FMCSA CERTIFICATION SUMMARY !!!!
�1
TABLE OF CONTENT !VISION……………………………………………….…………………. 4 !HEARING………………………………………….…………………… 4 !CARDIOVASCULAR………………………………………………… 5 Abdominal Aor,c Aneurysm (AAA)………………………….……… 5 Acute Deep Vein Thrombosis (DVT)………………………………… 5 Chronic Thrombo,c Venous Disease……………………….……… 6 Intermi@ent Claudica,on……………………………………………..… 6 Aneurysms…………………………………………………………..…………. 6 Peripheral Vascular Disease (PVD)………………………..………… 6 Pulmonary Emboli………………………………………………..………… 7 Superficial Phlebi,s……………………………………………….……..… 7 Thoracic Aneurysm…………………………………………….…………… 7 Varicose Veins………………………………………………………………… 7 Implantable Cardioveter-‐Defibrillators (ICD)…………………… 8 Pacemakers………………………………………………………….………… 8 Supraventricular Arrhythmias………………………………………… 9 Ventricular Arrhythmias…………………………………………….…… 10 Post-‐Acute Myocardial Infarc,on………………….………………… 10 Angina Pectoris-‐-‐Stable Angina………………………………….…… 11 CHD Risk factors…………………………………………………..………… 11 Coronary Artery Bypass GraTing Surgery……..………………… 12 Heart Failure……………………………………………………………..…… 12 Percutaneous Coronary Interven,on……………………….……… 13 Congenital Heart Disease: Ebstein Anomaly…………………… 13 Heart Transplanta,on…………………………………………….……… 14 Hypertrophic Cardiomyopathy……………………..………………… 14 Restric,ve Cardiomyopathy………………………………….………… 14 Syncope…………………………………………………………………..……… 14 Aor,c Regurgita,on……………………………….……………………… 15 Severe Aor,c Regurgita,on…………….……………………………… 16
Aor,c Stenosis……………………………………………………..………… 17 Aor,c Valve Repair………………………………….……………………… 17 Mitral Regurgita,on…………………………….………………………… 18 Mitral Stenosis………………………………………………………..……… 18 Post-‐Percutaneous Balloon Mitral Valvotomy.………………… 18 Post-‐Surgical Commissurotomy……………………………….……… 19 Mitral Valve Prolapse……………………………………………..……… 19 Prosthe,c Valves……………………………………………….…………… 20 Pulmonary Valve Stenosis…………………….………………………… 21 !!HYPERTENSION……………………………..……….………… 22 Stage 1 Hypertension……………………………………………………… 22 Stage 2 Hypertension……………………………………………………… 22 Stage 3 Hypertension……………………………………………………… 23 Secondary Hypertension…………………….…………………………… 23 !!RESPIRATORY……………….……………………………….……… 24 An,histamine Therapy…………………………………………………… 24 Allergic Rhini,s…………………………………………………….………… 24 Allergy-‐Related Life-‐Threatening Condi,on.…………………… 25 Asthma…………………………………………………………………..……… 25 Hypersensi,vity Pneumoni,s…………….…………………………… 25 Chronic Obstruc,ve Pulmonary Disease…….…………………… 26 Chronic Sleep Disorders…….………………………………….………… 26 Infec,ous Respiratory Diseases………………….…………………… 27 Atypical Tuberculosis…….………………………………………..……… 27 Pulmonary Tuberculosis…………………………….…………………… 28 Chest Wall Deformi,es…….…………………………..………………… 28 Cys,c Fibrosis…….…………………………………………..……………… 29 Inters,,al Lung Disease…….…………………………………………… 29 Pneumothorax…….…………………………………………….…………… 29 Cor Pulmonale…….……………………………………………….………… 30 Pulmonary Hypertension………………………………………………… 31
�2
NEUROLOGICAL…….…………………………………….…..…… 32 An,convulsant Therapy…….…………………………….……………… 32 An,coagulant Therapy…….……………………………..……………… 32 Acute seizures: structural insult to the brain.………………..… 33 Acute seizures: systemic metabolic illness…….………………… 33 Childhood febrile seizures…….………………………………………… 34 Epilepsy…….……………………………………………………….…………… 34 Headaches…….……………………………………………..………………… 34 Single Unprovoked Seizure……………………………………………… 35 Ver,go and Dizziness…….………………………………..……………… 35 Infec,ons of the Central Nervous System…….…………….…… 35 Autonomic Neuropathy…….…………………………………….……… 36 Condi,ons Associated with Abnormal Muscle Ac,vity.…… 36 Congenital Myopathies……………………………..…………………… 36 Metabolic Muscle Diseases…….………………………….…………… 36 Motor Neuron Diseases…….………………………………….………… 37 Muscular Dystrophies…….…………………………………….………… 37 Neuromuscular Junc,on Disorders…………….…………………… 37 Peripheral Neuropathies…….……………………………………..…… 37 Central Nervous System Tumors…….…………….………………… 37 Demen,a…….………………………………………………………….……… 38 Embolic and Thrombo,c Strokes…….…………….………………… 38 Intracerebral and Subarachnoid Hemorrhages.……………… 38 Transient Ischemic A@ack…….………………………………………… 39 Trauma,c Brain Injury (TBI)…….…………………..………………… 39 !!MUSCULOSKELETAL…….…………………..…………………… 40 Fixed Deficit of an Extremity…………………………………………… 40 Autonomic Neuropathy…….…………………………….……………… 40 Condi,on associated with abnormal muscle ac,vity….…… 40 Congenital Myopathies…….……………………………………….…… 41
Metabolic Muscle Disease…….………………………………..……… 41 Motor Neuron Disease…….……………………………………..……… 41 Neuromuscular Junc,on Disorders…….…………………………… 41 !!DIABETES MELLITUS…….…………………………..…..……… 42 Nephropathy…….……………………………………………………….…… 42 Incre,n Mime,c Therapy………………………..……………………… 43 Insulin Therapy…….………………………………………………………… 43 Oral Hypoglycemics…………………………………..…………………… 44 !!OTHER DISEASES…….…………………………..………………… 44 Hernia…….……………………………………………………………………… 44 !!PSYCHOLOGICAL…….……………………………………..……… 45 Adult A@en,on Deficit Hyperac,vity Disorder (ADHD).…… 45 Bipolar Mood Disorder…….…………………………………..………… 45 Major Depression…….…………………………………………..………… 46 Personality Disorders……………………………………………………… 46 Schizophrenia and Related Psycho,c Disorders……….……… 47 An,psycho,c Therapy…….……………………………………………… 47 Electroconvulsive Therapy (ECT)…….……………….……………… 48 Anxioly,c and Seda,ve Hypno,c Therapy…….……..………… 48 An,depressant Therapy…….…………………………………………… 49 Lithium Therapy…….……………………………………….……………… 49 Central Nervous System S,mulant Therapy…….……………… 49 !DRUG ABUSE AND ALCOHOL…….……………………..…… 50 Alcoholism…….……………………………………………………..………… 50 Drug Abuse…….…………………………………………….………………… 50 !!!
