413-461-3530    Amherst

413-773-1394    Greenfield


489 Bernardston Road

Greenfield, MA

Fax: 413-773-1398

**If you are a smoker over 35 years of age, the examiner may have you do a pulmonary function test as part of the examination per FMCSA recommendation**.

Asthma, COPD, Interstitial Lung Disease, Bronchiectasis

  • No specific documentation needed but bring list of meds with doses, number of prior hospitalizations, ER visits, intubations, oral steroids.
  • May need to perform PFTs (pulmonary function tests) in the office as part of the exam

Obstructive Sleep Apnea

  • Must bring report from CPAP annually; must be on it for at least 1 month and using it at least 70% of the time for 4 hours or more each night.
  • If the examiner has concerns about possible sleep apnea (based on weight, BMI, neck size, sleep questions), the driver may need to have sleep study prior to certification and produce results

Contact Us


170 University Drive

Amherst, MA


Fax: 413-461-3532

Pulmonary Embolus (blood clot in lung)

  • Must be at least 3 months after resolution of clot with no symptoms
  • If taking Coumadin, the driver will need to be on it for at least 1 month and will need to produce Monthly INR results showing a therapeutic level


  • Need to bring results of chest x-ray showing resolution of condition, have no symptoms and have normal oxygen levels.
  • May need to perform PFTS as part of the exam.
  • If the driver has had 2 or more episodes on the same side, the driver will be disqualified until a surgical procedure (e.g. pleurodesis) has been performed.

Cystic Fibrosis

  • Must be stable with normal oxygen levels, acceptable PFTs and no fainting spells
  • Must bring written report on condition by pulmonologist annually


  • Must bring report from PCP or pulmonologist regarding the treatment (name of meds, no side effects of meds)

Cor Pulmonale, Pulmonary Hypertension

  • Must bring report annually from pulmonologist/cardiologist and will need report of echo annuallyDisqualifying Conditions:Narcolepsy, Restless Leg Syndrome associated with Daytime Somnolence

Respiratory Conditions

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