IF you have a question that doesn’t seem to fit into any other Category, then this is the FAQ page to check.
Please read through the Q&A before posting a question. This will help everyone to not have duplicate questions. Thank you!
If you still can’t find a related answer, then you are welcome to ask your question in the comments section below.
Q&A
Who can I go to, to get my DOT medical card?
Can I go to my own doctor to get my DOT physical or do I have to use my company doctor?
What’s the difference between a DOT Doctor and a Medical Examiner?
How long does it take to get my medical certificate?
What’s involved in a DOT physical?
What would cause me to fail a DOT physical?
When I do my DOT physical do I have to get completely naked?
Who pays for the DOT Physical Examination? Me. Company. Insurance?
If I don’t have medical insurance can I still get a DOT physical?
How much does a DOT physical exam cost without insurance?
Why do I have to have a urine test for a DOT physical?
Can I get a copy of my DOT physical form?
How long is the DOT medical card good for?
How many 3-month DOT medical cards can you have?
Is there a difference between a DOT physical card and a DOT medical certificate?
How do overweight truck drivers pass the DOT physical?
What if I’m disqualified – may I request another DOT physical?
What if I don’t disclose a medical condition when I go through the DOT physical exam?
Who can I go to, to get my DOT medical card?
Interstate drivers: CMV drivers who drive interstate, must get Federal medical certificates from a medical examiner who is FMCSA National Registry Certified. (Find a registered CME)
Intrastate drivers: Each individual State makes the determination as to whether or not intrastate drivers must be examined by a certified ME listed on the National Registry. To avoid hassles it’s our recommendation that you find a registered CME.
Can I go to my own doctor to get my DOT physical or do I have to use my company doctor?
This will depend on the company policy. Your company may require you to use their company doctor for your DOT physical exam. If this is not a requirement, you may go to any medical examiner who is certified on the FMCSA National Registry.
What’s the difference between a DOT Doctor and a Medical Examiner?
There is no difference, these terms are used interchangeably. The terms Medical Examiner, Certified Medical Examiner, and CME are now being used since the federal regulation came into force on May 21, 2014. Drivers will not be able to go to just any healthcare provider for your DOT physical. You must go to a Certified Medical Examiner on the FMCSA National Registry.
How long does it take to get my medical certificate?
It should take 30-45 minutes to go through the physical examination. Provided there are no medical concerns the medical examiner will be able to certify you and issue your medical certificate.
If the medical examiner has concerns about a potential, current or past medical condition you may be required to see a specialist for additional medical tests or get documentation from your treating physician. In this case the medical examiner will not be able to complete the DOT physical exam until these requirements have been fully met.
Be Prepared! Find out what you should know before you get to your DOT physical appointment.
What’s involved in a DOT physical?
The DOT physical exam is considered a “Medical Fitness for Duty” exam for the demands of the job required of any commercial driver, not just the driver’s current job duties. The medical examiner’s role is to determine if a CMV driver’s health meets FMCSA standards.
The examining doctor has these two questions foremost in mind when conducting the physical exam:
- Can the driver safely meet the physical and mental demands of the job today, and for the period for which the medical card will be issued?
- Does the driver have any past or current medical conditions, which may impact the ability to meet the demands of the job now or in the future?
The DOT physical is an extensive medical examination to determine if you are qualified to safely operate a commercial vehicle. The best way to understand the DOT Physical Examination is to relate the medical requirements to the demands of your job as a commercial driver. The full extent of these are explained in Trucker Docs™ special guidebook to getting your medical certificate.
What would cause me to fail a DOT physical?
Any condition that would cause a loss of ability to control, operate, or drive a commercial vehicle safely – loss or impairment of limbs, poor visual or auditory acuity, insulin-controlled diabetes, high blood pressure, heart disease, respiratory disfunction, epilepsy, mental disorder, use of certain drugs, alcoholism.
The DOT physical is an extensive examination. The full extent is explained in Trucker Docs’ special guidebook. Any disease, disorder, injury, or medication could cause you to fail if they present a risk to public safety.
When I do my DOT physical do I have to get completely naked?
No. There is no reason to get naked. Loose clothing will suffice for the examining physician to be able to complete all aspects of the DOT physical exam.
Who pays for the DOT Physical Examination? Me, my employer, my insurance?
There is no set answer here.
Sometimes the driver pays.
Some companies will pay for it, some will not. So check with your company because some require that you use their company doctor.
Some insurance companies treat this exam as preventative health care and will not reimburse for it. Sometimes the driver will pay, and may submit the receipt to their insurance for reimbursement, if the insurance will pay.