�3
!Vision
Condi&on Wai&ng period Cer&fica&on Period
Has distant visual acuity and distant binocular acuity of at least 20/40 (Snellen)
Maximum two years
Field of vision at least 70meridian in each eye
Maximum two years
Ability to recognize colors of traffic signals Maximum two years
Driver has monocular and applies for Federal Vision Exemp&on
Maximum one year
Hearing
Condi&on Wai&ng period Cer&fica&on Period
Benign posi&onal ver&go Minimum two months Maximum two years
Acute and chronic peripheral ves&bulopathy Minimum two months Maximum two years
Uncontrolled ver&go Do not cer&fy
Meniere’s Disease Do not cer&fy
Labyrinthine Fistula Do not cer&fy
Nonfuncitoning Fistula Do not cer&fy
�4
Cardiovascular
Condi&on Wai&ng period Cer&fica&on Period
No current diagnosis of Myocardial Infarc&on, Angina Pectoris, Coronary Insufficiency, or Thrombosis
Maximum two years
Abdominal Aor3c Aneurysm (AAA)
Condi&on Wai&ng period Cer&fica&on Period
AAA is <4 cm; driver is asymptoma&c One year
AAA is >4 cm and <5cm; driver is asymptoma&c One year
AAA is surgically repaired Minimum three months One year
AAA symptoms present with driver Do not cer&fy
AAA is recommended for surgical repair Do not cer&fy
AAA is >4 cm and <5cm; does not have medical clearance
Do not cer&fy
AAA has increased by more than 0.5 cm during a 6 month period.
Do not cer&fy
Acute Deep Vein Thrombosis (DVT)
Condi&on Wai&ng period Cer&fica&on Period
No residual, acute DVT One year
Ineffec&vely treated DVT Do not cer&fy
�5
Chronic Thrombo3c Venous Disease
Condi&on Wai&ng period Cer&fica&on Period
Has no symptoms Two years
Condi&on endanger the health and safety of the driver and the public
Do not cer&fy
IntermiCent Claudica3on
Condi&on Wai&ng period Cer&fica&on Period
Surgery provides relief of symptoms Minimum three months Maximum One year
Driver has pain at rest Do not cer&fy
Aneurysms
Condi&on Wai&ng period Cer&fica&on Period
Surgical repair of aneurysm and meets guidelines Minimum three months One year
Drive is recommended for surgical repair of aneurysm but procedure has not been performed
Do not cer&fy
Peripheral Vascular Disease (PVD)
Condi&on Wai&ng period Cer&fica&on Period
No other cardiovascular disease Minimum three months One year
Driver has pain at rest Do not cer&fy
Drive is recommended for surgical repair of aneurysm; procedure has not been performed
Do not cer&fy
�6
Pulmonary Emboli
Condi&on Wai&ng period Cer&fica&on Period
Appropriate long term treatment Minimum three months One year
No other disqualifying cardiovascular disease One year
Symptoms are present Do not cer&fy
Superficial Phlebi3s
Condi&on Cer&fica&on Period
Driver is medically qualified Two years
Coexis&ng DVT Do not cer&fy
Thoracic Aneurysm
Condi&on Wai&ng period Cer&fica&on Period
Aneurysm less than 3.5 cm One year
Surgically repaired aneurysm Minimum three months One year
Aneurysm greater than 3.5 cm Do not cer&fy
Varicose Veins
Condi&on Wai&ng period Cer&fica&on Period
No complica&ons exist Two years
Severity of the condi&on endangers the health and safety driver and the public
Do not cer&fy
�7
Implantable Cardioveter-‐Defibrillators (ICD)
Condi&on Wai&ng period Cer&fica&on Period
Driver has ICD Do not cer&fy
Driver has ICD/pacemaker combina&on device Do not cer&fy
Pacemakers
Condi&on Wai&ng period Cer&fica&on Period
Post-‐ pacemaker implant for sinus node dysfunc&on
Minimum one month Maximum one year
Post-‐pacemaker implant for AV block Minimum one month Maximum one year
Post-‐pacemaker implant for Neurocardiogenic syncope
Minimum three months Maximum one year
Post-‐pacemaker implant for Hypersensi&ve caro&d sinus with syncope
Minimum three months Maximum one year
Driver has documenta&on indica&ng the presence of a func&oning pacemaker
Maximum one year
Driver has documenta&on indica&ng the comple&on fo rou&ne pacemaker checks
Maximum one year
No disqualifying disease Maximum one year
Driver has an implantable cardiac defibrillator/pacemaker combina&on device
Do not cer&fy
Driver has an underlying disease Do not cer&fy
�8
Supraventricular Arrhythmias
Condi&on Wai&ng period Cer&fica&on Period
An&coagulated adequately with diagnosis of atrial fibrilla&on
Minimum one month Maximum one year
An&coagulated adequately following thoracic surgery
Minimum one month Maximum one year
Post-‐isthmus abla&on and diagnosis is atrial flucer
Minimum one month Maximum one year
Asymptoma&c with Atrioventricular nodal reentrant tachycardia diagnosis
Minimum one month Maximum one year
Asymptoma&c with Atrioventricular nodal reentrant tachycardia and Wolff-‐Parkinson-‐White syndrome diagnosis
Minimum one month Maximum one year
Asymptoma&c with Atrial tachycardia diagnosis Minimum one month Maximum one year
Junc&onal tachycardia Minimum one month Maximum one year
Driver has controlled heartbeat Maximum one year
Treatment for preven&on of emboli that is effec&ve and tolerated
Maximum one year
No underlying disease that is disqualifying Maximum one year
Condi&on causes loss of consciousness Do not cer&fy
Compromised cerebral func&on Do not cer&fy
Sudden death resuscita&on Do not cer&fy
�9
Ventricular Arrhythmias
Condi&on Wai&ng period Cer&fica&on Period
Drug or other therapy and diagnosis is Coronary heart disease
Minimum one month Maximum one year
Drug or other therapy and diagnosis is Right Ventricular ouflow VT
Minimum one month Maximum one year
Drug or other therapy and diagnosis is Idiopathic leg ventricular VT
Minimum one month Maximum one year
Driver is asymptoma&c Maximum one year
Has an iden&fied non-‐disqualifying cardiac cause Maximum one year
Drive is symptoma&c Do not cer&fy
Has sustained VT Do not cer&fy
Has NSVT, LVEF less than 0.40 Do not cer&fy
Has a diagnosis of Hypertrophic cardiomyopathy Do not cer&fy
Has a diagnosis of Long QT interval syndrome Do not cer&fy
Has a diagnosis of Brugada syndrome Do not cer&fy
Post-‐Acute Myocardial Infarc3on
Condi&on Wai&ng period Cer&fica&on Period
Driver is asymptoma&c Minimum two months Maximum one year
Driver tolerates medica&ons Minimum two months Maximum one year
Driver has sa&sfactory exercise tolerance test (ETT)
Minimum two months Maximum one year
�10
Post-‐Acute Myocardial Infarc,on con,nue..
