Welcome to

Gateway Chiropractic & Occupational Health Center/

MaDotExams.net

 

 

We are located in the "Gateway Building"
on the second floor Suite 214

435 Lancaster Street,
Suite 214
Leominster, Ma 01453

 

(978) 728-3001

 

To schedule a DOT Exam online please select the 'Schedule Here' button below.

The DOT Physical Exam:


The fee for the DOT physical exam with med card issued upon successful completion is  – $125.00
Cash or credit card payments are accepted.

There is ample parking at our office for large vehicles and tractor-trailers.

 

 

 

 

Appointments can be made online. You also have the ability when scheduling appointments to change the time or day as you need.

 

Same-day exams can be provided.

Please download and fill out the first 2 pages of the Medical exam form (Form MCSA-5875)

and bring it with you to your scheduled appointment.

Information

Before you arrive at our office for your DOT exam, please do the following:

 

  • Arrive about 10 minutes early to complete necessary paperwork.
  • Bring your completed DOT Form to your visit along with your driver’s license and pocket certificate. You can download the form and complete your portion by clicking HERE.
  • Bring your glasses, contacts or anything you routinely use for vision.
  • Bring a list of all of the prescription medication that you take including over the counter medications.
  • Bring a list of doctors that you see and their phone numbers.
  • Take any required medications prior to your visit, including blood pressure meds.
  • Drink plenty of water. You’ll be required to give a urine sample to screen for kidney problems.
  • If you have any of the conditions below, bring the requested items.
    • Diabetes – Bring a list of medications and the name of your prescribing doctor. Bring copies of your blood sugar results or hemoglobin A1C results from the past 3 months.
    • High blood pressure – Bring a list of medications and the name of your prescribing doctor.
    • Heart condition – If you’ve had a heart attack or cardiovascular disease, bring a copy of your last stress test or release from your cardiologist.
    • Sleep apnea – Bring a copy of your latest sleep study results along with a print out of your CPAP usage for the preceding month.

 

What to bring with you:

 

  • Valid driver’s license
  • Medication list
    • If you are taking medications please download and fill out the form below and bring it with you to the appointment.

    • Medication form

 

  • Glasses, contact lenses, hearing aids
  • Federal Vision or Diabetes Waiver

 

  • Skills Performance Evaluation Certificate
  • Medical records from your treating provider
    • If you have conditions such as cardiac disease, diabetes, sleep disorders, neurologic disease
    • If you take prescribed medication for pain, anxiety, depression, seizures, sleep disorders, muscle psychiatric disorders, or ADD/ADHD, spasms, or smoking cessation

 

Your DOT exam will include the following components:

 

 

 

 

 

 

 

 

 

 

 

 

Past or recent illnesses or injuries.

Review of current medications, including controlled substances.

Review of any current or past medical conditions such as 

heart disorders,

high blood pressure,

diabetes, etc.

 

Physical exam includes:

 

  • Blood pressure & pulse.
  • Height/weight
  • Vision acuity test.
  • Hearing test.
  • Auscultaion of heart, lungs, carotids and belly
  • AAA screen
  • MSK functional exam
  • Urine dip screen (urinalysis,) This is NOT A DRUG SCREEN, it is a screen for kidney function.
  • If needed, additional tests for cardiac, pulmonary and/or respiratory conditions.

 SCHOOL BUS drivers;

 

Be aware that the Massachusetts Regulations specify that Non-MD/DO CME's CANNOT sign the bus driver 7D-form .

 

We apologize for the inconvenience but, we do not make the rules!

 

If you'd like to see this changed contact your congressman/woman.