If I don’t have medical insurance can I still get a DOT physical?
Yes. You do not need medical insurance to get a DOT Physical.
How much does a DOT physical exam cost without insurance?
Currently we’ve seen DOT physicals charged anywhere between $50 and $300. The new FMCSA Medical Examination Forms (2016) and reporting system have increased administrative work and time for medical examiners, and costs for the DOT physical exam are rising accordingly.
Why do I have to have a urine test for a DOT physical?
The urine test is just a kidney screen to test for sugar and protein. It’s done to determine that there is no early onset of conditions like high blood pressure breaking down the kidneys, or early signs of diabetes, or kidney infection.
Can I get a copy of my DOT physical form?
Yes. As well as receiving your medical certificate you should also get a copy of the long form (Medical Examination Report). The medical examiner is required to keep a copy of these documents for three years. If you need a copy you should contact the medical examiner. Contact information is on your medical card.
How long is the DOT medical card good for?
A DOT medical card is valid for two years if you have no restrictions. A history of high blood pressure, taking high blood pressure medications, a sleep disorder, and taking oral medications for diabetes can restrict the medical card to one year or less, depending on how frequently the condition needs monitoring.
How many 3-month DOT medical cards can you have?
One only. You should have the condition, which caused the restriction, under control by the end of the 3-month window.
With the typical 3-month medical card, you needed to do something to bring some physical condition under control. If you did that, and you go back to see your last DOT examiner, he can issue you a new medical card for typically one year. If you didn’t fix the issue, he can choose not to extend the card. So get the condition taken care of and don’t have to worry about short term medical cards.
Is there a difference between a DOT physical card and a DOT medical certificate?
No. These terms are used interchangeably. They are most often referred to as a DOT medical certificate when referring to the medical card, and DOT physical when referring to the DOT physical exam.
I lost my medical card. How do I go about getting another one? Do I have to do the DOT physical again?
No you do not have to do the physical exam again. The medical examiner is required to keep a copy of the exam documents for three years. If you need a replacement medical card you should contact the medical examiner.
How do overweight truck drivers pass the DOT physical?
Being overweight is not a restriction to passing the DOT physical exam. It is the medical conditions that being overweight eventually leads to, such as high blood pressure, heart disease and kidney disease, that may affect your ability to safely drive a commercial vehicle. That is what the DOT Physical exam will determine – whether you have any of these restrictive medical conditions. Getting healthy and staying healthy is your best guarantee for your life and your livelihood.
Does the DOT physical require a driver to be completely healthy… does that include sexually transmitted diseases?
No. An STD will not affect a DOT examination.
What if I’m disqualified – may I request another DOT physical?
This really depends on why you were disqualified.
Doc shopping used to be what folks did, but that is changing with DOT and FMCSA. If all medical examiners are following the guidelines and regulations, then it would not matter where you go, you would still be disqualified if the same situation exists.
If the disqualification seems unreasonable, and you feel you are truly fit enough to safely drive a CMV, then discuss the concerning condition with the medical examiner, and ask for options that may help you to be reconsidered for certification.
Second opinion: A driver always has the option of getting a second opinion. If the qualification restrictions or disqualification seems unreasonable, and you feel you are truly fit enough to safely drive a CMV, you should find a different clinic to get a second opinion. The new examination decision supersedes the previous examination.
What if I don’t disclose a medical condition when I go through the DOT physical exam?
When you complete the health history section on the long form you must certify that your responses are complete and true. Making a false statement for concealing a disqualifying condition may invalidate the examination and any medical certificate issued, based on it.
What about “shopping” for a DOT doctor who will be “lenient” on the qualifiers for DOT medical certification?
Some drivers used to do “shopping around”. Starting 2016, the FMCSA reporting system with the National Registry will have the capability to flag multiple exams, identify missing or false information reported by the driver in the Driver Health History section of the MER Form, MCSA-5875, and make a determination to void the driver’s MEC, Form MCSA-5876, if appropriate.
It isn’t an issue of lenience. It’s an issue of whether you, as a driver, are safe and medically fit to operate a commercial motor vehicle. It’s about safety for you and the public at large. Do what you need to do to be medically fit to pass the DOT examination and don’t worry about finding a lenient DOT doctor.
Second opinion: A driver always has the option of getting a second opinion. If the qualification restrictions or disqualification seems unreasonable, and you feel you are truly fit enough to safely drive a CMV, you should find a different clinic to get a second opinion. The new examination decision supersedes the previous examination.
