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Concentra Medical Centers fax number
(817) 882-8707
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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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