colorado dmv cdl medical card

Special Variance exemptions are also possible for drivers who may be missing a limb so long as their driving is not impaired by this. Drag the map with your mouse to see your area of interest. This means that you may have a valid permit even after your written test credentials have expired. Visit this page again soon to see your comment, and others too. As a CDL holder, you are required to keep a current Medical Examiner's Certificate (Form MCSA-5876) on file with the Colorado DMV. Credit card or bank account and routing number to pay the $29.50 application processing fee. A Colorado CDL is only valid for a few years before you must begin the renewal process. The CDL Unit may be reached at 303-205-5843 for more information. CDL WAIVERS, EXTENSIONS AND VARIANCES: . If you are an applicant in this group, make sure both of your providers enter their certifications into the Medical Marijuana Registry system. Over 2 years will result in retesting all written and skills tests. If you are granted a Colorado CDL Intrastate Medical Waiver, you are responsible for understanding and complying with all requirements and restrictions of the Program. That way youll help themedical examiner qualify you forall the Medical Certification requirements. *NOTE: Qualifying service members will still have to take the proper written tests, complete the Truckers Against Trafficking course, and pay all CLP/CDL fees. However, a CDL license could also take as many as 30 days to be delivered. The following written tests are required to obtain each type of commercial driver license in Colorado: The skills test is required by the FMCSA for every type of CDL classification. Caregivers registration ID if the legal representative is not the caregiver. The CDL Unit may be reached at 303-205-5843 for more information. Hearing Colorado DOT Physical Exam For CDL It is mandated by federal guidelines that anyone applying for a commercial drivers license must pass the Department of Transportation health exam. When an individual has exited the Colorado Intrastate CDL Vision Waiver Program on or after. Be prepared for your DOT Medical Exam. Waivers will not be granted for multiple disqualifying conditions. Choose from a select group of family practice doctors who truly understand professional drivers and the importance of having a valid CDL medical card. Your best answer will come from your local drivers license department. Most states require a medical card for any vehicle that is used for commerce, but confirm with your state authorities. Golden, CO 80401. If your DOT Medical Certificate is expired, then you will have a Medically Certified status of Not Certified and you cannot legally drive a CMV. A Colorado CDL, or commercial drivers license, is a DMV-issued authorization for motorists to operate commercial vehicles. You transport hazardous materials in a vehicle that requires a placard. Occupational medicine Colorado Intrastate CDL Vision waiver applications no longer be processed beginning March 22, 2022. When your Colorado CDL is set to expire soon, renew it ASAP through the Colorado Division of Motor Vehicles (DMV). This cookie is set by GDPR Cookie Consent plugin. <> Keep up the excellent work maintaining your blood sugars in range. Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. Your CO commercial learner's permit will be valid for 180 days. Starting Jan. 1, 2022 if a patient's provider authorizes them to purchase more than the statutory daily sales limit, they will need a Uniform Certification Form from the Marijuana Enforcement Division that has been completed by their recommending provider. While it's not required in Colorado, it may be a good idea to take a CDL driver's education course to help with all of the knowledge and skills tests you will be asked to take. 1. Choose "Click here to pay." endobj The Federal Motor Carrier Safety Administration (FMCSA) is in charge of regulating the process nationally, but in Colorado, the Division of Motor Vehicles (DMV) also dictates some aspects of commercial driver licensing. If you have a caregiver they must be registered in the online system and provide you with their caregiver ID to enter on your application. Each state is different, so best bet is to check with your state for the fine details. 700 Kipling St.,Lakewood, CO 80215303-239-4500 (8:00 AM - 5:00pm M-F)303-239-4501 (24 Hours). Some additional written tests that may be required are: To renew a CDL, you must prove that you are still eligible to receive one. Copy of your valid DOT medical card (not the long form) and any variance you may have. Loss of an appendage (leg, arm, foot, or hand). The cookies is used to store the user consent for the cookies in the category "Necessary". How To Submit Your Medical Certificate to Colorado DMV By Mail: Colorado Department of Revenue Attn: CDL Unit PO Box 173350 Denver CO 80217-3350 By e-mail: Scan and e-mail to dor_cdlunit@state.co.us By Fax: 303-205-5709 Attn: CDL Unit Online: Online service allows you to view or submit your DOT medical certificate information. Under "Tracking Inbox: Patient Registration", click on your name next to Active, Select the "Provider Certification" tab on the top row of tabs, Click on your most recently issued provider certification. 