Dr.Teresa Marie Gaytan DC
Home
About
Chiropractic Care
DOT Physcials
Contact Us
Dr.Teresa Marie Gaytan DC
Home
About
Chiropractic Care
DOT Physcials
Contact Us
More
  • Home
  • About
  • Chiropractic Care
  • DOT Physcials
  • Contact Us
  • Home
  • About
  • Chiropractic Care
  • DOT Physcials
  • Contact Us

DOT Physical Examinations

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Dr. Teresa M. Gaytan D.C, C.M.E

Doctor of Chiropractic 

Certified Medical Examiner 

NRCME # 8182243643 


Dr. Gaytan is certified as a medical examiner on the National Registry of Certified Medical Examiners. She is authorized to provide medical examinations to commercial motor vehicle (CMV) drivers in accordance with the regulations of the Federal Motor Carrier Safety Administration. All CMV drivers who are required to be medically certified must be examined and certified by a medical examiner listed on the National Registry.

FMCSA Medical Forms

Form MCSA-5875 (Page 1-2) (pdf)

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Vision Evaluation Report Form MCSA-5871_0 (pdf)

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Insulin-Treated Diabetes Mellitus Assessment Form MCSA-5870 (pdf)

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DOT Physical Exam

Blood Pressure

Blood Pressure

Blood Pressure

Vision

Blood Pressure

Blood Pressure

Hearing

Urinalysis

Urinalysis

Urinalysis

Urinalysis

Urinalysis

Reviews

To Submit a CDL Medical Exam Report Online click on the DMV

Heart 2 Heart Chiropractic

8273 White Oak Ave Suite A, Rancho Cucamonga, CA 91730

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