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Dr. Rich Therkelsen is a FMCSA National Registry Certified Medical Examiner and is qualified to perform CDL/DOT physical exams. He is listed on the NRCME website and is able to get you quickly scheduled for a physical exam and get you back on the road.

The Department of Transportation (DOT) mandates that all commercial motor vehicle drivers have a physical examination to assure the safety of the driver and all persons on the highway. The standards that must be met are established by the Department of Transportation; NOT by the medical examiner. As of May 21, 2014 it is mandatory for drivers to be physically examined only by medical examiners who have completed advanced training and have passed certification testing by the FMCSA. Qualified medical examiners are listed on the NRCME website and are certified to perform DOT physical examinations. For more information, please visit:

Here are some helpful hints to ensure you have a smooth and successful experience with your physical exam.

Recommendations for the day of the exam:

  • Do not smoke for at least two hours prior to your physical exam.
  • Drink plenty of water prior to the physical exam and stay hydrated.
  • Do not drink coffee, tea, soda or hot chocolate the day of the exam. WATER ONLY!
  • Make sure and take all of your routine prescription medication(s) on time.
  • Do not rush your way to your appointment. Arrive a little early to fill out paperwork.
  • Stay calm and be patient.
  • Dress appropriately and be well groomed.

When arriving for the exam:

  • Bring your current driver’s license with you and one additional form of identification.
  • Know your medical history, past surgeries and all current medications. (Bring a list.)
  • Bring eye glasses, contact lenses or hearing aids.
  • Be prepared to provide a urine sample.

Immediate Disqualification:

  • Epilepsy. Must be seizure free and off anticonvulsant medications for five (5) years.
  • Monocular vision (only able to see through one eye) unless accompanied by an exemption.
  • Stage 3 Hypertension. Blood pressure equal or greater than 180/110.
  • Implantable cardiac defibrillator. Also known as an implantable cardioverter defibrillator (ICD).
  • Insulin dependent diabetes. May be certified for one (1) year accompanied with an FMCSA waiver.
  • Expired Skill Performance Evaluation (SPE) certificate. Per FMCSA regulations, the SPE certificate is valid for only two (2) years from the date of issue.
  • Anticoagulant therapy to prevent a brain stroke also known as a Cerebral Vascular Accident (CVA) or to control or prevent seizures.

3883 Route 516, Old Bridge, NJ 08857

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