Pine Castle Chiropractic Center, Inc.

You must provide a recent Hemoglobin A1C blood test result (within 3 months). It is helpful if you provide a letter from your treating provider confirming you are not taking insulin and have had no hypoglycemic episodes or diabetes complications such as heart, kidney, eye, or nerve damage. If you have any of the above diabetic complications, a clearance letter from your treating specialist(s) may be necessary. If you have diabetes, you should be evaluated by an eye professional at least yearly to prevent loss of vision that could impair your ability to drive.

You should provide a clearance letter from your cardiologist regarding your ability to safely drive a commercial vehicle. The letter should include ejection fraction and any recent exercise tolerance or heart stress test results.

A copy of your CPAP compliance report for the last 3 months is required. You can usually obtain this information through the company that provides your CPAP machine. In some cases you may obtain information from your pulmonologist or sleep medicine specialist. Health Services does not have the ability to read the chip inside the CPAP machine.

You should have your blood pressure checked regularly and prior to your exam. A normal blood pressure is <140/<90 (top number less than 140 and bottom number less than 90). Your blood pressure should be less than 140/90 to pass the exam.

For conditions such as anxiety or depression, you should provide a clearance letter from your treating provider addressing your ability to safely drive a commercial vehicle.