HealthRoute DOT Physical Orlando | Walk-In CDL Medical Exam

FORMS & DOWNLOADS

Resources & Documents β€” download what you need before you arrive.

These are the most common forms drivers and employers ask for. Download, fill out (if needed), and bring it with you to avoid delays.

Fast check-in
Bring completed forms
Clear instructions
Know what applies to you
Need help?

Driver documents

Common forms for DOT physicals and driver visits.

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DOT Physical Intake Form

Fill this out before your DOT physical to speed up check-in. Bringing your completed medical history and medication list helps prevent delays during your exam.

  • Basic medical history
  • Medication list section
  • Driver contact info
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Vision Evaluation Report Form

If you did not meet FMCSA vision standards during your DOT physical, your medical examiner may require this form.

  • Required for monocular vision
  • Must be completed by an eye specialist
  • DOT physical must be completed within 45 days of the vision exam
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CMV Driver Medication form

This form helps document current medications for commercial motor vehicle drivers during DOT medical evaluation.

  • Medication list and prescribing provider details
  • Supports medical examiner review
  • Helps determine safe CMV operation
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Insulin-Treated Diabetes Mellitus Assessment Form

This form may be required for CDL drivers treated with insulin before a medical examiner can issue certification.

  • Completed by the treating clinician
  • Confirms stable insulin treatment and monitoring
  • Supports DOT medical qualification review
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Drug & Alcohol Brochure

A quick reference for drivers covering when DOT drug and alcohol testing applies.

  • Testing situations explained
  • What to expect at collection
  • Helpful compliance basics
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Driver Qualification Checklist

Checklist for required qualification documents and recordkeeping for CDL drivers.

  • Medical card and license checks
  • File documentation reminders
  • Ongoing compliance tracking

Employer documents

Forms for sending employees, authorizations, and compliance workflows.

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Employer Authorization / Service Request

Use this to send an employee for a drug test, physical, or service. Helps prevent delays and confusion.

  • Company + employee info
  • Test/service selection
  • Billing instructions
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Consortium Enrollment

Quick checklist for owner-operators and employers enrolling drivers in a random testing program.

  • What info we need
  • How renewals work
  • How random selections are handled
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Drug & Alcohol Testing Policy (sample)

A simple policy starter you can review with your HR/legal team. Helpful for DOT motor-carriers.

  • Plain language structure
  • Common policy sections
  • Good for small businesses
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Supervisor Training

Training material for supervisors responsible for reasonable suspicion and workplace testing procedures.

  • Supervisor awareness training
  • Reasonable suspicion support
  • PDF for review or download
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Reasonable Suspicion Determination Report

Documentation form for supervisors to record observations and support reasonable suspicion determinations.

  • Supervisor observation record
  • Reasonable suspicion documentation
  • PDF for review or download
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Find a Substance Abuse Professional (SAP)

Search the SAP list to locate a qualified Substance Abuse Professional for return-to-duty and follow-up requirements.

  • SAP lookup resource
  • Nationwide directory
  • Opens in a new tab

Motor Carrier

Documents and links commonly used by motor carriers for DOT program setup, training, and compliance support.

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Consortium Enrollment

Quick checklist for motor carriers enrolling drivers in a random testing program.

  • What info we need
  • How renewals work
  • How random selections are handled
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Drug & Alcohol Testing Policy (sample)

Sample DOT policy language for FTA and FMCSA-regulated programs.

  • Policy structure
  • DOT testing program language
  • PDF for review or download
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Acknowledgement of Drug and Alcohol Form

Use this form to document policy receipt and driver acknowledgment for your DOT testing program.

  • Policy receipt documentation
  • Driver acknowledgment record
  • PDF for review or download
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Supervisor Training

Training material for supervisors responsible for reasonable suspicion and workplace testing procedures.

  • Supervisor awareness training
  • Reasonable suspicion support
  • PDF for review or download
πŸ“‹

Reasonable Suspicion Determination Report

Documentation form for supervisors to record observations and support reasonable suspicion determinations.

  • Supervisor observation record
  • Reasonable suspicion documentation
  • PDF for review or download
🧭

Find a Substance Abuse Professional (SAP)

Search the SAP list to locate a qualified Substance Abuse Professional for return-to-duty and follow-up requirements.

  • SAP lookup resource
  • Nationwide directory
  • Opens in a new tab
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DOT post accident

Quick access to the FMCSA post-accident testing flowchart and downloadable DOT post-accident document.

  • Flowchart reference page
  • Post-accident document download
  • Driver and employer guidance

Compliance Documents

Core compliance references for employers and safety-sensitive employees.

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DOT Employer Handbook

Practical guidance for employer responsibilities, documentation, and ongoing DOT testing compliance.

  • Employer compliance workflows
  • Testing program expectations
  • Documentation best practices
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DOT Employee Handbook

Clear employee-facing guidance for DOT testing requirements, responsibilities, and what to expect.

  • Driver responsibilities
  • Testing process overview
  • Compliance readiness tips
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2026 DOT Random Testing Rates

Current FMCSA minimum annual random testing percentages for drugs and alcohol.

  • Drug testing rate
  • Alcohol testing rate
  • Quick compliance reference
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Driver Qualification Checklist

Simple checklist to help confirm required driver qualification documents are collected and current.

  • License and med card checks
  • Required record review items
  • Ongoing file maintenance
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Drug & Alcohol Testing Brochure

Driver-facing overview of DOT drug and alcohol testing expectations and common questions.

  • When testing is required
  • What drivers should expect
  • Compliance reminders
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DOT Medical Form (MCSA-5875)

DOT medical examination form used during physicals. Keep a copy for your records and onboarding packets.

  • Standard DOT medical form
  • Useful for driver packets
  • Supports documentation readiness

HIPAA documents

Secure medical records request and release forms for patient-authorized document access.

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Medical Record Request HIPAA Release

Use this secure release form to request medical records or authorize disclosure of your protected health information.

  • HIPAA authorization request
  • Patient release and signature workflow
  • Submitted securely
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Request Copy of Medical Card and Long Form

Use this secure request form to ask for a copy of your DOT medical card and long form from HealthRoute.

  • Medical card copy request
  • Long form request workflow
  • Submitted securely
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Medical Record Request HIPAA Release Third-Party

Use this secure request form when a third party is requesting records or authorized release of protected health information.

  • Third-party authorization request
  • HIPAA release workflow
  • Submitted securely

Document FAQs

Quick answers about downloading and printing.

Do I have to print the forms?
Not always. Many drivers bring a completed form on their phone. If you can print it, that’s even better.
Can I fill these out on my phone?
Yes β€” if the PDF is fillable. If yours isn’t fillable yet, we can make fillable versions.
I don’t see a document I need. What should I do?
Call us at 407-859-1880 and we’ll tell you exactly what to bring.

Visit HealthRoute

4985 Hoffner Ave, Suite 1, Orlando, FL 32812

Phone
407-859-1880
Hours
Mon–Fri: 9am–5pm