A DOT physical is mandated by the Federal Motor Carrier Safety Administration (FMCSA) to ensure commercial motor vehicle (CMV) drivers are physically and mentally fit, promoting highway safety by identifying conditions like high blood pressure, diabetes, sleep apnea, or vision issues that could impair driving. It is required by law for CDL holders to maintain safety standards.
Detecting potential health risks such as epilepsy, uncontrolled heart conditions, or hearing/vision loss that could lead to accidents.
Who Needs a DOT Physical?
You are generally required to get a DOT physical if you:
- Operate a vehicle with a gross combination weight rating of at least 10,001 pounds.
- Are paid to operate a motor vehicle that holds 9–15 passengers.
- Drive a vehicle for interstate commerce.
- Transport hazardous materials.
General Preparation (All Drivers)
Please bring the following to your appointment:
- A valid, unexpired driver’s license
- A complete list of all current medications
- Glasses or contact lenses if you wear them
- Hearing aids, if applicable
- Documentation from any hospital or ER visits within the past year
- Records related to ongoing medical conditions or recent surgeries
If you take blood thinners such as Coumadin (Warfarin), please bring a recent INR result and clearance from your provider.
Medical Conditions and Required Documentation
If you have any medical conditions, take daily medications, or have had recent medical care, additional documentation is often required.
If you have a history of heart disease, including heart attack, stents, pacemaker, irregular heartbeat, or heart failure, please bring:
- Recent records from your cardiologist
- Results of any cardiac testing completed within the past 1–2 years (stress test, echocardiogram, etc.)
- An EKG, if completed within the last 2 years
If you are being treated for diabetes, please bring:
- Your most recent hemoglobin A1C (within the last 6 months)
- A blood sugar log
- A list of medications
- Your most recent diabetic eye exam
You should also bring your personal glucometer. If glucose is detected during your exam, additional testing may be required.
If you use insulin, you must provide a completed Insulin-Treated Diabetes Mellitus Assessment Form (MCSA-5870).
If you have a history of stroke, TIA, seizure, or traumatic brain injury, please bring:
- A report from your neurologist outlining your condition, treatment, medications, and current status
If you have ADD, ADHD, or other mental health conditions, or take medications such as stimulants, antidepressants, or anti-anxiety medications, please bring:
- Documentation from your treating provider
- Your current treatment plan
- A list of medications and dosages
- Confirmation that your condition is stable and does not interfere with safe driving
If you have been evaluated or treated for sleep apnea:
- If diagnosed, bring a CPAP compliance report from the past 90 days
- If your study was negative, bring a copy of the results
- If you had corrective surgery, provide documentation confirming the condition has been resolved
If you take medications for chronic pain or other conditions, please bring:
- A current medication list
- Documentation from your provider explaining your diagnosis and treatment plan
Important Information
- Additional documentation may be required depending on your medical history
- Missing paperwork may delay your certification
- You may be asked to return for a follow-up visit
- Additional fees may apply for follow-up visits or testing
Before You Schedule
If a driver has any of the following conditions, it is important to gather documentation in advance:
- High blood pressure
- Diabetes
- Sleep apnea
- Cardiac conditions
- Chronic pain or other ongoing medical issues
Having the appropriate records ready helps avoid delays, reduces the need for repeat visits, and ensures a more efficient certification process.
Need Help Preparing?
If you are unsure what documentation you need, we encourage you to contact our office prior to your appointment. Our team can help guide you so you arrive fully prepared.