Has a res&ng leg ventricular ejec&on frac&on (LVEF) greater than or equal to 40%
Minimum two months Maximum one year
Rest angina or change in angina pacern within 3 months of examina&on
Do not cer&fy
Ischemic changes on rest electrocardiogram Do not cer&fy
Intolerance to cardiovascular therapy Do not cer&fy
Angina Pectoris-‐-‐Stable Angina
Condi&on Wai&ng period Cer&fica&on Period
Driver has stable angina Minimum 3 months Maximum one year
Driver is asymptoma&c Minimum 3 months Maximum one year
Drive tolerates medica&ons Minimum 3 months Maximum one year
Has sa&sfactory exercise tolerance test (ETT) Minimum 3 months Maximum one year
Unstable angina is present within 3 months examina&on
Do not cer&fy
CHD Risk factors
Condi&on Wai&ng period Cer&fica&on Period
Nature and severity of the medical condi&on of the driver does not endanger the health and safety of the driver and the public
Maximum one year
Nature and severity of the medical condi&on of the driver endangers the health and safety of the driver and the public
Do not cer&fy
�11
Coronary Artery Bypass GraRing Surgery
Condi&on Wai&ng period Cer&fica&on Period
Driver is asymptomatc Minimum three months Maximum one year
Tolerates cardiovascular medica&ons with no orthosta&c symptoms
Minimum three months Maximum one year
Has a LVEF greater than or equal to 40% Minimum three months Maximum one year
Has a healed sternum Minimum three months Maximum one year
Driver is symptoma&c Do not cer&fy
Driver has orthosta&c symptom sides effects from cardiovascular medica&on
Do not cer&fy
Has LVEF less than 40% Do not cer&fy
Has sternum that has not healed Do not cer&fy
Heart Failure
Condi&on Wai&ng period Cer&fica&on Period
Driver is asymptoma&c Maximum one year
Driver tolerates medica&on Maximum one year
Driver ETT results greater than 6 METs Maximum one year
Has a LVEF greater than or equal to 40% Maximum one year
Has symptoma&c HF Do not cer&fy
Is asymptoma&c with LVEF less than or equal to 50% and has ventricular arrhythmias
Do not cer&fy
�12
Percutaneous Coronary Interven3on
Condi&on Wai&ng period Cer&fica&on Period
Post procedure Minimum one week Maximum one year
Driver is asymptoma&c Maximum one year
Driver tolerates medica&ons Maximum one year
Drive has no injury to the vascular access site Maximum one year
Incomplete healing or complica&on at vascular access site
Do not cer&fy
Angina at rest Do not cer&fy
Ischemic Electrocardiogram (ECG) changes Do not cer&fy
Congenital Heart Disease: Ebstein Anomaly
Condi&on Wai&ng period Cer&fica&on Period
Driver is asymptoma&c Maximum one year
Driver has mile tricuspid anomaly Maximum one year
Driver has mild cardiac enlargement Maximum one year
Driver has mild right ventricular dysfunc&on Maximum one year
Moderate or severe anomaly Do not cer&fy
Intracardiac lesion Do not cer&fy
Driver has a shunt Do not cer&fy
Driver has symptoma&c arrhythmia Do not cer&fy
Driver has accessory conduc&on pathway Do not cer&fy
�13
Heart Transplanta3on
Condi&on Wai&ng period Cer&fica&on Period
Post transplant Minimum one year Maximum six months
Driver is asymptoma&c Maximum six months
Driver tolerates medica&ons Maximum six months
Driver has no signs of transplant rejec&on Maximum six months
The nature and severity of the medical condi&on endangers the health and safety of the driver and the public.
Do not cer&fy
Hypertrophic Cardiomyopathy
Condi&on Wai&ng period Cer&fica&on Period
Posi&ve diagnosis Do not cer&fy
Restric3ve Cardiomyopathy
Condi&on Wai&ng period Cer&fica&on Period
Posi&ve diagnosis Do not cer&fy
Syncope
Condi&on Wai&ng period Cer&fica&on Period
The driver has been treated for symptoma&c disease
Maximum one year
Driver is asymptoma&c Maximum one year
�14
Syncope con,nue…
Driver tolerates medica&ons Maximum one year
Driver is at low risk for syncope/near syncope Maximum one year
Driver experiences syncope as consequence of a disease process
Do not cer&fy
Driver is at high risk for syncope/near synocpe, regardless of the underlying heart disease
Do not cer&fy
Aor3c Regurgita3on
Condi&on Wai&ng period Cer&fica&on Period
Mild Aor&c regurgita&on; asymptoma&c Maximum one year
Moderate Aor&c regurgita&on; normal LV fun&on Maximum one year
Driver has symptoms Do not cer&fy
Driver has moderate aor&c regurgita&on with abnormal LV func&on
Do not cer&fy
Echocardiography repeated ever 2 to 3 years when cer&fied with mild or moderate aor&c regurgitaion
Do not cer&fy !!!!!!!!!!
�15
Severe Aor3c Regurgita3on
Condi&on Wai&ng period Cer&fica&on Period
Post-‐aor&c valve repair Minimum three months
Not surgically repaired and the driver has: • No symptoms. • Normal LV func&on. • LV dilata&on: • LV end-‐diastolic dimension (LVEDD) less
than or equal to 60 mm. • LV end-‐systolic dimension (LVESD) less
than or equal to 50 mm. • The driver who has had surgical repair for
severe aor&c regurgita&on and meets guidelines for post-‐aor&c valve repair may be recer&fied for 1 year.
