DOT Physicals

Federal law requires a DOT physical for all operators of commercial motor vehicles (CMVs) in interstate commerce — vehicles weighing 10,001+ lbs, vehicles carrying 9–15 passengers for compensation, or vehicles transporting hazardous materials. This includes CDL holders and many non-CDL CMV operators. If you hold a commercial driver's license, you need a valid Medical Examiner's Certificate.

Most drivers receive a 24-month (2-year) certificate. Drivers with certain manageable medical conditions — such as controlled hypertension or diabetes — may receive a shorter certificate (3, 6, or 12 months) with required follow-up. Your examiner determines the certification period based on your health status.

Yes, in most cases. Drivers with Stage 1 hypertension (130–159/90–99) are generally certifiable for 1 year. Drivers with Stage 2 hypertension (160–179/100–109) receive a one-time 3-month certificate to allow time for treatment. Stage 3 hypertension (≥180/110) is disqualifying until adequately treated. Our physicians will document your blood pressure and advise you on your certification status.

FMCSA disqualifying conditions include: vision below 20/40 in either eye (uncorrected or with correction), hearing loss beyond specified thresholds, systolic blood pressure ≥180 or diastolic ≥110 at exam, epilepsy or recent seizure (without exemption), insulin-treated diabetes (without ITDM exemption), and current use of certain Schedule I or II controlled substances. Our examiners will review your full history.

Bring your driver's license or government ID, a list of all medications including dosages, glasses or contacts if you use them for driving, hearing aids if applicable, and any documentation from your physician about medical conditions (especially diabetes, hypertension, sleep apnea, or cardiac disease). Get a good night's rest, drink water, and avoid caffeine the morning of your exam as these can affect blood pressure readings.