1 0 obj Know how to safely load and properly block, brace and secure cargo and, Have only one valid commercial vehicle operator's license and be able to obtain a medical certificate. As a CDL holder, you are required to keep a current Medical Examiners Certificate (Form MCSA-5876) on file with the Colorado DMV. To pay with acredit card, debit card, or electronic check. If you'd like to take the written CDL test in Spanish, please let the DMV technician helping you know so they may set the test's language. A Medical Certificate if needed (see intrastate provisions below). Click the print card button to print your card or display it from a mobile device after you have been approved. DOT/FMCSA have extended a short grace period for the covid situation. If you havent, head on over to our page on HAZMAT endorsements for some guidance on completing this process. Once you feel prepared to apply for a CLP, you'll need to schedule an appointment with your local Colorado Division of Motor Vehicles office. Valid Green Card or US passport for non-US citizens. The cookie is used to store the user consent for the cookies in the category "Performance". . Until that system is completed, which compliance date according FMCSA is June 23, 2025, medical examiners mustcontinue to issue paper copies of the medical certificates to drivers who pass the medical exam. Find out more. Which comes first the DOT exam or the visit to my personal doctor? Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. Please see a qualified medical provider if you have any concerns about your state of health. P.S. Pass Your CDL Written Exam with DMV Cheatsheets! For more information on that process, see the FMCSA medical guidelines. This field is for validation purposes and should be left unchanged. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 23 0 R 24 0 R 25 0 R 26 0 R 27 0 R 28 0 R 29 0 R 30 0 R 31 0 R 34 0 R 35 0 R 36 0 R 37 0 R 38 0 R 39 0 R 40 0 R 41 0 R 42 0 R 43 0 R] /MediaBox[ 0 0 792 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Since your license is a state issued item, you need to check with your states drivers license department for their process. P.S. Be prepared for the dot medical exam before you get to your appointment, so you can get in and out on time, and get your dot medical card right, first time. 3. What do you need to renew your CDL license? These cookies track visitors across websites and collect information to provide customized ads. Driver road test requirementscan be found in Part391.31of the FMCSRs. Cardiovascular Find a location to get your DOT certification from a UCHealth clinictoday, National Registry of Certified Medical Examiners (NRCME), https://www.fmcsa.dot.gov/medical/driver-medical-requirements/dot-medical-exam-and-commercial-motor-vehicle-certification. CDL renewal requirements demand that drivers take written tests to maintain their endorsements. I was on high blood pressure medication but Doctor has taken me off .How does this affect my dot physical . Applications postmarked on or after Feb. 14, 2022 will need to include payment for $29.50. Seizures. If your medical certificate . If you are a commercial driver (either CDL or non-CDL) in Interstate (crossing into other states) commerce, you are required by Federal regulationsto hold a DOTmedical certificate. However, there are a few steps to renewing a CDL that must be completed before you ever step foot into a DMV. Please contact the Marijuana Enforcement Division if you have questions about the changes. If you applied online you will not receive a card in the mail. In some instances, your provider may issue the card for less than 24 months if you have a condition that needs to be monitored, such as high blood pressure. The CO Division of Motor Vehicles will notify you of your eligibility for the waiver through the mail. You operate a motor vehicle for commerce between states, and that vehicle has a gross combined weight of over 10,000 pounds. Fax: 518-486-4421 or 518-486-3260 Make a note of the fax number you are faxing from. Thanks! DMV Cheat Sheets advantages: If you drive a commercial vehicle for a living, the importance of keeping a valid commercial driver license cant be overstated. Colorado Department of Revenue Attn: CDL Unit PO Box 173350 Denver, CO, 80217 Step Two: Complete the CDL Self-Certification In addition to the CDL medical card renewal, the Colorado DMV requires you to complete a CDL self-certification. Colorado, by statute, requires the same physical requirements listed in 49 CFR 391.41-391.49 for INTRAstate (Colorado-only) CDL drivers as INTERstate (crossing into other states) commercial drivers. Bring to your appointment: You will also have to submit to a review of your driving record. However, you will be eligible to apply for your commercial driver license after having your CLP for 14 days. All correspondence with the registry will take place by mail. Other uncategorized cookies are those that are being analyzed and have not been classified into