Maximum six months
Post-‐aor&c valve repair and the driver has: • No symptoms. • Normal LV func&on. • LV dilata&on: • LV end-‐diastolic dimension (LVEDD) less
than or equal to 60 mm. • LV end-‐systolic dimension (LVESD) less
than or equal to 50 mm. • The driver who has had surgical repair for
severe aor&c regurgita&on and meets guidelines for post-‐aor&c valve repair may be recer&fied for 1 year.
Maximum one year
Driver is symptoma&c Do not cer&fy
Driver is unable to achiever workload greater than 6 METS on Bruce protocol
Do not cer&fy
�16
Severe Aor,c Regurgita,on con,nue…
Driver has reduced LVEF <50% Do not cer&fy
Has LV dila&on LVEDD >70mm or LVESD >55mm Do not cer&fy
Aor3c Stenosis
Condi&on Wai&ng period Cer&fica&on Period
Post surgical repair Three months Maximum one year
Asymptoma&c mild aor&c stenosis Maximum one year
Asymptoma&c moderate aor&c stenosis Maximum one year
Surgically repaired severe aor&c stenosis Maximum one year
Angina Do not cer&fy
Heart Failure Do not cer&fy
Atrial fibrilla&on Do not cer&fy
Leg ventricular dysfunc&on; ejec&on frac&on<50%
Do not cer&fy
Thromboembolism Do not cer&fy
Severe aor&c stenosis Do not cer&fy
Aor3c Valve Repair
Condi&on Wai&ng period Cer&fica&on Period
Post Aor&c Valve Repair Minimum three months Maximum one year
Thromboembolic complica&ons Do not cer&fy
�17
Mitral Regurgita3on
Condi&on Wai&ng period Cer&fica&on Period
Post-‐ surgical commisurotomy Minimum 3 months Maximum one year
Asymptoma&c mild or moderate mitral regurgita&on, normal LV size and func&on, normal pulmonary artery pressure.
Maximum one year
Asymptoma&c severe mitral regurgita&on Maximum one year
Mitral Stenosis
Condi&on Wai&ng period Cer&fica&on Period
Post-‐percutaneous balloon mitral valvotomy Minimum 4 weeks Maximum one year
Post-‐surgical commissurotomy Minimum 3 months Maximum one year
Asymptoma&c mild mitral stenosis Maximum one year
Asymptoma&c moderate mitral stenosis Maximum one year
Severe mitral stenosis and a clearance from a cardiovascular specialist
Maximum one year
Unsuccessfully treated severe Mitral Stenosis Do not cer&fy
Post-‐Percutaneous Balloon Mitral Valvotomy
Condi&on Wai&ng Period Cer&fica&on Period
Driver is asymptoma&c Minimum four weeks Maximum one year
Has clearance from a cardiovascular specialist Minimum four weeks Maximum one year
Driver has no thromboembolic complica&ons Minimum four weeks Maximum one year
Driver has no pulmonary hypertension Minimum four weeks Maximum one year
�18
Post-‐Percutaneous Balloon Mitral Valvotomy con,nue…
Thromboembolic complica&ons Do not cer&fy
Pulmonary hypertension Do not cer&fy
Post-‐Surgical Commissurotomy
Condi&on Wai&ng Period Cer&fica&on Period
Driver is asymptoma&c Minimum 3 months Maximum one year
Has clearance from a cardiovascular specialist Minimum 3 months Maximum one year
No thromboembolic complica&ons Minimum 3 months Maximum one year
No pulmonary hypertension Minimum 3 months Maximum one year
Thrombolic complica&ons Do not cer&fy
Pulmonary hypertension Do not cer&fy
Mitral Valve Prolapse
Condi&on Wai&ng Period Cer&fica&on Period
Severity of the condi&on does not endanger the health and safety of the drive or the public
Maximum one year
Has symptoms or reduced effort Do not cer&fy
Ruptured or chordate or flail leaflet Do not cer&fy
Systemic emboli Do not cer&fy
Atrial fibrilla&on Do not cer&fy
Syncope or ventricular tachycardia Do not cer&fy
�19
Mitral Valve Prolapse con,nue…
Sever mitral regurgita&on or LV dysfunc&on Do not cer&fy
Post-‐Mitral Valve repair Minimum 3 months Maximum one year
Prosthe3c Valves
Condi&on Wai&ng Period Cer&fica&on Period
Post-‐Prosthe&c Valve Replacement Minimum three months Maximum one year
Driver is asymptoma&c Maximum one year
Has clearance from a cardiovascular specialist Maximum one year
Persistent symptoms Do not cer&fy
LV dysfunc&on with EF of <40% Do not cer&fy
Thromboembolic complica&ons Do not cer&fy
Atrial fibrilla&on Do not cer&fy
Pulmonary hypertension Do not cer&fy
Inadequate an&coagula&on Do not cer&fy !!!!!!!
�20
Pulmonary Valve Stenosis
Condi&on Wai&ng Period Cer&fica&on Period
Post-‐Balloon valvuloplasty Minimum one month Maximum one year
Post-‐Surgical valvotomy Minimum three months Maximum one year
Symptoms of dyspnea, palpita&ons, or syncope. Do not cer&fy
Pulmonary valve peak gradient greater than 50 mm Hg in the presence of a normal cardiac output.
Do not cer&fy
Right ventricular pressure greater than 50% systemic pressure.
Do not cer&fy
More than mild right ventricular hypertrophy or dysfunc&on noted by echocardiography.
Do not cer&fy
More than moderate pulmonary valve regurgita&on noted by echocardiography.
Do not cer&fy
Main pulmonary artery diameter more than 5 cm noted by echocardiography or other imaging modality.
Do not cer&fy!!!!!
