DOT Medical – Own Doctor Request

This form/request should NOT be completed any sooner than 30 days before you are planning on going to your doctor for your medical certificate.

I understand that I am responsible for the cost of the medical when I go to my own doctor(Required)
Name(Required)
MM slash DD slash YYYY
I understand that I must submit a copy of the medical to Windstar Lines and take it to DMV immediately(Required)

You will receive an email response back approving your request to go to your own doctor.