DOT Physicals

Why Get Tested?

You may be required to take a DOT physical for several reasons, all related to ensuring that you are medically qualified to operate a commercial vehicle safely. This includes situations where you drive a vehicle designed to carry large groups of passengers—whether more than 15 individuals or more than eight in a paid capacity—as well as when you're transporting hazardous materials that require a DOT placard. It's also necessary if you operate a vehicle in interstate commerce that meets or exceeds a gross vehicle weight rating of 10,000 pounds. In each case, the DOT physical helps confirm that you meet the physical, mental, and emotional standards set by the FMCSA to ensure the safety of both drivers and the public.

What Does a DOT Physical Consist of?

A certified examiner will assess your medical fitness for commercial driving
Your medical history, medications, and past health issues will be reviewed
A urinalysis will check for signs of diabetes, kidney issues, or other conditions
Vision, hearing, blood pressure, heart, and neurological health will be evaluated
If signs of sleep apnea are present, a screening referral may be required
The exam includes verification of any medical equipment or treatments used
Depending on your results, certification may last up to two years or require periodic review

What Should I Bring to a DOT Physical?

Completed driver’s section of the exam form (fill out in advance to save time)
List of current doctors and medications, including names, addresses, and dosages
Corrective lenses or hearing aids, if used
Health documentation for ongoing conditions, such as diabetes (blood sugar logs and HbA1C), sleep apnea (90-day CPAP report), or heart conditions (cardiologist letter and recent test results)
Specialist letters, if you've had a stroke, seizure, brain injury, or take medications that are controlled substances or cause drowsiness
Records for any permanent physical limitations, including limb loss, work restrictions, or use of blood thinners like warfarin, along with recent lab results if applicable

How Do You Prepare for a DOT Physical?

To prepare for your DOT physical, take all prescribed medications as directed and ensure your prescriptions are current. If you wear glasses or contact lenses, have your vision checked and your prescription updated if necessary. In the days leading up to your exam, avoid alcohol, non-prescribed substances, salty foods that can raise blood pressure, and sugary snacks that may affect blood glucose levels. Staying hydrated and getting a full night’s rest will also help ensure accurate and reliable results.