�21
Hypertension
Stage 1 Hypertension
Condi&on Wai&ng Period Cer&fica&on Period
No history of hypertension Maximum one year
No use of an&hypertensive medica&on Maximum one year
Driver has a one year cer&ficate for untreated stage 1 hypertension
Maximum 3 months
No prescrip&on for an&hypertensive medica&on Maximum 3 months
Driver has a one-‐&me, three-‐month cer&ficate for elevated Burke Proper&es >140/90
Do not cer&fy
A history of Stage 3 hypertension and Burke Proper&es >140/90
Do not cer&fy
BP > 180/110 Do not cer&fy
Stage 2 Hypertension
Condi&on Wai&ng Period Cer&fica&on Period
BP of >160/100 but <180/110; no history of hyptertension; no use of an&hypertensive medica&ons
One &me for three months
Driver has a one-‐&me, three-‐month cer&ficate and BP greater than 140/90
Do not cer&fy
History of stage 3 hypertension and BP >140/90 Do not cer&fy
BP >180/110 Do not cer&fy
�22
Stage 3 Hypertension
Condi&on Wai&ng Period Cer&fica&on Period
History of Stage 3 hypertension Maximum of 6 months
BP of 180/110 or greater Do not cer&fy
Secondary Hypertension
Condi&on Wai&ng Period Cer&fica&on Period
Post-‐surgical correc&on; BP <140/90 Three months Maximum one year
Medical condi&on of the driver does not endanger the health and safety of the driver and the public.
Do not cer&fy!!!!!!!!!!!!!
�23
Respiratory
An3histamine Therapy
Condi&on Wai&ng Period Cer&fica&on Period
Treatment does not endanger the health and safety of the driver and the public
Abstain for 12 hours before vehicle opera&on
Maximum two years
Treatment interferes with driving ability Do not cer&fy
Allergic Rhini3s
Condi&on Wai&ng Period Cer&fica&on Period
Medical condi&on of the driver does not endanger the health and safety of the driver and the public.
Maximum two years
Severe conjunc&vi&s affec&ng vision Do not cer&fy
Inability to keep eyes open Do not cer&fy
Photophobia Do not cer&fy
Uncontrollable sneezing fits Do not cer&fy
Sinusi&s with severe headaches Do not cer&fy
Medica&ons that cause seda&on or other side effects
Do not cer&fy !!!!!!!
�24
Allergy-‐Related Life-‐Threatening Condi3ons
Condi&on Wai&ng Period Cer&fica&on Period
Medical condi&on of the driver does not endanger the health and safety of the driver and the public.
Maximum two years
There is no effec&ve treatment regimen Do not cer&fy
There is no successful preven&ve measures Do not cer&fy
Asthma
Condi&on Wai&ng Period Cer&fica&on Period
Medical condi&on of the driver does not endanger the health and safety of the driver and the public.
Maximum two years
Con&nual, uncontrolled, symptoma&c asthmas Do not cer&fy
Significant impairment of pulmonary func&on Do not cer&fy
Hypersensi3vity Pneumoni3s
Condi&on Wai&ng Period Cer&fica&on Period
Medical condi&on of the driver does not endanger the health and safety of the driver and the public.
Maximum two years
Medical condi&on of the driver endangers the health and safety of the driver and the public.
Do not cer&fy !!!!
�25
Chronic Obstruc3ve Pulmonary Disease
Condi&on Wai&ng Period Cer&fica&on Period
Medical condi&on of the driver does not endanger the health and safety of the driver and the public.
Maximum two years
Hypoxemia at rest Do not cer&fy
Chronic respiratory failure Do not cer&fy
History of con&nuing cough with cough syncope Do not cer&fy
Chronic Sleep Disorders
Beginning CPAP Minimum one month Maximum one year
Post surgical treatment Minimum three months Maximum one year
Successful nonsurgical therapy with: • Mul&ple sleep latency tes&ng values within
the normal range. • Resolu&on of apneas confirmed by repeated
sleep study during treatment. • Con&nuous successful nonsurgical therapy
for 1 month. • Compliance with con&nuing nonsurgical
therapy. • Resolu&on of symptoms following
comple&on of post-‐surgical wai&ng period.
Maximum one year !!!!!!!!!!!!!!!
�26
Chronic Sleep Disorders con,nue…
The driver has: • Hypoxemia at rest. • Untreated symptoma&c OSA. • Narcolepsy. • Primary (idiopathic) alveolar hypoven&la&on
syndrome. • Idiopathic central nervous system
hypersomnolence. • Restless leg syndrome associated with EDS.
Do not cer&fy
Infec3ous Respiratory Diseases
Condi&on Wai&ng Period Cer&fica&on Period
Medical condi&on of the driver does not endanger the health and safety of the driver and the public.
Maximum two years
Medical condi&on of the driver endangers the health and safety of the driver and the public.
Do not cer&fy
Atypical Tuberculosis
Condi&on Wai&ng Period Cer&fica&on Period
Disease remains rela&vely stable, there is normal lung func&on
Maximum two years
Extensive pulmonary dysfunc&on Do not cer&fy
Weakness and Fa&gue Do not cer&fy
Adverse reac&on to medical treatment Do not cer&fy !
�27
Pulmonary Tuberculosis
Condi&on Wai&ng Period Cer&fica&on Period
Driver is no longer contagious Maximum two years
Streptomycin therapy is complete without affec&ng hearing or balance
Maximum two years
Compliant with an&tubercular therapy Maximum two years
Advance TB with respiratory insufficiency Do not cer&fy
Chronic TB Do not cer&fy
Non compliance with an&tubercular or streptomycin therapy
Do not cer&fy
Residual eighth cranial nerve damage affec&ng balance or hearing
Do not cer&fy
Chest Wall Deformi3es
Condi&on Wai&ng Period Cer&fica&on Period
Medical condi&on of the driver does not endanger the health and safety of the driver and the public.
Maximum two years
Hypoxemia at rest Do not cer&fy
Chronic respiratory failure Do not cer&fy
Con&nuing cough with cough syncope Do not cer&fy
�28
Cys3c Fibrosis
Condi&on Wai&ng Period Cer&fica&on Period
Medical condi&on of the driver does not endanger the health and safety of the driver and the public.
Maximum two years
Hypoxemia at rest Do not cer&fy
Chronic respiratory failure Do not cer&fy
Con&nuing cough with cough syncope Do not cer&fy
Not met spirometry parameters Do not cer&fy
Condi&on unstable Do not cer&fy
Inters33al Lung Disease
Condi&on Wai&ng Period Cer&fica&on Period
Medical condi&on of the driver does not endanger the health and safety of the driver and the public.
