Preventative Health

Sleep Disorders



 You must provide your medical examiner with the following information:

    Date onset of Sleep Apnea / Sleep Disturbance, if known.

    Name and location of treating health care professional.

    What interventions have been done.

    Medications you are taking.

    Treatment plan.

    Side effects of medication. 

    Report: Any history of chest pain, shortness of breath, swelling of ankles, dizziness or fatigue, excessive sleepiness during normal wake period, accident from falling asleep


Report: Is sleep apnea treated?  If so, with what and how often?  Last visit to doctor? If on CPAP, what is the compliance from the download?  Any co-morbidities: CAD, MI, CVA, diabetes?




Drivers at risk for sleep apnea will be identified using clinical predictive model (STOP BANG or similar). Your medical examiner will assess:  BMI, neck circumference, Malampatti class, subjective sleepiness (Epworth / Berlin), comorbid conditions, age, gender.


A sleep study will be reqiured for any examinee with a BMI 35 or any examinee with a STOP-BANG score indicating the examinee is at high risk for a sleep disorder in conjunction with  with a BMI ≥ 30.








Testing:  Drivers identified as significant risk for sleep apnea will be referred for testing. 



Driver without sleep apnea:  Certify up to two years

Driver with risk of sleep apnea:  Certify limited time; 1-3 months recommended depending on availability of testing and treatment in the driver’s area.

Driver with sleep apnea and stable on CPAP: May certify up to one year


Do Not Certify: 

Driver with very high risk:  Driver has been in an accident because they fell asleep, admits to excessive sleepiness during major wake period

Driver is not compliant:  Driver with sleep apnea not compliant with PAP treatment



CPAP Compliance:  Minimum of 4 hours use per night on 70% of nights


Special Situations:


Driver with sleep apnea and states compliant but does not have documentation:  May consider a limited certification card depending on examiner’s knowledge of driver.  Maximum of 30 day certification



Driver with sleep study showing significant sleep apnea but has not yet received CPAP machine:  Do not certify.