A Massachusetts school bus or 7D school pupil transport applicant who uses insulin or has had a serious hypoglycemic event must be cleared by an endocrinologist on VSC102 under 540 CMR 2.15. The endocrinologist reviews three years of history and answers questions on hypoglycemic unawareness, insulin stability, serious events, complications and diabetes education, then witnesses the applicant agreeing to strict glucose monitoring conditions.
Only a board-certified or board-eligible endocrinologist may complete Section B and sign the attestation in Section C, adding Board of Registration and NPI numbers. The applicant completes Section A and signs Section C in the endocrinologist's presence.
Download the current version from the source each time; forms change without notice.
School Bus and School Pupil Transport (7D) Operator Diabetes Medical Evaluation Form
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Only an endocrinologist who is board certified or board eligible. The form tells other physicians not to complete it. The endocrinologist must know the past three years of history through treatment, consultation with the treating physician, or review of a complete written history.
Every six months. The examination is valid for six months from the date performed, and the driver reviews their status with the endocrinologist and signs a new form acknowledging the special conditions of the 7D or school bus certificate each time.
No. Drivers with diabetes who do not use insulin and have never had a hypoglycemic episode do not need it. The general medical form, VSC109, asks about insulin and hypoglycemic episodes and directs drivers who answer yes to this endocrinologist evaluation.