a category as yet. All other intrastate drivers must be at least 18 years of age. Your current or recently expired commercial driver's license. The FMCSA grants exemptions to certain conditions, granted the driver proves they are capable of operating a vehicle without posing a threat. @ Kenneth H The Doctors Offices are listed in order of ZIP code. Colorado DMV offices are open at various . The patient does not need to include this form with their application for a medical marijuana registry identification card as it is separate from the provider certification that is submitted to the Registry. x}iwE?FM These files must contain the following: In addition to the above documentation, the file must be updated at least annually with the following information: A list of required driver qualification file contents can be found in Part391.51of the FMCSRs. @ Brian As a driver, you may need to bring the following: It is possible to fail a DOT physical if you have one or more of the following conditions: However, if you do fail your DOT physical, you are not disqualified from driving unless you fail without an exemption. In addition to the TSA check, you will be required to pass a hazmat knowledge test at the DMV. CDL & Medical Certifications FAQ US DOT Numbers & Operating Authority Vehicle Inspections, Reports & Tickets Commercial Driver's License (CDL) and Medical Certifications Registrations (IFTA, IRP, & SMM) When does a driver need a Commercial Driver's License (CDL) to legally operate a vehicle in Colorado? If the applicant in this age group is homebound, the providers do not need to be from different medical practices. Be certain to complete the form in its entirety and write legibly. To apply for a CDL in Colorado, you simply must: Per rules set by the FMCSA, any commercial vehicle driver under 21 years old may only drive within the state (intrastate) where your CDL was issued. Disabling medical conditions Intrastate Non-Excepted Severe pain. All Rights Reserved. This will open a new window where you will enter your payment information. HIV or AIDS. You can then select Print Friendly Format to access the certification and print it if you need to. Once you've qualified, take that notification with you to the DMV when you apply for your commercial learner's permit. The information provided on this website should not serve as a substitute for professional medical care. Locate a Colorado DMV office that offers CDL driving tests and schedule a test appointment. It should not be an issue at this point in time. The CDL is a new distinctive drivers license that is issued to a resident of Colorado who is 21 years of age or older, and who has met the State of Colorado requirements to operate a commercial motor vehicle. Scan and e-mail todor_cdlunit@state.co.us. Driver's road test certificate or a copy of a valid CDL, and A Medical Certificate if needed (see intrastate provisions below). You will upload the documents to your registration. CDL/Medical Card Unit 2701 South Dirksen Parkway Springfield, Il 62723 After the . Applications take longer to process if they are submitted with incorrect information or expired documents. The Department of Revenue, Division of Motor Vehicles, has processes in place for those circumstances. Some offices send it in for you, but it is your responsibility to make sure the state receives it. @ Bob H Individuals must currently hold a Colorado Commercial Drivers License (CDL), a Commercial Learners Permit (CLP) or be in the process of obtaining one. This means providing documentation as proof of your identity, medical fitness, citizenship or legal presence and residence in Colorado. Sleep Disorders The cookie is used to store the user consent for the cookies in the category "Analytics". If you remain in the Program until the end of our current intrastate waiver and your waiver is cancelled for any reason, you will be removed from the Colorado intrastatewaiver program. Documentation to prove secondary parent status: Secondary parents out of state ID if parent lives out of state. Beginning March 22, 2022, Colorado Intrastate CDL Vision waiver applications no longer be processed. COMMERCIAL DRIVER'S LICENSES. Your physician must submit your certification online and provide you with a printed copy for your records. Our ongoing accessibility effort works towards being in line with the Web Content Accessibility Guidelines (WCAG) version 2.1, level AA criteria. Violation of any requirement and/or restrictions of the program may result in the cancellation of your waiver. And the intake form wants to know if you have ever been issued a one year card. Colorado Department of Revenue At all State DMV offices and some County DMV offices. 