Certified medical examiners are now required to understand the role of a commercial driver. The doctor who understands the lifestyle and job challenges of a driver, should really want to help you alleviate conditions that could potentially threaten not only your livelihood, but also your life, and possibly the lives of others if a catastrophic event could occur. So if you need a second opinion, look for a medical examiner who considers the big picture of fit for duty rather than one who does a checklist exam.
Can’t Find An Answer For Your Question?
If you have a question that you feel has not been answered, scroll down to the Questions and Comments box and post your question.
- Before posting, please make sure you are on the appropriate Category page, so that relevant questions and answers can be found by other drivers too.
- To save us all from zombie spammers, your question will not appear on this page until it has been approved.
- Trucker Docs™ will answer your question as soon as possible.
- Visit this page again soon to see our response.
P.S. Your email address will not be published.
Your comments are also welcome.
what if i don’t have a CDL,i only provide medical rides to take passengers to their appointments ,do i still need to pass the DOT physical exam? like a truck driver
@ Juan B
The company you are driving for should know whether you need a medical card to operate their vehicle. Most state require a medical card to operate any vehicle that is used for commerce (to make $). As a non cdl driver, you should not have any issues. Best to confirm with your local drivers license department.
I was just diagnosed with diabetes type 2 diabetes. I saw my doctor and was put on medication and changed my diet. my a1c was 10 at my first doctor visit. my doctor laid out a plan for me and put me on medication and regular glucose monitoring. She gave me a note for the dot medical examiner and
I took the note back to the dot physical examiner. She still disqualified me because my a1c from the doctor was 10. Does it have to be 8 or below?
@ Robert M
Here’s a breakdown: Normal: Below 5.7%, Pre-diabetes: 5.7% to 6.4%, Diabetes: 6.5% or higher. Your numbers are still too high to pass a DOT/FMCSA medical certification examination.
Hello. I am pregnant, 18 weeks and having a great pregnancy. I am going to CDL school out of my own pocket, its an eight week course. In order to go to the college for this training and get my CDL, they require you to have a DOT physical. Mine is scheduled for Monday this coming week. I am worried for some reason I am not going to get my DOT card simply because I am pregnant. If I am healthy and everything is fine other than my baby in my belly, will I still get approved for my DOT…?
@ Nichole
It should not be an issue. The CME, medical examiner, may want a medical release from your primary care physician.
Can an employer require a second medical Examine Certificate if a recent issued certificate raises suspension.
@ Curtis M
That would be a company call (company policy). If the medical card you have is done by a CME, then there is no reason, unless he blatantly overlooked an issue.
How do I access my current DOT Medical Card ? My employer needs this submitted.
@ Walt
Best to take the original medical card out of your pocket/folder ( where ever you keep it ) and make a copy for them. If you lost the card, then contact the doctor’s office and see if you can get a copy.
My medical expenses are 100% covered by the veterans administration. The VA no longer is able or allowed to do DOT physicals for commercial drivers licenses. What form or forms do I need prior to the physical, and how do I have the bills for the DOT physical sent to the veterans administration for processing and payment? Thank you.
I walked out of a DOT physical due to the Examiner asking me questions about things that I don’t think pertain to my fitness to drive (my sex life, previous sexual history, etc.). The entire process seems suspicious to me. Some other things happened before the questions.
Is there anyway for me to view what the examiner submitted?
@ Joe B
All pertinent information is kept with the examiners office. All that could be reported to DOT/FMCSA is a pass or fail. If you walked out before he finished the examination, then he really has nothing to report.
I received a dot medical examination certificate for 2 years as I have for quite some time, but suddenly my job told me because I have an amputation, they will not recognize the 2 years, and I have to get it every year. Why the sudden discrimination? This is not a medical issue. There is nothing with the leg that the doctor needs to check numbers on to see if they go up or down.
@ Steve
Sounds like a company policy change, not DOT/FMCSA.
How do I have my address changed on my Medical Examiner’s Certificate after I have moved?
@ Darren R
Only the original examiner can do that for you. In most cases it should not be an issue.
And be aware that sleep tests are not a regulated requirement for passing a cdl physical. It is against US law 113-45. Don’t be harassed it to a non required medical procedure.
However, they are not required. But if your obese, have a hx of DM, HTN, HLD, neck is bigger than 17 cm BMI is over 35-40., your a male or female over 50, have a history of loud snoring or breathing pauses and many more indicators you may be required to do a sleep study as if you have more than 5 of these indicators (and there are more) you may be at risk for sleep apnea and will be required to do a sleep study.
dot physical expires 1/5/25 is Sunday…can required physical be submitted on 1/6/25 Monday and not be inviolation
@ Steven G
Not a problem or you could get it done a few days early and get it in too.
