TeamCME
Nationwide Network of DOT Medical Examiners
Coastline Academy
Applicant:
________________________________
Dear TeamCME Member,
Coastline Academy is a TeamCME client.
Your clinic will be paid directly by TeamCME.
Please follow the instructions below:
- The above applicant will be calling your office to make an appointment for a medical exam to obtain a Driving Instructor License.
- Upon arrival, confirm that the name of the applicant matches the name shown on this document.
- Perform the Physician’s Health Report for Driving School Instructors, using the DL 546A report form UNLESS the applicant has a Commercial Driver’s License (CDL). If the applicant has a CDL, perform the Driver of Commercial Vehicle Medical Exam using the MCSA 5875 report form and issue a MCSA 5876 Medical Examiners Certificate.
- Give the applicant a copy of the completed forms (DL 546A or MCSA 5875 & 5876).
- DO NOT COLLECT PAYMENT FROM THE APPLICANT! YOUR OFFICE WILL RECEIVE PAYMENT FROM TEAMCME!
- TO RECEIVE PAYMENT: Go to www.TeamCME.com and log in as a member. Click on the third tab on the left side of the page labeled “National Billing Portal”. Select “Coastline Academy”.
- Fill out the appropriate required information and click “Submit”.
- Payment will be sent in approximately one month by check or by direct deposit.
- If you have questions, please call TeamCME at 541-276-6032.
Respectfully,
Michael Megehee, DC, NRCME, President
TeamCME
