A DOT physical is probably not going to be the highlight of your day, but it is a necessity if you want to get behind the wheel of a truck. Here are some tips to help increase the chances that you’ll pass your DOT physical with flying colors!
1. Avoid coffee and energy drinks 24 hours before your DOT physical. The caffeine in these drinks can raise your blood pressure and make it more likely that you’ll be restricted or disqualified.
2. Cut back on salt the week before your DOT physical. Like caffeine, salt can raise your blood pressure.
3. Come to the exam prepared. This means coming with a list of your medications, your medical paperwork, your eyeglasses.  And if you are prescribed medications for any medicals conditions, make sure that you’ve taken them before your physical exam.
4. Avoid big meals. A huge buffet breakfast before your DOT exam can increase the sugar in your urine and raise diabetes warning signs. Eat something light and healthy before your exam.
5. Get a second opinion. If you feel that your examiner was not competent or not fair, you might want to consider getting a second opinion. It be the difference that keeps you in the driver’s seat.  We are glad to provide that second opinion for you


What You Need for the DOT Physical

Bringing specific paperwork to your exam can help your doctor more quickly assess whether or not you meet DOT physical requirements. Follow these guidelines:

• Bring comprehensive medical records from your primary care doctor if your primary care doctor is not the one performing your exam.
• If you have any health conditions, bring the name and contact information for the doctor who treats you for each condition. Conditions like high blood pressure, diabetes, or sleep apnea typically require additional paperwork, such as sleep test results or stress test results.
• Bring a complete medication list. The list should include every medication you take, its strength, its dosage, and the prescribing doctor. 

- Be sure to bring or wear any corrective lenses you may use.  The vision portion of the exam is very important part of the exam and a large reason for exam failure should you not have your typical corrective lenses with you

-Print the medical application found below and fill out to the best of your ability.  If you forget to bring it, don't worry we will have forms for you to fill out at the time of the exam


Medical examiners must follow a very specific protocol and fill out a federal form for all trucking physicals. Familiarizing yourself with this form (found below in links) can help you figure out where you need to make improvements prior to your exam.

To start, you will fill out your health history. This includes information on any surgeries you've had, medications you are currently using, specific diagnoses, substance issues, and symptoms.

From there, the medical examiner will complete with exam portion. The doctor then sends the DOT physical form directly to the licensing agency in your state.

Q: How invasive is the exam?

A:  This is a non-invasive exam, it does not include a rectal or pelvic exam and does not require you to change from the clothes you wore to the exam.  It is helpful however that you wear loose fitting clothing for your comfort and ease of exam.  We test your pulse, blood pressure, vision in both eyes, and hearing. You must also pass a urinalysis test. This is used for drug testing and detection of blood, sugar, or protein in the urine.  During the physical examination, your doctor checks your overall health and each body system, marking it as normal or abnormal.

Q: How long will the exam take

A: If you come prepared for the exam with your paperwork filled out you should plan for about 30 minutes to complete the exam.  The time may vary slightly based on the complexity of your medical history 

Q: Does the exam include a urine sample for drug/alcohol testing

A: The baseline exam does not include drug testing.  We will need to collect a urine sample but only to test for sugar and protein in your urine which help screen for diabetes and other chronic diseases

Q: If I did not qualify for a 1 or 2 year certificate can I undergo go another exam for a second opinion

A: Yes, if you were not satisfied with the results you received at another examiner you are entitled to seek out a second opinion another examiner of your choice. This does not garruantee different results however each medical examiner is unique and often it is worth your time to get a second opinion.

Q: What if I am told I need to see a doctor to address a medical issue prior to being medically certified

A: If this does happen due to uncontrolled medical issues including but not limited to high blood pressure, diabetes or vision problems, we will refer you to a Primary Care Doctor that is convenient for you.

Q: How quickly will the FMSCA and the state be notified of my exam results?

A: The state and FMSCA will be notified by the examiner via the online portal the same day you complete your exam.  You will also be given a hard copy of your medical certificate at the end of your exam

Q: Will the results of my exam be shared with anyone?

A: The status of your medical certificate is the only thing that will be shared with you company.  The specifics of your exam including your medical history, medications, personal identifying information will not be shared with anyone under any circumstances.  If you do not pass the exam your company is not allowed to ask for details about why you did not qualify and they are not allowed to inquire about the contents of your exam, even if they paid for the exam. We will never share this information with anyone but yourself.

Q: Which Drivers Need A Federal DOT Medical Card?

A: The short answer, drivers operating MVRs. Part 390.5 of the FMCSRs defines a CMV as any self-propelled or towed motor vehicle used on a highway in interstate commerce to transport passengers or property when the vehicle:

  • Has a gross vehicle weight rating or gross combination weight rating, or gross vehicle weight or gross combination weight, of 10,001 pounds or more, whichever is greater; or

  • Is designed or used to transport more than 8 passengers (including the driver) for compensation; or

  • Is designed or used to transport more than 15 passengers, including the driver, and is not used to transport passengers for compensation; or

  • Is used in transporting material found by the Secretary of Transportation to be hazardous under 49 U.S.C. 5103 and transported in a quantity requiring placarding under regulations prescribed by the Secretary under 49 CFR, subtitle B, chapter I, subchapter C


Your privacy with regard to both your medical history and personal information are just as important to you as it is to us. Your personal information is treated the same way it would be at your personal doctors office or hospital.  Many people think information will be shared with their employer if the exam is being paid for by the company or if they were referred to a specific examiner by their company.  This is not true. The specifics of your exam, health conditions, chronic or otherwise, are no ones business but your own.  Your employer will only know the status of your medical certificate and under no circumstance will the details of your protected health information be shared with anyone.  We offer onsite exams because we have found it is better for the driver.