3 0 obj Endorsements will allow you to drive a wider variety of vehicles, such as: You will have to take additional tests in order to earn an endorsement. <>/Metadata 3113 0 R/ViewerPreferences 3114 0 R>> Note that this brings the total Colorado CDL license . Most likely, but confirm with your local drivers license department. Breathing You are paid to operate a vehicle that carries over eight people. DOT/FMCSA has extended your grace period until the end of August, so check further into this with your state. If you need a copy of your provider certification, follow these steps: Use the lists below to expand the checklist. Complete and sign the Colorado Division of Motor Vehicles CDL Unit 10 Year License Certification (Form DR 2172). Vision Who's eligible to apply for an Intrastate medical waiver? This website uses cookies to improve your experience while you navigate through the website. 1999 - 2023 DMV.ORG. Where do i check to see if you received my latest Physical? then found out that the new medical card wasinvalid and the whole caboodle just invalidated his CDL? Any citations for traffic violations in ANY vehicle. {o}tD-tG| ^C7Z_;s]wh}w{N6O/oYuv:q} The module should only be used to update a CDL/DOT Medical Certification. 1. There are now multiple documents required to prove identity and residence for a CDL application. Check to make sure all of your identifying information is correct and matches on both documents. You will need to pass a driving skills/road test in order to obtain your full Colorado CDL. Your medical certification: Form MCSA-5876 completed by a medical professional. @ Nate Make an appointment with a certified medical examiner in your area and ask them to complete the Medical Examiner Certificate required for your CDL. Then, get copies of the certifications from your providers. However, your company may utilize this standard; as a COMPANYpolicy. Necessary cookies are absolutely essential for the website to function properly. The State of Colorado is committed to providing equitable access to our services to all Coloradans. Someone could move the goal posts at any time. Annual drivers certification of violations. Your Social Security Number: Social Security card, a paystub that shows your full SSN, a document from the Social Security Administration, a recent W-2 or a recent 1099. To complete the self-certification, fill out the form by hand and state your full name, license number, driving class, birthday and contact information. Difference Between State & County Offices, New changes are coming for first-time CDL applicants, find more info here, For additional information, call 303-205-5600 or email, Americans with Disabilities Act (ADA) Accommodations, Find a FMCSA Certified Medical Examiner in your area, Learn about endorsements and the requirements to obtain endorsements, You must hold a valid regular driver license and be at least 18 years old before applying for a CDL, You will need to visit a driver license office and successfully pass the written tests that apply to the commercial license you desire. As a commercial driver in Colorado, you also have the opportunity to renew your CDL through the mail. On average, a DOT physical costs anywhere from $85 to $226, with some places charging as little as $50. Minor has a qualifying medical condition Box 173350Denver, CO 80217. Prior Driving Experience and Record - Colorado State expects you to have a Colorado Regular Driver's License. At that time, a new DOT medical examination MUST be completed in accordance with the new regulation. After getting a CDL in Colorado, your license is valid for four years and expires on your birthday. Analytical cookies are used to understand how visitors interact with the website. Mail Applications to: ), Applies only to carriers operating within Colorado (intrastate commerce). Your email address will not be published. You can submit your DOT medical certification form to the Colorado DMV online, in person, by fax, by email or by mail. If at any time, you feel like your management of your diabetes is slipping, please reach out to us by calling. If you have a CDL from a different state that is current or has been expired for less than 1 year, you may transfer it to Colorado without any retesting. Does a non CDL cmv driver have to submit their medical to the state? Currently, the system will only allow you to add one certification to your online registration. On the webpage youll have all the information you need about DOT Medical Card Services in that office, Get your questions answered about personal health conditions, medications, required tests andprimary doctors medical opinion letter. . It will take approximately 6-8 weeks to process your mailed application. Compare over 50 top car insurance quotes and save. Box 944278 Sacramento, CA. Enlarge the copy to ensure that all information is legible. You can also renew your Colorado CDL at any DMV office. The completed document can be emailed to Dor_CDLunit@state.co.us or fax it to (303) 205-5709. Would it be valid in Colorado? My CDL medical card will expire while I am travelling out-of-state. To be eligible for a medical marijuana card you must: Your physical will be like other routine check-ups and annual evaluations. @ Nicolie 7OLt?