Commercial Driver Medical Examination| Rules and Regulations

How To Apply To The Federal Diabetes Exemption Program

If you use insulin to control your diabetes, you must apply to the Federal Diabetes Exemption Program and be granted an exemption by the FMCSA before you can operate a commercial motor vehicle in Interstate Commerce.  The specific steps to follow are listed below

Steps to Follow:

  1. Obtain a Diabetes Exemption Package.  Complete the Applicant Information Checklist.
  2.  Medical Examiner.  Bring Certifying Medical Examiner Evaluation Letter from Diabetes Exemption package to the appointment with the medical examiner. The medical examiner must determine that you meet all other FMCSA physical qualification guidelines except for the fact that you use insulin. If the driver has any other medical problems or conditions (besides the use insulin to treat their diabetes), they must be corrected before applying to the Federal Diabetes Exemption Program. The applicant driver must provide the medical examiner with a 5 year medical history for review.  Applicant is to submit completed Medical Examination Report Form and Medical Examiner’s Certificate with his application to the Diabetes Exemption Program. The form and certificate is available from the medical examiner.  The medical examiner’s certificate should indicate that the driver is certified ONLY if he has a diabetes exemption and expires 1 year from the date of examination.  The medical examiner’s certificate is NOT valid unless the insulin exemption is granted by the FMCSA.
  3. Endocrinologist Evaluation (Board Certified or Eligible).  After the medical examiner certifies the driver, the applicant must bring the Endocrinologist Evaluation Checklist from the Diabetes Exemption Package and glucose logs to the appointment with the endocrinologist.  Endocrinologist will complete all parts of the 4 page checklist. Apllicant is to submit the checklist, signed endocrinologist letter head and any additional report outlined in the check list.  The endocrinologist evaluation is good for 6 months and must be renewed if it expires during the application process
  4. Ophthalmologist or Optometrist.  Vision Evaluation Checklist is also to be performed after the medical examiner certifies applicant.  An ophthalmologist evaluation is required if applicant has retinopathy.  The optometrist or ophthalmologist will complete all parts of the 2 page checklist.  Again, this checklist is also valid for 6 months and must be renewed during the application process if it expires.  A signed letterhead from the ophthalmologist or optometrist is also required. 
  5. Mail completed Applicant Information Checklist, Both sides of driver’s license and current commercial motor vehicle record along with items 2, 3 and 4 above to the address listed on the Diabetes Exemption Package.

To book a DOT physical exam please click Contact us or  call 718-701-5949.  We provide fast accurate DOT physicals for $65.00 and enjoy helping drivers with difficult certification cases. 

Please consult the FMCSA Medical Examiner’s Handbook online for further recommendations.