What is a DOT Physical Exam?

About DOT Physical Exam

The Department of Transportation (DOT) requires commercial motor vehicle (CMV) operators to have the DOT physical exam to maintain their driver certification. The FMCSA physical examination is required to help ensure that a person is medically qualified to safely operate a CMV. In the interest of public safety, commercial motor vehicle drivers are held to higher physical, mental and emotional standards than passenger car drivers. A Certified Federal Motor Carrier Safety Administration (FMCSA) medical examiner will perform the DOT physical. FMCSA medical requirements can be found on the following website:


How do I know if I need a DOT Physical Exam?

You will need a DOT physical If you fall into one of the following categories:

  • You operate a motor vehicle designed to carry more than 15 people
  • You are paid to operate a motor vehicle designed to carry more than 8 people.
  • You operate a motor vehicle with a gross combination weight rating, gross vehicle weight, gross vehicle weight rating, or gross combination weight of over 10,000 pounds.
  • You transport hazardous materials that require your vehicle to be placarded.

What To Bring To A DOT Physical?

Commercial drivers need to bring the following items to the appointment:

  • Valid state Issued Identification such as a driver’s license.
  • A list of all medications that are being used.
  • Drivers with vision or hearing problems must bring their eyeglasses, contacts, or hearing aids. Drivers with diabetes must bring the most recent lab results from their Hemoglobin A1C (HgAIC) and their blood sugar logs, as well as a letter from your PCP regarding your diabetic condition.
  • Drivers with heart-related issues must bring a letter from their cardiologist that outlines their medical history, current medications, and indicates that they are safe to work.
  • A letter from your PCP will be required if you have other chronic conditions or ongoing medication use.

A FMCSA Certified Medical Examiner will perform your examination as required by FMCSA DOT Law for commercial drivers license. Your medical history will be reviewed, and you will be asked to list any over the counter and prescription drugs you currently take.

What do DOT physicals consist of?

The DOT physical comprises of tests, measurements and evaluations, including the following:

  • Blood Pressure
    The medical examiner will check the blood pressure and pulse to measure your systolic and diastolic pressure levels, as well as testing for irregular heart rate.
  • Urinalysis
    A urinalysis screens for indications of underlying medical conditions such as diabetes.
  • Vision
    Drivers must have a minimum acuity of 20/40 in each eye, with or without corrective lenses. They must also have at least 70º of peripheral vision in each eye along the horizontal meridian.
  • Hearing
    Drivers must be able to hear a 'forced whisper' at a maximum distance of 5 ft. with or without a hearing aid. The standard equates to a hearing loss of less than 40 dB in the better ear.
  • Physical Examination
    Your doctor will check your lung function, heart, digestive track, and coordination.

Based on your past and current history, as well as the findings on physical examination the certified medical examiner will determine the certification period and issue a Medical Examiner's Certificate.

3 Easy Steps to Scheduling Your DOT Physical:

Click on the "Book Now" button to schedule your DOT physical.

Click on the "Forms" button to fill out your online forms.

(Please note that all online forms must be completed prior to your appointment or your appointment will need to be rescheduled.)

About DOT Physical Exam
Arrive at your appointment 10 minutes early to check in.

Additional Information:

Additional Information about federal laws for CDL drivers can be found by clicking the logo or link below.

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I have been seeing Dr.Tammy regularly since 2016. I have Hypermobile Ehlers Danlos Syndrome (EDS) and require consistent care due to multiple joint subluxations which contribute to widespread chronic pain.

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All Chiropractors are not equal when considering treatment for EDS. The key is finding someone who is gentle but effective, understands the challenges of the Hypermobile body, listens, feels, and sees how the body is moving and adjusts the treatment accordingly. Dr.Tammy checks all those boxes! She is a skilled practicioner who has taken such excellent care of me I also have entrusted her with my daughter's care as well. We both see her regularly and feel she is a vital part of our care team. EDS has no cure and managing symptoms becomes the treatment plan. For us, Chiropractic care and Physical Therapy are the bread and butter to managing our subluxations, reducing pain, and improving daily functionality. We are so fortunate to have found Dr.Tammy Atkinson at the Chiropractic Wellness Center in Cary!!

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Cary, North Carolina
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Joani C.
Cary, North Carolina

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