Maximum two years
Hypoxemia at rest Do not cer&fy
Chronic respiratory failure Do not cer&fy
Con&nuing cough with cough syncope Do not cer&fy
Pneumothorax
Condi&on Wai&ng Period Cer&fica&on Period
Asymptoma&c without chest pain or shortness of breath
Maximum two years
No disqualifying underlying disease Maximum two years
�29
Pneumothorax con,nue…
Confirmed resolu&on of the single spontaneous pneumothorax
Maximum two years
Successful pleurodesis and meets acceptable pulmonary parameters
Maximum two years
Not met cer&fica&on parameters Do not cer&fy
Two or more spontaneous pneumothoraces on one side; no successful surgical procedure has been done to prevent recurrence
Do not cer&fy
Hypoxemia at rest Do not cer&fy
Chronic respiratory failure Do not cer&fy
Con&nuing cough with cough syncope Do not cer&fy
Cor Pulmonale
Condi&on Wai&ng Period Cer&fica&on Period
Medical condi&on of the driver does not endanger the health and safety of the driver and the public.
Maximum two years
Dyspnea at rest Do not cer&fy
Dizziness Do not cer&fy
Hypotension Do not cer&fy
Par&al pressure of arterial oxygen (PaOarterial blood greater than 65 millimeters of mercury (mm Hg).
Do not cer&fy !!
�30
Pulmonary Hypertension
Condi&on Wai&ng Period Cer&fica&on Period
Medical condi&on of the driver does not endanger the health and safety of the driver and the public.
Maximum one year
Dyspnea at rest Do not cer&fy
Dizziness Do not cer&fy
Hypotension Do not cer&fy
Par&al pressure of arterial oxygen (PaOarterial blood greater than 65 millimeters of mercury (mm Hg).
Do not cer&fy !!!!!!!!
�31
Neurological
An3convulsant Therapy
Condi&on Wai&ng Period Cer&fica&on Period
Medical condi&on of the driver does not endanger the health and safety of the driver and the public.
Maximum two years
An&convulsant medica&ons are used to control or prevent seizures
Do not cer&fy
An3coagulant Therapy
Condi&on Wai&ng Period Cer&fica&on Period
Stabilized on medica&on Minimum one month Maximum one year
Has monthly INR monitoring Maximum one year
Unmonitored INR Do not cer&fy
INR is not therapeu&c Do not cer&fy
Presence of underlying neurological condi&on Do not cer&fy !!!!!!!!!!
�32
Acute seizures: structural insult to the brain
Condi&on Wai&ng Period Cer&fica&on Period
Seizure free and off an&convulsant medica&on: • Mild insult without early seizures. • Stroke without risk for seizures. • Intracerebral or subarachnoid hemorrhage
without risk for seizures.
Minimum one year Maximum one year
Seizure free and off an&convulsant medica&on: • Moderate insult without early seizures. • Mild insult with early seizures
Minimum two years Maximum one year
Seizure free and off an&convulsant medica&on: • Moderate insult with early seizures. • Stroke with risk for seizures. • Intracerebral or subarachnoid hemorrhage
with risk for seizures.
Minimum five years Maximum one year
Not completed minimum wai&ng period seizure and an&convulsant medica&on free
Do not cer&fy
Does not have clearance from a neurologist Do not cer&fy
Acute seizures: systemic metabolic illness
Condi&on Wai&ng Period Cer&fica&on Period
Underlying systemic metabolic dysfunc&on has been corrected
Maximum two years
Driver has no disqualifying risk of recurrence of the primary condi&on
Maximum two years
Medical condi&on of the driver endangers the health and safety of the driver and the public.
Do not cer&fy
�33
Childhood febrile seizures
Condi&on Wai&ng Period Cer&fica&on Period
History of seizures is limited to childhood Maximum two years
Medical condi&on of the driver endangers the health and safety of the driver and the public.
Do not cer&fy
Epilepsy
Condi&on Wai&ng Period Cer&fica&on Period
Off of an&convulsant medica&on and seizure free
Minimum 10 years Maximum two years
Clinical diagnosis or medical history of epilepsy Do not cer&fy
Driver takes an&convulsant medica&on because of a medical history of seizures
Do not cer&fy
Headaches
Condi&on Wai&ng Period Cer&fica&on Period
Medical condi&on of the driver does not endanger the health and safety of the driver and the public.
Maximum two years
Medical condi&on of the driver endangers the health and safety of the driver and the public.
Do not cer&fy !!!!!
�34
Single Unprovoked Seizure
Condi&on Wai&ng Period Cer&fica&on Period
Driver is off an&convulsant medica&on and has clearance from a neurologist specializing in epilepsy
Minimum five years Maximum one year
Ver3go and Dizziness
Condi&on Wai&ng Period Cer&fica&on Period
Benign posi&onal ver&go; symptom free Minimum two months Maximum two years
Acute and chronic peripheral ves&bulopathy Minimum two months Maximum two years
Medical condi&on of the driver endangers the health and safety of the driver and the public.
Maximum two years
Benign posi&onal ver&go; has been symptoma&c Do not cer&fy
Meniere’s disease Do not cer&fy
Labynnithine fistula Do not cer&fy
Nonfunc&oning labynniths Do not cer&fy
Infec3ons of the Central Nervous System
Condi&on Wai&ng Period Cer&fica&on Period
Bacterial meningi&s without early seizures Minimum one year Maximum two years
Viral encephali&s without early seizures Minimum one year Maximum two years
Bacterial meningi&s with early seizures Minimum five years Maximum two years
Viral encephali&s with early seizures Minimum ten years Maximum two years
CNS infec&on is present Do not cer&fy
�35
Autonomic Neuropathy
Condi&on Wai&ng Period Cer&fica&on Period
Medical condi&on of the driver does not endanger the health and safety of the driver and the public.
Maximum two years
Presence of cardiovascular autonomic neuropathy
Do not cer&fy
Condi3ons Associated with Abnormal Muscle Ac3vity
Condi&on Wai&ng Period Cer&fica&on Period
Medical condi&on of the driver does not endanger the health and safety of the driver and the public.
Maximum two years
Diagnosis of Myotonia, Isaac’s syndrome, or S&ff-‐man syndrome
Do not cer&fy
Congenital Myopathies
Condi&on Wai&ng Period Cer&fica&on Period
Any diagnosis of Congenital Myopathy Do not cer&fy
Metabolic Muscle Diseases
Condi&on Wai&ng Period Cer&fica&on Period
Any diagnosis of Metabolic Muscle Disease Do not cer&fy
�36
Motor Neuron Diseases
Condi&on Wai&ng Period Cer&fica&on Period
Any diagnosis of Motor Neuron Disease Do not cer&fy
Muscular Dystrophies
Condi&on Wai&ng Period Cer&fica&on Period
Any diagnosis of Muscular Dystrophy Do not cer&fy
Neuromuscular Junc3on Disorders
Condi&on Wai&ng Period Cer&fica&on Period
Any diagnosis of Neuromuscular Junc&on Disorders
Do not cer&fy
Peripheral Neuropathies
Condi&on Wai&ng Period Cer&fica&on Period
Any diagnosis of Peripheral Neuropathy Do not cer&fy
Central Nervous System Tumors
Condi&on Wai&ng Period Cer&fica&on Period
Post-‐surgical removal of: • Infratentorial meningiomas. • Acous&c neuromas. • Pituitary adenomas. • Spinal benign tumors. • Benign extra-‐axial tumors.