Does being on dr prescribed suboxone limit you to only a 1 year medical card in the state of Connecticut?
@ Mel
Most will depend on the class cdl you hold. DOT/FMCSA for a class A cdl, if approved, will be for one year at the time. Lesser class cdl’s or intra-state only will fall under your states guidelines and variances. Confirm with your local DLD.
First time acquiring my CDL. Do I need a DOT drug and physical exam completed, with results in hand prior to going to the local DMV office to take the CDL exam? Thanks Dave
@ Dave W
Don’t know about a drug test for DMV, best to confirm with your local drivers license department (DLD) for guidance.
can a person with diabetes on insulin get a medical card.
@ cipriano m
It can be done. Just follow the requirements laid out for you by the medical examiner. Much will depend on the class drivers license you have.
Can I keep my medical card if I get a pacemaker
@ Bruce H
Yes, you will need to provide medical documentation and a medical release form from your cardiologist. Your medical card will be good for one year at a time from this point forward.
Is there a difference between a Transit Bus Driver DOT physical and a regular DOT physical
@ Fred G. Di M
The physical is the same, but the guidelines and requirements may vary from state to state. Best check your local drivers license department.
I have been in a Motorcycle accident and I am out of work until October/November My medical card expires July 18, 2024 Today
Is there any way I can put a hold on that?
@ Franco
No way to put it on hold. Best to contact your local DLD and explain your situation. They will have a process that you will need to follow.
Can an employer require me to go through a “fitness for duty” exam after I failed a non-DOT drug test for marijuana?
@ Frank
That would be company policy not federal DOT/FMCSA.
Must my Medical Examiner be located in the state that issued my license?
@ David A. D
No, your medical card can be done in any state as long as it is done by a certified medical examiner (CME) on the national registry.
I had a 2 year DOT med card. It was reduced to a 1 year card (high blood pressure). Is it possible to have it reinstated to a 2 year card again?
@ GT
It may be hard to get it back to two years. The wording in the intake forms are ‘a history of high blood pressure’. It should be evaluated on a case by case basis.
What if the cpap was malfunctioning doing the compliance period? For example got my compliance report for cpap usasage. The reported a large leak average time of leakage 90 minutes per usage day. It affected my 4 hr per day usage factor.Thus it showed a usage percent of only 65.6% Even though percentage of days used was 98.9% in a ninety day period.
@ Leonard L
Explain the situation and provide any supporting documentation to the CME and you should be fine
I am currently going through testing for sleep apnea and was only given a 3 month card till July 11th. It’s been extremely hard to get appointments and was scheduled for a lab test on July 3rd which may put me past July 11th for results. Am I able to get an extension on my medical card?
@ Mike
You might go back to the examiner and explain your situation. It will be up to the CME as to how he/she wants to handle it.
Ok so it’s pretty much up to them? There is no law saying it can’t be extended. I’m extremely nervous and don’t want to be out of work.
@ Mike
Yes, given the situation and you are working to be as compliant as possible, they may give you another 90 days to get things sorted out.
Am I required to have a DOT Medical Certificate if I am paid to drive a 12 passenger van? I do not have a CDL. And even if the 12 passenger van has less than 9 passengers in it?
@ Roy
This question is going to be best answered by your local drivers license department.
How many days after receiving a DOT Physical long form does a Class A CDL holder have to Self Certify with the State of Arkansas?
@ Mark M. H
This is best answered by your local DLD. We would say, do it ASAP. Why wait?
Question, the dot place that my company sent me to wants me to have forms filled out before they pass me, and they flagged me til I get the forms to them, even when my dot med card was still valid,
Can I go to my doctor to get my physical done or do I have to go back to the other
@ Tarrett S
You can go to any certified medical examiner that is on the national registry with FMCSA.
i was asked by the DOT examiner to have forms filled out by some of my doctors. But some of the doctors like my primary and endocrinologist say that they are not licensed to fill out the form, or that some of the questions don’t pertain to her. At this time I don’t know what to do. This is for pre-employment drug testing and DOT med card. I have a great opportunity for a great job.
another thing I’m questioning is why can’t I use the existing Med card that does not expired till November of this year?
@ wondering R
Your primary and secondary doctors do not understand the request for information. It is the CME, not DOT/FMCSA, who is requesting additional information. It is used to aid in his/her decision making process. The CME will utilize their information in combination with DOT/FMCSA regulation/guidelines to determine your qualifications for your medical card. Try to help them understand the request.
Your current medical card (11/24) is still valid until you test again. Once you take a new medical certification examination, then your old medical card becomes invalid.
