A mobile DOT exam is a concierge house call physical where we come to you for the physical instead of you coming to an office. This benefits you the driver as you do not have to spend money on gas, get lost, or wait in a waiting room. It is essentially how medical providers used to practice medicine in the past....... Our mobile concierge physical exam includes physical, blood pressure, hearing screening, vision screening, and urinalysis. We also provide group physicals for groups of 3 or more. Groups of 4 drivers or more should be scheduled by calling our office at ‪(908) 505-2202‬ or email us at roadsafedot@cacioffi.com. Please see our booking area for up-to-date pricing on our mobile DOT exams and group rates. For recertifications (3 months or less): All recertifications require a new examination which includes physical, blood pressure, hearing, and vision screening with urinalysis. Please see our booking area for up-to-date pricing on our mobile DOT exams and group rates. For drivers with medical exams with 'Determination Pending' status, you have up to 45 days granted and you must meet all the requirements set for by the medical examiner for completion. All documentation requested must be completed before your consultation. There is no new exam required, but a service fee may be charged for form completion and federal database filling completion. Please see our booking area for up-to-date pricing on our mobile DOT exams and group rates.

Each examination takes approximately 30-60 minutes to perform. Upon successful examination and payment we digitally certify you through the federal FMCSA database. Group physicals will depend on the number of drivers registered. Please see our booking area for up to date pricing on our mobile DOT exams and group rates.

In the event you are requested to provided additional documentation, a status of determination pending (up to 45 days) or possibly a 3 month certification may be granted to allow driver time to obtain supporting materials or testing. Drivers will be required to schedule a short follow-up visit for document submission and review. You can visit our booking area for scheduling and pricing.

Drivers with a history of diabetes, high blood pressure and heart attack will need to provide further documentation at exam. I ) For drivers with diabetes and prescribed oral medication (not insulin): a ) You will need a statement of medical clearance from your primary care provider or endocrinologist with last noted eye and foot exam if applicable. b ) Complete FMCSA form 391.41 CMV DRIVER MEDICATION FORM II ) For drivers with diabetes and prescribed insulin: a ) Same as above, plus you need to complete FMCSA diabetes exemption packet. We will work with you to get this completed. You may search for this form online by selecting the form name in bold lettering above or go to link on our exam tips and forms page. III ) For drivers with high blood pressure and prescribed oral medication: a) You will need a statement of medical clearance from your primary care provider or cardiologist. If you are prescribed medication for your condition, you will also need to have form below completed. b) Complete FMCSA form 391.41 CMV DRIVER MEDICATION FORM. You may search for this form online by selecting the form name in bold lettering above or go to link on our exam tips and forms page. IV ) For drivers with chronic cardiac conditions (i.e., Congestive heart, heart disease, pacemaker, history of heart attack) a ) You will need a statement of medical clearance from your cardiologist who understands the demands of commercial driving. b ) Please bring most recent echocardiogram / stress test. A new echo / stress test will be needed every 2 years. c ) If you are prescribed medication for your chronic condition, you will also need to have form 391.41 CMV DRIVER MEDICATION FORM completed. You may search for this form online by selecting the form name in bold lettering above or go to link on our exam tips and forms page. There is a minumim certification waiting periord of 2 months from the date of your heart attack. Click here to see other conditions with required waiting periods.

WHAT CONDITIONS REQUIRE WAITING PERIODS? Waiting periods are time frames where the driver may not drive following a medical event, or as a result of the medical treatment associated with a medical condition. They can vary from one week to up to 10 years; most average to approximately 3 months. Medical examiners are required to follow all waiting periods. They exist for: Most cardiovascular events and treatment such as heart attacks and heart surgeries. All seizure disorders such as epilepsy, seizures caused by head injuries, and unknown causes. Most other neurologic disorders such as traumatic brain injuries, following a stroke or TIA (mini stroke), after brain surgeries, and with brain infections, etc. Some mental disorders such as severe depression, after a suicide attempt, or if you have had a psychosis. The use of Chantix, a medication used to help stop smoking. If you are beginning the use of a CPAP or other device used to treat sleep apnea. Conveniently, you can obtain clearance letters that specifically spells out what is needed for each condition or treatment. Regulations and Guidance – Waiting Periods If more than 1 waiting period is involved, the longer waiting period applies. Seizure disorder FMCSA definition of epilepsy is 2 or more events or use of anti-seizure-medication to control seizures (see section on DQ for epilepsy of seizure disorders). If 1 event of unknown cause, and no anti seizure medication is required, the waiting period is 6 months (see section on required clearance). If from a known cause (medication reaction, high fever for example), no waiting period is required (Best Practice decision, see section on required medical clearance). If the driver has met or exceeded 10 years with out the use of anti seizure medication (under medical direction) and has not suffered a seizure, they may be considered for medical certification (Best Practice). See also section on exemptions. 2. Behavioral Health and Other Mental Health Disorders (2-1:10 through 2-1:16) Severe depression/thoughts of suicide or suicide attempt – 1 year Non-psychotic major depression, no suicide attempt – 6 months. Psychosis – symptom free for 1 yearrn -Brief episode of psychosis – 6 months - Treatment involves the use of electroconvulsive therapy – 6 months Cardiovascular disorders Post MI – 2 months PCI (angioplasty) – 1 week Most surgical procedures except heart transplant – 3 months, except Heart transplant – 1 year Post-percutaneous balloon mitral valvotomy – 4 weeks. Surgical commissurotomy (valvular procedure) – 4 weeks. Post-balloon valvuloplasty – 1 month Pacemaker for sinus node dysfunction, and AV block is 1 month, all other pacemakers are 3 months. Anticoagulation therapy – 1 month rn Pulmonary embolism/Deep Vein Thrombosis (DVT) – 3 months Respiratory disorders Sleep Apnea – 1 month for new CPAP use, 3 months with surgery Use of Chantix for smoking, after discontinuing use – 2 weeks Pulmonary Embolism – 3 months. Neurologic disorders (7-1:7 through 7-1:14) Thromboembolytic stroke – 1 year Stroke involving medial or anterior cerebral artery – 5 years Stroke with risk of seizures – 5 years Transient Ischemic Attack (TIA) – 1 year Intracerebral or subarachnoid hemorrhage – 5 years Surgically repaired AV malformation or aneurysm with no seizurenrisk -1 year Surgically removed infratentorial meningiomas, acustic neuromas, pituitary adenomas, and benign spinal tumors – 2 years Surgically removed supratentorial or spinal tumors – 2 years Infections of the CNS Viral encephalitis with early seizures – 10 years Bacterial encephalitis with early seizures – 5 years Infections of the CNS (bacterial meningitis, viral encephalitis without early seizures) – 1 year Traumatic Brain Injury (TBI) Moderate with early seizures – 5 years Moderate without early seizures – 2 years Benign Paroxysimal Vertigo and Vestibulopathy – 2 months There are numerous variations in medical certification, waiting periods, required medical clearance, required testing, counseling, disqualifying medications and conditions etc.