Minimum one year Maximum one year
Post-‐surgical removal of: • Benign supratentorial tumors. • Spinal tumors.
Minimum two years Maximum one year
�37
Central Nervous System Tumors con,nue…
Driver has primary or metasta&c malignant tumors or benign nervous system tumors
Do not cer&fy
Demen3a
Condi&on Wai&ng Period Cer&fica&on Period
Any diagnosis of demen&a Do not cer&fy
Embolic and Thrombo3c Strokes
Condi&on Wai&ng Period Cer&fica&on Period
Not at risk for seizures Minimum one year Maximum one year
At risk for seizures Minimum five years Maximum one year
Use of oral an&coagulant Do not cer&fy
Use of any drug that may have high rates of complica&ons
Do not cer&fy
Presence of residual intellectual or physical impairments
Do not cer&fy
Intracerebral and Subarachnoid Hemorrhages
Condi&on Wai&ng Period Cer&fica&on Period
Not at risk for seizures Minimum one year Maximum one year
At risk for seizures Minimum five years Maximum one year
Use of oral an&coagulant Do not cer&fy
Use of any drug that may have high rates of complica&ons
Do not cer&fy
�38
Intracerebral and Subarachnoid Hemorrhages con,nue…
Presence of residual intellectual or physical impairments
Do not cer&fy
Transient Ischemic ACack
Condi&on Wai&ng Period Cer&fica&on Period
Any Transient Ischemic Acack Minimum one year Maximum one year
Use of oral an&coagulant Do not cer&fy
Use of any drug that may have high rates of complica&ons
Do not cer&fy
Trauma3c Brain Injury (TBI)
Condi&on Wai&ng Period Cer&fica&on Period
Moderate TBI without early seizures Minimum two years Maximum one year
Mild TBI with early seizures Minimum two years Maximum one year
Mild TBI without early seizures Maximum two years
Moderate TBI with early seizures Minimum five years Maximum one year
Severe TBI with or without early seizures Do not cer&fy !!!!!!!!
�39
Musculoskeletal
Fixed Deficit of an Extremity
Condi&on Wai&ng Period Cer&fica&on Period
Any fixed deficit of an extremity Maximum two years with SPE
A fixed deficit that affects the torso Do not cer&fy
Not providing proof of SPE cer&fica&on Do not cer&fy
Limb impairment caused by a progressive disease
Do not cer&fy
Autonomic Neuropathy
Condi&on Wai&ng Period Cer&fica&on Period
Medical condi&on of the driver does not endanger the health and safety of the driver and the public.
Maximum two years
Cardiovascular autonomic neuropathy causing res&ng tachycardia or orthosta&c blood pressures
Do not cer&fy
Condi3on associated with abnormal muscle ac3vity
Condi&on Wai&ng Period Cer&fica&on Period
Medical condi&on of the driver does not endanger the health and safety of the driver and the public.
Maximum two years
There is a present diagnosis of Myotonia, Isaac’s syndrome or S&ff-‐man syndrome
Do not cer&fy !
�40
Congenital Myopathies
Condi&on Wai&ng Period Cer&fica&on Period
Any diagnosis of Congental Myopathy Do not cer&fy
Metabolic Muscle Disease
Condi&on Wai&ng Period Cer&fica&on Period
Any diagnosis of Metabolic Muscle Disease Do not cer&fy
Motor Neuron Disease
Condi&on Wai&ng Period Cer&fica&on Period
Any diagnosis of Motor Neuron Disease Do not cer&fy
Neuromuscular Junc3on Disorders
Condi&on Wai&ng Period Cer&fica&on Period
Any diagnosis of Neuromuscular Junc&on Disorder
Do not cer&fy !!!!!!!!
�41
Diabetes Mellitus
Condi&on Wai&ng Period Cer&fica&on Period
Has a treatment plan that manages the disease; does not include insulin usage or interfere with safe driving
Maximum two years
Previous 12 months, experienced a hypoglycemic reac&on resul&ng in: • Seizure. • Loss of consciousness. • Need of assistance from another person. • Period of impaired cogni&ve func&on that
occurred without warning.
Do not cer&fy
Previous five years, had two or more disqualifying hypoglycemic reac&ons
Do not cer&fy
Loss of posi&on or pedal sensa&on Do not cer&fy
Res&ng tachycardia or orthosta&c hypotension Do not cer&fy
A diagnosis of peripheral neuropathy or prolifera&ve re&nopathy
Do not cer&fy
Nephropathy
Condi&on Wai&ng Period Cer&fica&on Period
Driver has a treatment plan that manages the disease
Maximum cer&fica&on two years
Medical condi&on of the driver endangers the health and safety of the driver and the public.
Do not cer&fy
�42
Incre3n Mime3c Therapy
Condi&on Wai&ng Period Cer&fica&on Period
Meets all physical qualifica&on standards Maximum one year
Medical condi&on of the driver endangers the health and safety of the driver and the public.
Do not cer&fy
Insulin Therapy
Condi&on Wai&ng Period Cer&fica&on Period
Previous diagnosis and on treatment that di not include the use of insulin
Minimum one month Maximum one year if there is a Federal diabetes exemp&on
Newly diagnosed and on no prior treatment Minimum two months Maximum one year if there is a Federal diabetes exemp&on
Driver uses insulin Do not cer&fy
Previous 12 months, experienced a hypoglycemic reac&on resul&ng in: • Seizure. • Loss of consciousness. • Need of assistance from another person. • Period of impaired cogni&ve func&on that
occurred without warning.
