Patients must arrive 30 minutes prior to closing time in order to be seen. We apologize for any inconvenience.

413-461-3530    Amherst

413-773-1394    Greenfield

Arrhthymias [SVT (supraventricular tachycardia), Tachycardias, Atrial fibrillation/Atrial flutter, Bradycardias]

  • The driver must be asymptomatic present annual written clearance from cardiologist to that effect.
  • If the driver is taking Coumadin for Arial fibrillation, DVT (blood clot in legs) or Pulmonary Embolus (blood clot in lungs), s/he will need to be on it for at least 1 month and will need to produce monthly INR blood test results showing a therapeutic level
  • If the driver has a pacemaker, it must be at least 1 month after implantation.
  • Need to produce certification annually of proper functioning on unit and annual clearance by cardiologist
  • If the driver has had an ablation for Atrial flutter or SVT, s/he needs to wait at least 1 month after procedure and have clearance from an electrophysiologist (cardiology specialist)

Aneurysms (Abdominal Aortic, Thoracic, Others)

  • Must present results of annual ultrasound to determine size and must provide written annual clearance by a vascular surgeon
  • If an aneurysm gets to a certain size, the driver might be disqualified until s/he has had surgery

Coronary Heart Diseases [MI (heart attack), Angina, CHF]

  • Must present written clearance by cardiologist annually, stress test and ECHO results every 2 years
  • If certain criteria are not met on the ECHO or stress test, the driver may not qualify for a medical card

Stents, Angioplasty

  • Must be at least 1 week after procedure
  • Initial stress test must be produced 3-6 months after procedure
  • Must provide annual written clearance from cardiologist with a stress test

Valvular Heart Diseases (Aortic/Mitral/Pulmonary Stenosis, Regurgitation, Prolapse)

  • Must present results of echocardiograms and exercise tolerance tests every 2 years and annual written clearance by cardiologist.
  • If severe, must be at least 3 months from valve replacement


  • Must present cardiologist evaluation and diagnosis. If grade III-VI, must provide results of echocardiogram and annual clearance by a cardiologist

Heart Blocks

  • Must be asymptomatic.
  • Must present annual written clearance from cardiologist and holter monitoring results.

Heart Transplantation

  • Must be at least 1 year after transplant.
  • Initially will need annual clearance from cardiologist and then every 2 years

Disqualifying Heart Conditions:

  • Idiopathic, Hypertrophic, Restricted Cardiomyopathy, Prolonged QT syndrome, AICD (Implantable Defibrillator)


489 Bernardston Road

Greenfield, MA

Fax: 413-773-1398

Contact Us


170 University Drive

Amherst, MA


Fax: 413-461-3532

The following heart conditions require detailed information and reports to be presented at the time of the exam:

Heart Disease