Are drivers who obtained a CDL prior to 2000
“Grandfathered” in and therefore don’t have to carry the medical certification or have a DOT physical everyb2vyears?
And why do CDL drivers employed by municipalities or government entities get a free pass on this requirement that is directly related to everyone’s safety on the roads?
@ Mary C
If they were grandfathered in, then the DOT/FMCSA provided a letter to present at the time of a medical examination. Why certain states allow municipalities to operate without a medical card, is a state related situation. We do not understand the thinking for this either.
If the driver medical condition change from time of the first DOT medical exam and their medical condition has change before the renewal date. Does the driver got to report the change in medication to the employer and then be re-evaluated. Such medical condition that require pain meds that are not allow.
@ Mack c
Yes
I’ve been bladder cancer free since 2020, and every check up I had since then, no bladder cancer. I went for a pre employment DOT Physical at concentra and the doctor only gave me a 3 month medical card, I asked her to show me where it states that in the regulations, She told me she does not have to. which I have one I took on 07/28/23 and that Doctor gave me a 2 yr medical card. I cannot find anything in the DOT regulations on giving you a 3 month medical card for having bladder cancer in the past. Now I might not get this job, Where do I stand on this.
@ James T
Not sure why anyone uses this ‘this Doc in a Box’ facility for DOT/FMCSA driver physicals. There isn’t a DOT/FMCSA regulation for your situation, only a guideline. They don’t have to show you the regulation because there isn’t one.
If I have a 6 month medical card do I need to return to the same medical examiner? My company has recently changed providers and this doctor is out of network.
@ Richard K
You can go to any CME on the National Registry.
can i pass dot medical with low bp 98 over 69
@ jeffery y
It would be advisable to bring a note from your primary physician indicating that this is a normal for you.
Hey there,
I am retired, I still want to carry my class a cdl just in case. Do I need to have the medical card even though I’m not driving a commercial vehicle. My drivers license is up for renewal.
@ Dennis R
Most state require a valid medical card to maintain a class A cdl. Confirm this with your local DLD.
If a person is incarcerated and can’t do a medical physical. Is there anyway to get around that to avoid getting license cancelled?
@ Shinelle R
Most states will not cancel the cdl, but may put it into suspension until a medical card is reported. There is no way around not getting the physical while you are in jail.
As a trailer driver for over 50 years I find it incredible that we need a dot physical, we need to be registered, we need go to a special doctor who can perform our physicals, but, they do not report to the state of Ct, whether we passed or not. The self certification process in Ct is unbelievable, the website id not working, the fax number is no good. I spent all day trying to get my new medical card to the state. I finally paid to have it sent registered mail so the state would have it before my old one ran out. It has been 4 days and I am still showing that the old one expires in 2 days. WHY is this so difficult ??????????????? why can’t the Dr. just send it in to the state. MORE THAN FRUSTRATED !!!
@ jeff g
Welcome to the machine system. Most of our doctors will try to send it to the state, if possible. And most states are running behind 2 to 6 weeks. If you have a valid medical card in your possession, then you are good for now, just keep an eye out for it to be state registered.
I got my first mdot card in May 2023. The doctor wanted me to get a sleep study but I have to have a referral from my doctor for that. We had just moved so I had to establish a new doctor. The card expired in Aug and I had a cardiology appointment with my established cardiologist just after the 1st expire. They gave me a new card with a new expiration date but my cardiologist was 2 hrs away so they wanted me to become established with someone around my new hometown. I had to find a new pcp and couldn’t get into that doctor until Oct 31 he referred me to a sleep study doctor but they do not have anything until Feb 13. I made that appointment and I am on a cancellation list. The dot doctor will now not extend my dot card because they said mdot will not allow it. My overall health is good and bp has been under control for over 5 yrs. I thought you could get dot cards for every 3 or 6 mo whatever the doctor wants to do. Is this a dot matter or is the doctor just not wanting to extend my dot? This is my job and I can’t be without one until Feb. do you know how I can get an extension so I can keep working?
@ Mindy
Unless you feel you may have obstructive sleep apnea, we would recommend you go get a second opinion from another certified medical examiner.
My license is ca and I’m gonna renew my medical card. It expired recently. Can I go to doctor, and DMV in Nevada to renew and submit?
@ Jeremy r
Welcome to CA. stuff. Your drivers license was suspended at midnight of your medical card expiration date. You can get the medical examination done anywhere in the US, as long as the CME is on the national registry. You will need to get copies of your medical examination and medical card to someone who can walk it into a CA.DVM. Only then will your cdl be validated. You cannot do it from NV. Exam in NV, yes. Paperwork for CA. in CA. only.
