Medical Qualification
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| Indiana RTAP Program 2615 Eastwood Dr. Columbus, IN 47203 Toll Free: 800-709-9981 Toll Call: 812-314-2946 Fax: 812-314-2924 |
The Indiana RTAP program on behalf of the Indiana Department of Transportation (INDOT) will be
implementing and overseeing a new model Medical Qualification program to address the use of Prescription
and Over-the-Counter (Rx/OTC) medications and an individual’s fitness to perform safety-sensitive functions in
the transit industry. As part of this program, a Request for Proposal (RFP) sponsored by the Indiana Council on
Specialized Transportation (INCOST) was introduced to solicit vendors to conduct medical examinations and
other related services. The vendor selected through this process is Public Safety Medical out of
Indianapolis, IN. Additional information on Public Safety Medical and the program implementation
will be sent to each 5311 recipient.
Indiana's 5311 transit systems must download all program policies, forms and guidelines and begin the process
of implementing these policies. Governing Board approval is required for policy implementation. Employee
training on the new program explaining the policies and employee requirements will need to occur immediately.
This initial program training may be conducted by the agency program administrator. Questions may be
directed to Vicky Warner, RTAP Manager at 800-709-9981.
implementing and overseeing a new model Medical Qualification program to address the use of Prescription
and Over-the-Counter (Rx/OTC) medications and an individual’s fitness to perform safety-sensitive functions in
the transit industry. As part of this program, a Request for Proposal (RFP) sponsored by the Indiana Council on
Specialized Transportation (INCOST) was introduced to solicit vendors to conduct medical examinations and
other related services. The vendor selected through this process is Public Safety Medical out of
Indianapolis, IN. Additional information on Public Safety Medical and the program implementation
will be sent to each 5311 recipient.
Indiana's 5311 transit systems must download all program policies, forms and guidelines and begin the process
of implementing these policies. Governing Board approval is required for policy implementation. Employee
training on the new program explaining the policies and employee requirements will need to occur immediately.
This initial program training may be conducted by the agency program administrator. Questions may be
directed to Vicky Warner, RTAP Manager at 800-709-9981.
- Sample Vendor Contract (NEW 12/16)
- RX/OTC Policy (NEW 5/25)
- Medical Qualification Policy (NEW 12/16)
- Medical Qualification Program Intro (NEW 12/16)
- Post Accident Procedures
- Post Accident Investigation Form
- Medication Information Form (NEW 1/30/2012)
- Medical Qualification Referral Summary
- Reasonable Suspicion Form (NEW 11/14)
- Medical Determination Appeals Process (NEW 12/16)
Job Descriptions:
| In an effort to collect data for the Medical Qualification program a survey has been compiled for Indiana's public Transit systems. Please click on the following link and the complete the survey: To be posted soon! |