Swotinsky & Emma Occupational Medicine Assoc., formerly Joseph D. Emma, MD

02/24/2026

Happy Tuesday! We will be closed today 2/24/26 due to weather conditions. We hope to reopen on Thursday. Stay safe!

02/17/2026

02/17/2026

Important Update for CDL Drivers (Class A & B) – New Citizenship License Eligibility Rules

Hey everyone! There’s an important update affecting who can get and renew a Commercial Driver’s License (CDL) — especially for Class A & B drivers — and I want to make sure you’re informed. 👇

📌 What’s changing?

Starting in 2026, federal and state authorities have updated requirements around CDL eligibility — especially for non-U.S. citizens and non-permanent residents:

✅ Proof of Citizenship or Lawful Presence Required:
Drivers applying for or renewing a CDL must provide documentation showing they are:
• U.S. citizens 🇺🇸
• OR lawful permanent residents (Green Card holders)
• OR eligible under specific non-immigrant work visa categories (like H-2A, H-2B, or E-2 visa holders) in order to qualify for a non-domiciled CDL.

❗ What’s no longer accepted:
🛑 Work Authorization Documents (EADs) alone — without citizenship or the qualifying visa status — will not be accepted as proof of eligibility.

📋 States are updating records too:
Some states (like Tennessee) are already contacting thousands of CDL holders to provide their proof of citizenship or lawful presence by a set deadline or face a downgrade of their CDL to a standard driver’s license if they don’t comply.

🛠 Why this matters:
These changes are meant to tighten up verification for safety and compliance with federal regulations. While this impacts new applicants immediately, many existing CDL holders will also need to update their documentation with their state DMV.

📌 What you need to know:

✅ You MAY keep or obtain a CDL Class A or B if you can legally work in the U.S. and complete a valid I-9 Employment Eligibility Verification.

This includes individuals who are not U.S. citizens but have:
• Lawful permanent resident status (Green Card)
• Valid work authorization that meets I-9 requirements
• Certain qualifying visa statuses

📝 Important clarification:
If you are authorized to work in the U.S. and can complete an I-9, you are still eligible to hold a CDL Class A or B, as long as all other CDL requirements are met.

❗ What can cause issues:
• Not updating your lawful presence documents with the DMV
• Expired or missing work authorization
• DMV records not matching federal verification systems

⚠️ Why this matters:
Some drivers are being notified that their CDL may be downgraded if their citizenship or lawful presence is not properly documented — even if they have been driving legally for years.

📆 What you should do now:
• Verify your work authorization is current
• Make sure your DMV has your updated lawful presence documents
• Respond quickly to any DMV or Registry notices

📣 Bottom line:
👉 If you can legally work in the U.S. and complete an I-9, you can keep or qualify for a CDL Class A or B.
Do NOT ignore DMV notices — delays can lead to unnecessary downgrades.

02/16/2026

🚨 CDL Drivers: Important Self-Certification Notice 🚨

Are you receiving notices from the Registry that you are NOT self-certified and that your CDL is being downgraded?

On 12/15/2025, the FMCSA released information confirming that not all self-certifications are being transmitted to State Driver Licensing Agencies (SDLA).

At our office, all self-certifications are processed electronically through Medfiller. However, over the past several months, we’ve noticed that some certifications appear in the National Registry but do not show in the State Registry. We have reported this issue multiple times to both the FMCSA and the Registry.

✅ Good news: As of December, the FMCSA has implemented a workaround for drivers who completed their physical but are not appearing in the State Registry.

What drivers will need:

• A screenshot from the National Registry showing your information is uploaded to FMCSA
• A copy of your DOT Medical Card
• The SDLA instructions (link provided below)

📞 Call our office, and we’ll email you everything you need to correct this as quickly as possible.
📍 You may also stop by our office to pick up the documents in person.

We’re here to help protect your CDL!

https://nationalregistry.fmcsa.dot.gov/assets/resource-center/Best%20Practices%20for%20SDLAs%20Supporting%20Drivers%20under%20NRII_FINAL.pdf

02/12/2026

Don't forget we Self-Certify all our Class A & B Drivers as soon as we complete your exam. Our online program automatically uploads your information into the FMCSA and the State Registry. Complete your paperwork online prior to your visit. Click the link to start the process. https://intake.MedFiller.com/Start/89RTKV8M8ZLTQKLE

Providing affordable, reliable & convenient DOT & Toxicology Exams & easy billing for businesses.

02/10/2026

With 20+ years of experience in K-1 and I-693 physicals, we make your exam quick, smooth, and affordable with discounted labs. We can help you complete your medical examination with 24-48 hours. Call us today for more information.

12/18/2025

Just a Reminder of our Holiday hours. We will be closed next week from Wednesday through Friday. Schedule your appointment today! 508-586-1046

We wish you all a Happy Holidays!

11/20/2025

We will be closed from 11/26 - 11/28 for Thanksgiving. Walk-ins welcome from 9 am - 12:30 pm & 2:15 pm - 4:30 pm on Monday and Tuesday.

11/11/2025

We have a special going on. Pay $95 for your DOT physical for all CDL and school bus drivers. Just call and schedule your appointment and complete your online DOT forms. Don't forget to mention this ad. Valid from 11/13/25 - 11/30/25.

05/15/2025

NEW IMPLEMENTATION

We having some important changes that will start on 05/19/2025. We ask that you read the information below and contact the office to set up an appointment in order to create a smooth transition from paper to online processing.

Here is what is included in the new implementation:

Automatic Self-Certification: With our new system, your DOT Medical Certificate will be automatically submitted and self-certified with the MA RMV — eliminating the need for you to handle that step separately. This update streamlines the entire process, making it more convenient and efficient for our patients.

New Pricing: Due to the new FMCSA program and automated certification service, there will be a $10 price increase for all DOT Physicals starting May 19, 2025.

02/14/2025

We will be open a half day on President's Day February 17th from 9am - 1pm.