FMCSA 2025 Update: National Registry II (NRII) Compliance Guide for Occupational Health Clinics

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🛡️ Member Resource Brief FMCSA 2025 Update: National Registry II (NRII) Compliance Guide for Occupational Health Clinics Effective Date: June 23, 2025Topic: Electronic Medical Certification Transmission for CDL/CLP HoldersApplies To: Certified Medical Examiners, Clinic Admin Staff, DOT Program Coordinators, Employers of CDL Drivers 🔍 Overview FMCSA’s long-awaited National Registry II (NRII) rule is effective from June 23, 2025, marking a full transition to electronic submission of DOT exam results for CDL and CLP holders. The paper Medical Examiner’s Certificate (Form MCSA-5876) will no longer be required—or accepted—as proof of medical certification once a state implements NRII. ✅ Key Compliance Changes Electronic Reporting Becomes MandatoryAll DOT exam results (qualified, unqualified, voided),…
Picture of Larry Earl, MD

Larry Earl, MD

Dr. Larry Earl: Your Occupational Health Growth Guru 40+ years leading Urgent Care & Occupational Medicine centers. President & CEO of NAOHP, helping members thrive. Consultant & trainer for healthcare organizations large & small. Passionate about providing actionable strategies & resources for your occupational health success. We listen, We adapt, We deliver results. Join me to grow your business & stay ahead of the curve!
Picture of Larry Earl, MD

Larry Earl, MD

Dr. Larry Earl: Your Occupational Health Growth Guru 40+ years leading Urgent Care & Occupational Medicine centers. President & CEO of NAOHP, helping members thrive. Consultant & trainer for healthcare organizations large & small. Passionate about providing actionable strategies & resources for your occupational health success. We listen, We adapt, We deliver results. Join me to grow your business & stay ahead of the curve!

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