Vision Evaluation Checklist

Form Template

The stringent requirements of a Commercial Driver’s License (CDL) are more demanding than a typical driver’s license.

5,000 Companies save time and money with GoCanvas

Lumen Logo Post Consumer Brands Logo Saluda Hill Landscapes Logo Te3co Logo Two Men and a Truck Logo VIP Lighting Logo
Language: English
Country: United States of America

Commercial motor vehicle drivers with diabetes must receive a Federal Diabetes Exemption to maintain their CDL. To ensure that the safety and well-being of passengers and other drivers on the road, evaluating the overall health and well-being of the driver with diabetes is important.

The Endocrinologist Evaluation Checklist Mobile App is a part of the overall diabetes exemption checklist. It is administered by a licensed endocrinologist to determine if a driver can operate a commercial motor vehicle safely. This app may be customized to include fields such as initial diagnosis of diabetes mellitus, recent hypoglycemic reactions, hospitalizations, and diabetes management by medication or insulin injections or pump. Taking insulin should not have to be the end of a commercial driver’s career, and this app helps to ensure that the proper exemption can be obtained.

Since this software builds electronic records that replace paper forms, this process can be performed faster and more efficiently. And, it can be accessed in the field with a mobile device, such as a smartphone or tablet. This app is particularly helpful to large vehicle operations like public transit systems that must stay in compliance with safety licensing standards. CDL testing is an effective way to increase traffic safety on every highway and city street.

This app generates a PDF report that can be shared electronically. A copy is stored in your GoCanvas account for your safety records.

Features
  • Signature Capture
  • Image Capture
  • Submission Editing
  • Reference Data
Read More
Platforms
  • iPhone
  • iPad
  • Android
  • Windows
Read More
Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
Read More
*The Capterra SoftwareAdvice ​and GetApp logos are a service mark of Gartner, Inc. and/or its affiliates and is used herein with permission.*

Don't take our word for it...

“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”

Dave Kramer, PennLine Service

Connect with one of our experts today.

We’ll help you put together the right solution for your needs.

Contact Us