I have a question. So I just received a 2 year DOT physical card with a perfect, clean bill of health that I am required to pay for because I am an independent contractor. The company I am leased onto just informed me that because I am 5’11 and 300lbs, apparently I am (too over weight) “for their liking” so they are telling me that I have to get a new Medical Card every year. I’m not happy with this as I am the one paying out of my own pocket to have these physicals done. So my question is- I’m I required to get another Physical in one year from now if they are not the ones paying for it and I am already cleared for 2 years??? This seems very unfair and quite obsured to me.
@ Ryan
It is the company’s policy, not DOT/FMCSA. They can ask for it and you decide whether you will comply to not. If you like the company, then you will need to do a new physical yearly, or not.
I was given a 3 month certificate based on an ECHO exam which I passed. then I was asked to pay for another dot physical. does that seem right? I expected to get a new card for a year
@ Shirley S
The medical examiner should have issued a 3 month card and placed your status on the federal registry as pending. That would give you the rest of the one year card without a new medical examination. If the CME did not place as pending, then the new examination would be required.
Does the dot doctor have the right to look at the full medical file from the hospital before they issue the dot medical certification card and how far back do they look at the surgical procedures
@ James
The CME must look at all available information to make a risk evaluation. “A history of” anything means going as far back as possible for information.
I have diabetes and have to get blood work done for my DOT med card but i wont be able to come back for 11 days after i do the blood work. Is that too long of a gap? Will i have to get blood drawn again?
@ Logan T
You should be OK, but it will depend on the CME.
What does CME mean?
@ Logan T
Certified Medical Examiner on the national registry with DOT/FMCSA.
I’m a class a CDL driver and have a medical card that’s up-to-date until 5/24/24 I am in the heavy equipment, construction industry and typically in the summer and spring were pretty busy right now however, I’m not I was wondering if I’m allowed To get my medical card updated here soon so that I won’t have to miss work when we’re very busy and so that it won’t expire and leave me not able to haul equipment
@ Josh
Yes, it would be better to get it done now and then be busy, rather than busy and no time.
If my medical certificate expires in 1 day and can’t get into a doctor until Monday what happens is there a grace period
@ Tammy
Technically there is no grace period AND every state is running behind. So you do have a few days before anyone will notice, unless you are in California. Then get the physical done and get results to the state ASAP.
If your Med Cert expires on 9/22/2023, is it valid until midnight on 9/22 or expires midnight 9/21?
@ Tamara M
Midnight of the 22nd.
As a city government we are supposed to be exempt from needing the medical card. is there a form that we need to fill out and if so where do i find the form?
@ Darrin H
Your local drivers license department (DLD) should have the forms you need.
Can you use a FSA debit card to pay for a D.O.T card
How far, in history, do you have to go back, on the medical form, for surgeries and hospital stays? I had an appendectomy in 1993, hernia surgeries in 2000,01 & 2004. I had an overnight stay in the hospital, for atrial fibrillation (1x 24 hour episode), in 2009. One DOT doctor said 5 years, another said all history.
@ B Robert
It’s a choice. The form is asking for any history of. Some read it with a 5 years history, other read it as any history. Best to answer as any history.
In 2019 I had a sleep study done and was prescribed an oral device to meet DOT requirements. Ive gotten my medical every year since with no hassle from the examiner until this year. Examinier didnt know oral devices were allowed and issued a 90 day cert ordering another sleep study.
Question: 1) Are oral devices allowed? 2) If so, how long will this satisfy DOT requirements?
@ Ed
Oral devices are not accepted without some form of supporting documentation from your prescribing doctor. CME needs some form of compliance and proof of effectiveness. This what DOT/FMCSA is looking for, for class A OTR drivers. Your CME is correct, but may change his mind if the compliance portion can be substantiated.
Hello i have a question please i have been using cpap for since march 2023 i have been using as i should daily minimum 4 hours a day usually 5-7 hours a day my phyisical is good until sept 2024 i had called the office for the dot physical and they said that when i renew my physical is when i should inform them and after they check if i am using the cpap properly i would only get one year medical card is that how it works or should i go sooner , my next question is i am going for a new job and they require a phyisical so at that point i would bring my cpap usage that i am complying do i need my pulmanary dr to write a note ? and should i have any other issues such as high / low blood pressure i know i would get the 3 month medical card to get my condition back to normal would the company accept that ? or i would disqualified from the company ? thank you
@ Tony
Since the new company is requiring a new DOT medical, all you should need is your cpap readout. We have no idea about the company policy for hiring. Check with their Human Resources for better answers.
