Preventative Health

Drugs & Alcohol



You must provide your medical examiner with the following information:

  • Date onset of Alcohol Use / Substance Abuse / Controlled Substance Use.
  • Name and location of treating health care professional.
  • What interventions have been done.
  • Medications you are taking.
  • Treatment plan.
  • Side effects of medication. 
  • Report: Ongoing use/abuse of substances. 

Medical Examiner may administer or request a CAGE, AUDIT, or TWEAT type of assessment if necessary.


Admitted use of any Schedule 1 drug: (i.e. heroin, cocaine, marijuana, methamphetamine etc.)

DISQUALIFY: refer to an appropriate Substance Abuse Professional (SAP)


Medical Marijuana:



Suspicion of Substance Abuse:

Disqualify and refer to appropriate psychologist, psychiatrist or SAP.


Use of controlled substance prescribed by a HCP for legitimate medical purposes:

Certify if: no underlying disqualifying disorder (strongly consider this for ongoing use of narcotics, benzodiazepine  or chronic sedative/hypnotic use), has received clearance from treating HCP that examiner has made aware of the demands of the CMV driver and that in the treating HCP’s opinion that the medication will not impair the ability of the driver to SAFELY operate a CMV

Waiting period: none

Monitoring: None

Certification period:  one year

Disqualify if:  no clearance from prescribing HCP, has a disqualifying underlying condition, driver is experiencing effects of medication likely to interfere with safe operation of a CMV.

Certification of the driver using sedative/hypnotics, narcotics, or benzodiazepines on a chronic, ongoing  is not recommended.



w  Certify if: normal examination, clearance from treating HCP, completed appropriate treatment program

w  Waiting period:  None

w  Monitoring:  none

w  Certification period: two years

w  Disqualify for: active alcoholism not in remission, residual deficits from alcohol dependence or disease that would impair safe operation of a CMV, has not completed a treatment program


NOTE:  Participation in maintenance therapy programs such as Alcoholics Anonymous is NOT disqualifying.