Do not cer&fy
Previous five years, had two or more disqualifying hypoglycemic reac&ons
Do not cer&fy
Loss of posi&on or pedal sensa&on Do not cer&fy
Res&ng tachycardia or orthosta&c hypotension Do not cer&fy
A diagnosis of peripheral neuropathy or prolifera&ve re&nopathy
Do not cer&fy
�43
Oral Hypoglycemics
Condi&on Wai&ng Period Cer&fica&on Period
Driver should have a treatment plan that does not include the use of insulin
Maximum one year
Medical condi&on of the driver endangers the health and safety of the driver and the public
Do not cer&fy
Other Diseases
Hernia
Condi&on Wai&ng Period Cer&fica&on Period
Medical condi&on of the driver does not endanger the health and safety of the driver and the public.
Maximum two years
Medical condi&on of the driver endangers the health and safety of the driver and the public
Do not cer&fy !!!
�44
Psychological
Adult ACen3on Deficit Hyperac3vity Disorder (ADHD)
Condi&on Wai&ng Period Cer&fica&on Period
Driver complies with and tolerates treatment Maximum one year
Driver has an ac&ve psychosis or other prominent nega&ve symptoms such as: • Substan&ally compromised judgment. • Acen&onal difficul&es. • Suicidal behavior or idea&on. • Personality disorder that is repeatedly
manifested by overt, inappropriate acts.
Do not cer&fy
Bipolar Mood Disorder
Condi&on Wai&ng Period Cer&fica&on Period
Symptom free following a nonpsycho&c major depression unaccompanied by suicidal behavior
Minimum six months Maximum one year
Symptom free following a severe depressive episode, a suicide or a manic episode
Minimum one year Maximum one year
Tolerates treatment without disqualifying side effects
Maximum one year
Driver has prominent nega&ve symptoms: • Substan&ally compromised judgment. • Acen&onal difficul&es. • Suicidal behavior or idea&on. • Personality disorder repeatedly manifested
by overt inappropriate acts. • Ac&ve psychosis
Do not cer&fy
�45
Major Depression
Condi&on Wai&ng Period Cer&fica&on Period
Symptom free following a nonpsycho&c major depression unaccompanied by suicidal behavior
Minimum six months Maximum one year
Symptom free following a severe depressive episode, a suicide or a manic episode
Minimum one year Maximum one year
Complies with and tolerates treatment Maximum one year
Driver has prominent nega&ve symptoms: • Substan&ally compromised judgment. • Acen&onal difficul&es. • Suicidal behavior or idea&on. • Personality disorder repeatedly manifested
by overt inappropriate acts. • Ac&ve psychosis
Do not cer&fy
Personality Disorders
Condi&on Wai&ng Period Cer&fica&on Period
Complies with and tolerates treatment Maximum one year
Driver has prominent nega&ve symptoms: • Substan&ally compromised judgment. • Acen&onal difficul&es. • Suicidal behavior or idea&on. • Personality disorder repeatedly manifested
by overt inappropriate acts. • Ac&ve psychosis
Do not cer&fy
�46
Schizophrenia and Related Psycho3c Disorders
Condi&on Wai&ng Period Cer&fica&on Period
Brief reac&ve psychosis or schizophreniform disorder
Minimum six months Maximum one year
Free of any other psycho&c disorder Minimum one year Maximum one year
Complies with and tolerates treatment Maximum one year
Driver has prominent nega&ve symptoms: • Substan&ally compromised judgment. • Acen&onal difficul&es. • Suicidal behavior or idea&on. • Personality disorder repeatedly manifested
by overt inappropriate acts. • Ac&ve psychosis
Do not cer&fy
Any diagnosis of schizophrenia Do not cer&fy
An3psycho3c Therapy
Condi&on Wai&ng Period Cer&fica&on Period
Medical condi&on of the driver does not endanger the health and safety of the driver and the public.
Maximum one year
Treatment side effects interfere with safe driving Do not cer&fy !!!!!!
�47
Electroconvulsive Therapy (ECT)
Condi&on Wai&ng Period Cer&fica&on Period
Symptom free following a course of ECT Minimum six months Maximum one year
Complies with and tolerates treatment Maximum one year
Driver under goes maintenance ECT Do not cer&fy
Treatment side effects interfere with safe driving Do not cer&fy
Anxioly3c and Seda3ve Hypno3c Therapy
Condi&on Wai&ng Period Cer&fica&on Period
The driver uses: • Hypno&c, if the medica&on is:
• Short-‐ac&ng (half-‐life of less than 5 hours).
• The lowest effec&ve dose. • Used for a short period of &me (less
than 2 weeks). • Non-‐seda&ng anxioly&c.
Maximum two years
Driver uses seda&ng anxioly&c Do not cer&fy
Driver has symptoms or side effects that interfere with safe driving
Do not cer&fy !!!!!!!!
�48
An3depressant Therapy
Condi&on Wai&ng Period Cer&fica&on Period
Medical condi&on of the driver does not endanger the health and safety of the driver and the public.
Maximum one year
Driver uses a first genera&on an&depressant Do not cer&fy
Has treatment effects or side effects that interfere with safe driving
Do not cer&fy
Lithium Therapy
Condi&on Wai&ng Period Cer&fica&on Period
Driver is asymptoma&c Maximum one year
Driver has lithium levels within the therapeu&c range
Maximum one year
Driver has no impairment that interferes with safe driving
Maximum one year
Driver has disqualifying symptoms Do not cer&fy
Lithium levels that are not in the therapeu&c range Do not cer&fy
Central Nervous System S3mulant Therapy
Condi&on Wai&ng Period Cer&fica&on Period
No drug induced impairment Maximum one year
No tendency to increase the dose Maximum one year
Treatment side effects that interpere with safe driving
Do not cer&fy
�49
MedPro 2014 | 757-419-3700 | 100 Constitution Drive, Virginia Beach, VA 23462
Drug Abuse and Alcohol
Alcoholism
Condi&on Wai&ng Period Cer&fica&on Period
No residual disqualifying physical impairment Maximum two years
Successful comple&on counseling or treatment Maximum two years
No disqualifying alcohol-‐related disorders Maximum two years
Current clinical diagnosis of alcoholism Do not cer&fy
Signs of alcoholic illness or con-‐compliance with DOT alcohol conduct guidelines
Do not cer&fy
Drug Abuse
Condi&on Wai&ng Period Cer&fica&on Period
No residual disqualifying physical impairment Maximum two years
Successful comple&on counseling or treatment Maximum two years
Driver uses controlled substances Do not cer&fy
Amphetamines or narco&cs Do not cer&fy
Driver uses any habit-‐forming drug for which the excep&on guidelines do not apply
Do not cer&fy
Driver uses Methadone Do not cer&fy
Driver uses Marijuana Do not cer&fy
�50