Thank you have a great weekend
How can I make sure you received my medical card
@ Thomas M H
We do not receive anything from anyone. You need to check with your local DLD for an answer.
Is there a lower age limit for a medical certificate? Is a 17 year old eligible for a certificate?
@ Michael L. S APRN NP
If they have a valid drivers license, not a cdl, they may need a medical card to do basic delivery. ex, auto parts delivery.
Dot physical .passed all except for vision issue an medication issue depth perception was vion issue an medication was because what I took for the most part they are prescribed as needed .doctor told I would have to go to my regularroctors to clear this so eye doctor tested me vision fine gives me clearance letter…go to pain doctor he also clears to drive no restrictions I have been driving since 2008 on same medication prescribed to me with clearance letters …now all set both letters like je she asked ……she tell me well at this time I don’t feel comfortable passing u………so she failed me.would not except letters……what can I do she will caus me to loose my career.or deal with life in pain .,……..,,###№##
@ David s
Go get a second opinion and make sure you take your letters of clearance with you.
I live in. Mass and my employer is requiring me to get a dot physical even though my dot card is still valid for another year. I recently had COVID and for that reason they are forcing me to get the dot physical even with a doctors note clearing me without restrictions. Do I have to get the physical even though my card is valid for another year?
@ Christelle D
For a class A cdl, DOT/FMCSA requires a new medical certification examination for any driver that has had any illness or injury which removed them from behind the wheel of a cmv.
I have my DOT physical coming up in two months. but the issue is.. I will be 8 months pregnant at the time.. I dont drive anymore and I’m going to be a stay at home mom but I need to keep my CDL. will they pass me being pregnant?
@ Jasmine M
Maybe best to wait until you have had the baby before retesting for your DOT medical card.
Are all cdl holders required to have health certificates. What if they are grandfathered in?
@ Robbie
You would need to clarify this with your local DLD.
Do I need to submit a self certification form everytime I renew my DOT card? If nothing has changed since the last time I submitted it and I have kept my DOT card and CDL current can I just submit my renewed DOT card and not the self cert form to the DMV?
@ Megan
You will need to confirm that thought with your local DMV.
We are in MN and the person that was the head of the Occ Health Department told our new provider that she could not look into the patient chart to review medical information or check medications as they had a client that lied about what he was on, that he had cardioversion not even a year ago, etc…and the list goes on and on with this guy.
I am trying to find the best practice for our provider who is new to doing DOT physicals, can or should they review patient charts to verify client information and medical concerns they may have after interviewing them and continuing the physical?
@ Debra B
The CME can and should review all available medical records. He needs this information to aid in his/her decision making process according to the DOT/FMCSA guidelines and regulations. If he is caught falsifying information, it could cost him his cdl.
I have kidney disease and do home dialysis. Is it therefore impossible for me to pass DOT physical.
@ RV3
Lesser class cdl’s will fall under the states guidelines and variances. Class A, if you go intra-state only may be possible due to falling within the states requirements. Class A interstate will be out for sure.
I need a copy of the long form from my CDL physical. I have my certificate, but the doctors office said they will not release my long form to me because I did not pay for it. Only the company that paid for it can have it and I need it for my new job
@ Gerald F C
Sounds like you are going to have to go and get a new medical certification examination on your dime. Don’t understand this, if the company pays then they get the long forms and you don’t. It’s BS.
I was injured while at work and am currently on Workers Comp. My CDL medical examiners certificate is going to expire soon but I just had surgery and cannot pass the exam because of my injuries.
What is going to happen to my CDL? Will it get suspended/revoked?
Is there a procedure for people in my position? I can’t be the only person who has gone through this, however I cannot find the answer anywhere online.
Please help!
@ John A
Your state will have a process for situations like yours. Check with your local DLD for guidance.
Are Transportation Companies and DOT Medical Examiners still receiving payments from CPAP Companies for requiring CPAP for Drivers? This was an incentive when this all begin 15 years ago and was quite substancial.
@ Mary W
Seems like there are still people and facilities that are in bed with sleep study clinics.
Conflict of interest????
Hello,
Is it considered “shopping” if you have to go to a different provider because your other is unavailable? My employer says I must go back to the same one due to me getting a 90 day card which is set to expire June 17.
@ Marcus
It is not considered shopping if you want a second opinion or the CME is unavailable when you are available.
Can you operate with a second consecutive 90 medical card if it is@ Mi for a different reason?
@ Mitch
If it was input to the national registry as a valid 90 day card, then yes.
what is the fine in michigan for driving with an expired medical card
@ Doug J
You have to check with your local DLD, we have no idea about individual states, only federal DOT/FMCSA.
