Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Concentra Medical Centers before sending sensitive documents. FaxFlow is not affiliated with this organization.
Concentra Medical Centers fax number
(817) 882-8707
Commercial Driver Medical Examination (CDME)
Used for: Transmission of Commercial Driver Medical Examination results (MER) and related paperwork; may return the MER and MEC via fax.
Fax destination details
- Department
- Commercial Driver Medical Examination (CDME)
- Purpose
- Transmission of Commercial Driver Medical Examination results (MER) and related paperwork; may return the MER and MEC via fax.
- Form
- MCSA-5875 — Medical Examination Report (MER) Form
- Address
- 2500 West Freeway, Ste 100, Fort Worth, TX 76102-5850
- Voice phone
- 817-882-8700
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
The Medical Examination Report Form MCSA-5875 is completed by a certified medical examiner after the DOT exam; results are documented on the MER and are used to determine medical qualification. The Medical Examiner’s Certificate is Form MCSA-5876. See FMCSA regulations for details.
Official form instructions are published as a downloadable file on the organization's website.
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