Medication list and treating provider information.

For Type 1 or insulin treated Diabetes please have your treating provider complete this form prior to your exam: MCSA-5870

For Type 2 or non-insulin treated diabetes please bring your last Hemoglobin A1C and medication list.

Pleas bring a copy of your CPAP compliance report (minimum 30 days).

If you have a history of heart disease, please bring a clearance letter from your cardiologist and most recent stress test. This includes conditions such as a heart attack, angina (chest pain), heart failure, irregular heartbeat (arrhythmia or atrial fibrillation), pacemaker or defibrillator placement, heart valve replacement or repair, coronary artery bypass surgery, angioplasty or stent placement, cardiomyopathy, or congenital heart defects that require ongoing monitoring.

Please have your Opthalmologist  complete form MCSA-5871 for conditions such as monocular vision (vision in only one eye), glaucoma, or any other vision issue that is being monitored.

Please apply for the seizure exemption through the FMCSA and bring a letter from your Neurologist.

Please bring clearance letter from Pulmonologist and pulmonary function test results.

Please bring clearance letter from Nephrologist and recent lab results.

Please bring Medication list and clearance letter from treating provider.