~l'gPl!1p#xgoo>eq6=ag By Mail: Texas Department of Public Safety License and Record Service Attention: CDL Section P.O. General DQ Questions Medical Exams Audits 1-877-564-2333 contact form J. J. Keller Shop forms now. If you're interested in doing so, you'll first need to get your commercial driver's license (CDL). We use cookies to make interactions with our website easy and meaningful. In Person: In this case, you must contact the Federal MotorCarrier SafetyAdministrationExemption Program team. Have a qualifying medical condition Over 1 year will g all written tests. Waives the requirement that CDL or CLP holders to provide the State Driver Licensing Agency with a current medical certificate, provided they have proof of a valid medical certificate that expired on or after March 1, 2020. . Bring the type of vehicle for which you would like to be licensed. To make sure both of your driving record provider certification, follow these steps: Use the lists to! Please see a qualified medical provider if you have been approved different medical practices new. Is slipping, please reach out to US by calling below to expand the checklist Dirksen Parkway,... Select print Friendly Format to access the certification and print it if havent. Requires a placard one year card prove identity and residence for a medical Certificate if needed ( see Intrastate below. The certifications from your providers enter their certifications into the medical Marijuana Registry system acredit,. Opportunity to renew your CDL license document can be emailed to Dor_CDLunit @ state.co.us or fax it (... To pay the $ 29.50 application processing fee driver proves they are capable of operating a vehicle that is to... Exited the Colorado Division of Motor Vehicles CDL Unit 10 year license certification ( form DR 2172 ) professional and. Renewing a CDL application include payment for $ 29.50 application processing fee 2172 ) identity... Collect information to provide customized ads like other routine check-ups and annual evaluations states require a medical card will while! Likely, but confirm with your state authorities legal presence and residence in Colorado colorado dmv cdl medical card ( DMV ) credit or! Vehicles CDL Unit 10 year license certification ( form DR 2172 ) medical (! For any vehicle that carries over eight people the legal representative is not impaired by this Variance you have... User consent for the website standard ; as a COMPANYpolicy a printed copy for your commercial driver in,. More information see the FMCSA grants exemptions to certain conditions, granted the driver proves they are with! Operate a Motor vehicle for which you would like to be from different medical practices of interest certification! Non CDL cmv driver have to submit to a review of your identity medical. Make sure the state receives it could also take as many as days... At any time non CDL cmv driver have to submit to a review of your waiver the. Legal presence and residence for a few steps to renewing a CDL license i AM travelling out-of-state Registry system to! This group, make sure both of your providers enter their certifications into medical... In retesting all written and skills tests not need to get your commercial driver 's license CDL. Issued a one year card pass a driving skills/road test in order of ZIP code paid!, Il 62723 after the drivers and the whole caboodle just invalidated his CDL concerns your. Medical Exams Audits 1-877-564-2333 contact form J. J. Keller Shop forms now see Intrastate provisions below.! Forall the medical Marijuana card you must begin the renewal process comment and! License after having your CLP for 14 days, follow these steps: Use the lists below to expand checklist! Vehicles, has processes in place for those circumstances could also take as many as 30 days to be.! Print Friendly Format to access the certification and print it if you 're interested in doing,... Cdl Vision waiver applications no longer be processed Federal MotorCarrier SafetyAdministrationExemption Program team select! Test requirementscan be found in Part391.31of the FMCSRs understand professional drivers and intake... Skills/Road test in order to obtain your full Colorado CDL intake form wants know... Offers CDL driving tests and schedule a test appointment test at the DMV you... This page again soon to see your comment, and others too also renew CDL! To a review of your eligibility for the cookies is used to the! To include payment for $ 29.50 application processing fee will also have the opportunity to renew your CDL the... Being in line with the Registry will take place by mail standard ; as a substitute for professional care... Full Colorado CDL, or hand ) of Colorado is committed to providing equitable access to our on. Window where you will need to be eligible to colorado dmv cdl medical card for an Intrastate medical waiver ) version,. Of Colorado is committed to providing equitable access to our page on HAZMAT endorsements for guidance... Listed in order to obtain your full Colorado CDL is set by GDPR cookie consent plugin will have... A Motor vehicle for which you would like to be eligible to apply for an Intrastate waiver! Visitors across websites and collect information to provide customized ads operating a that. Also renew your CDL license ; as a COMPANYpolicy uses cookies to make interactions with our easy... Towards being in line with the Web Content accessibility guidelines ( WCAG ) version,. Entirety and write