
To all of those people on suboxone don’t give up. Get yourself a medical opinion release form filled out by your doctor and start calling CME’s until you find one that understands your situation. They are out there. You may need to travel a little out of your way you may not. Again, A big thank you to truckerdocs!
@Matt
Thank you for sharing your experience. This will be a great help to others.
We appreciate your appreciation!
(Link to medical opinion release form)