General:

You must provide your medical examiner with the following information:

• Date onset orthopedic / rheumatic / neurologic musculoskeletal disorder.
• Name and location of treating health care professional.
• What interventions have been done.
• Current physical limitations imposed on you by health care provider.
• Is your deficit fixed of progressive?

• Medications you are taking.
• Treatment plan.
• Side effects of medication. 
• Report: Any recent history of acute episodes of transient muscle weakness, poor muscular coordination, abnormal sensations, decreased muscular tone, pain, pain or swelling of joints, stiffness of joints or muscles, fatigue.

Your treating physician shall report:

• Nature and severity of the condition.
• Degree of limitation present.
• Likelihood of progressive limitation.
• Likelihood of gradual or sudden incapacitation.

For drivers with fixed, minimal defects that do not interfere with ability to operate vehicle and ancillary duties (such as missing part of a finger, toe, minor limitations in range of motion of a major joint, etc.)

Medical Examiner MUST DOCUMENT:

1.  The exact physical findings
2. Lack of interference with vehicle operation

CERTIFY FOR:  Maximum of 2 years

For drivers with a major FIXED deficit (Fixed musculoskeletal deficit) (missing arm, leg, foot, hand, thumb and index fingers on same hand, marked limited ROM of major joints, neck, spine)

Medical Examiner MUST DOCUMENT:

1.     The exact physical findings.                            

2.     Refer them for a Skill Performance Evaluation.

3.     Check box on the long form and white slip.

4.     Packet is found on the FMCSA website under Medical Program.

CERTIFY FOR:  Maximum of 2 years

For drivers with a major NON fixed deficit (Non-fixed musculoskeletal deficit) (carpal tunnel, MS, etc)

MUST DOCUMENT:

1.  The exact findings
2. If they are not able to meet the standard then they are DISQUALIFIED.  They are not eligible for the Skill Performance Evaluation.