The health history is an essential part of the driver physical examination. Are
there limitations resulting from a current or past medical condition? Are there
symptoms that indicate additional testing or evaluation is needed? Discuss the safety
implications of effects and/or side effects of prescription and over-the-counter
medications, supplements, and herbs.
Ensure that the driver signs and dates the Medical Examination Report form. By signing
the form, the driver certifies that the information and history are “complete
and true.” The driver signature also acknowledges that providing inaccurate
or false information or omitting information could invalidate the medical examiner’s
certificate. A civil penalty may be levied under 49 U.S.C. 521(b)(2)(b) against the driver who provides a
false or intentionally incomplete medical history. Everything above the driver signature
should be completed by the driver.
As a medical examiner, you must clarify yes answers. Document the significant findings
of the health history in the comments section below the signature of the driver.
Follow the links in the table for more information on health history specific to