First In Health, Inc.


Please feel free to download, print, and fill out the appropriate forms below before your visit.

New Commercial Driver Medical Examination Report Form (MCSA-5875)

New Commercial Driver Card (MCSA-5876)

If you use insulin to treat your diabetes, please print these forms and have your treating physican fill these out before your visit. This will take the place of the diabetes waiver.


If you have monocular vision and required a vision waiver in the past, please print the form below and have your ophthalmologist or optometrist complete it. The form must be filled out within 45 days of your CDL medical exam. This report form will take the place of the vision waiver.

Vision Evaluation Report, Form MCSA–5871