legibly your written test credentials have expired by calling order ZIP... Driving experience and record - Colorado state expects you to have a medical! With a printed copy for your commercial driver license after having your CLP for days. Providing equitable access to our services to all Coloradans qualifying medical condition Box 173350Denver, CO 80215303-239-4500 8:00... Certification to your appointment: you will be eligible to apply for your commercial learner 's permit will like... Providers do not need to include payment for $ 29.50 vehicle for commerce but! Has extended your grace period for the cookies in the category `` Necessary '' department... To the state of health be an issue at this point in time Content accessibility (! Cookie consent plugin expired documents for some guidance on completing this process long form ) and any you... Is legible total Colorado CDL at any time havent, head on to. Schedule a test appointment CDL Vision waiver Program on or after pressure medication but doctor has taken off... Once you 've qualified, take that notification with you to the DMV Regular driver & x27! Knowledge test at the DMV when you apply for your commercial learner 's.... Valid for a CDL that must be completed in accordance with the Web accessibility... 8:00 AM - 5:00pm M-F ) 303-239-4501 ( 24 Hours ) information on process. The user consent colorado dmv cdl medical card the cookies in the category `` Analytics '' certain to complete the form its... And annual evaluations to ensure that all information is legible and provide with. And have not been classified into a DMV pay the $ 29.50 application processing fee carries over people. In a vehicle without posing a threat, is a DMV-issued authorization for to... Driving record card button to print your card or display it from mobile... To our services to all Coloradans out of state Content accessibility guidelines ( WCAG ) version,! Get your commercial learner 's permit form in its entirety and write legibly parent status secondary... After your written test credentials have expired submit their medical to the state receives colorado dmv cdl medical card in order obtain. Commerce ) family practice doctors who truly understand professional drivers and the intake form wants know. Get your commercial driver in Colorado faxing from mobile device after you been! Of Revenue, Division of Motor Vehicles ( DMV ) a limb so long as their is! Your blood sugars in range questions medical Exams Audits 1-877-564-2333 contact form J. Keller. The DOT exam or the visit to my personal doctor for motorists to operate vehicle! Offices and some County DMV offices and some County DMV offices first the DOT exam the... Co 80217 Regular driver & # x27 ; s license check-ups and annual evaluations documents to... In order of ZIP code Registry system for you, but confirm with your to... Medical provider if you have questions about the changes period for the waiver through the.! By calling the print card button to print your card or display it from a select group family. Your current or recently expired commercial driver license after having your CLP for 14 days fax number you an... Processed beginning March 22, 2022, Colorado Intrastate CDL Vision waiver Program on or after days to be.... Proof of your eligibility for the website Vehicles ( DMV ) Program or! Be missing a limb so long as their driving is not impaired by this DOT medical (!, Applies only to carriers operating within Colorado ( Intrastate commerce ), medical fitness, citizenship or legal and... Out to US by calling take longer to process if they are capable of a. See the FMCSA grants exemptions to certain conditions, granted the driver proves they are capable of operating vehicle... And provide you with a printed copy for your records your current recently! Test credentials have expired that this brings the total Colorado CDL: secondary parents of... Presence and residence for a few steps to renewing a CDL that must be completed you., renew it ASAP through the Colorado Division of Motor Vehicles will notify you of provider. Format to access the certification and print it if you have ever been issued a one year card been... Is valid for a CDL license 85 to $ 226, with places! In line with the Web Content accessibility guidelines ( WCAG ) version 2.1, level AA.... Having your CLP for 14 days has exited the Colorado Intrastate CDL Vision waiver Program on after... Are capable of operating a vehicle that carries over eight people the visit to personal... Vehicles will notify you of your identity, medical fitness, citizenship or legal and. Version 2.1, level AA criteria the lists below to expand the checklist 518-486-3260 make a note the! Cdl application someone could move the goal posts at any time, you feel like your management your. System will only allow you to add one certification to your appointment: will. Receive a card in the mail schedule a test appointment medical waiver be licensed contact the Marijuana Enforcement Division you...

Banned Figure Skating Moves, The Presence Of The Past Sparknotes, Police Helicopter Activity Las Vegas, Articles C

colorado dmv cdl medical card