I’m type 1 diabetic and my medical card expires this month. My doctor will not fill out my mcsa5870 until my 2nd consecutive appointment in July. I have a correct A1c reading. My question is will they issue me a 1 or 3 month card ?
@ Novoski
Possibly, depending on the CME and his complete understanding of the DOT/FMCSA guidelines for regulations.
I was Medically disqualified in July for my DOT card due to a medication I take on an as needed basis (Meclizine). What would I need to do in order to pass? Will I need to be off the medication? Or will I simply need to wait until a certain amount of time has passed with no issues? Or am I completely unable to get my DOT card? I’ve been searching for information but it’s difficult to find. Thanks!
@ Rebekah M
Because of its potential side effects, there are risk factors that the CME is having to take into consideration. Being off the medication is one way, having your prescribing doctor provide additional information is another way.
I had a mini stroke 3/6/23 . I was released from my medical doctor and the cardiologist and physical therapy to go back to work but they refuse to give me a medical card for a year what can I do3
@ Norma C
DOT/FMCSA for a class A cdl has a waiting period of one year. This is due to the possibility of another stroke within the first 6 months to a year. For lesser class cdl’s or intra-state only license will fall under the states guidelines and federal.
My friends Card expired on April 5th. They plan to get it renewed in the next couple days. May 3-5th
They are not currently driving but do not want to get the CDL revoked due to know having a current Med card. What is the time frame before a CDL would be revoked in Washington State for not having a current Med Card?
@ Teresa B
Your friend needs to check with the states drivers license department for the best answer. Best to go with a copy of the new medical card in hands. Easier to beg forgiveness than to ask questions for permission.
My current DOT Medical Card expires in October 2023. My question is how far in advance am I allowed to go renew it?
@ Dave
Any time you like, there are no set restrictions.
I just got hired and start driving school on Monday. Took my physical three days ago, I read that they only use your urine to check your health, why was I told to take a drug test during the prehiring process? I passed all written exams and now getting ready for driving school. What happens if I fail the drug test
@ E
Any company can request a separate drug screen upon hiring. It can lower their insurance with a drug free environment. If you fail the drug screen, then it is up to the company as to how they want to handle it.
Good afternoon, my nephew was given his medical card for only one year because he was nervous and he came out with high blood pressure and they gave him a paper for his primary doctor to fill out. My question is, can he change clinics when he needs to renew his card? or you have to come back with the same to deliver that paper
@ Manys
He can go to another clinic for his next DOT medical certification examination.
If I just took a dot physical 8 months ago and passed and turned it in to my state but didn’t turn it in to the company I drive for so they told me it was invalid and sent me to concentra In California and the doctor there told me I had sleep apnea because of my neck size and she would only give me a three month medical until I get a sleep apnea test done what do I do at this point
@ Erica
When you have to go to a doc in a box that is in bed with a sleep study facility (conflict of interest) it’s what you get. Go get a second opinion from somewhere else.
Had my appendix removed on 3/13/23.Doctor gave me a doctor note ok to return to work on 4/15/23. Work wants me to do a dot physical before I return. Even though my physical is good for another year. My question is can I do my physical before 4/15/23 or do I have to wait until the 4/15/23 when I’m technically release to work. Thanks
@ Daniel
Once fully released, then the new physical card.
Can you get a medical card with a previous failed dot random drug test presently in clearinghouse?
@ Tracy L
You should be able to.
I was diagnosed with moderate sleep apnea, farely new to this Capp , not very familiar with this 30/90/120days of use . At 70%
I not aware that I needed to have 90 day at 70% I failed my Dot. Physical. Already had a 3 month card, my 90 day is at 65.5 % and my sleep doctor said it’s takes a month to get in compliance, this Cpap instead of helping me sleep it’s making me loss sleep, and stressing me out. Might even make me homeless. Any advice you can give me will be deeply appreciated. Thank you
@ John G
Let your CME know that you are working with a new unit and see what your last thirty day compliance looks like. He may be able to issue a short medical card if your number look improved from your ninety day.
I do not work with or use my CDL B everyday, I didn’t need to carry my medical card on me at all times. So I have 2018-2020, and now a 2023-2025, But went to renew, and was told CDL is to be canceled? I got my CDL before 2012, and was never informed of this, even when I got my 2018 CDL renewed I was not informed or given any information of this? Was only told I needed a current card at time of renewal. Can I bring in all my medical records from 2020 thru 2023 to prove that I was healthy?
@ Timothy J
As a class B cdl holder, you fall under your states guidelines and variances not DOT/FMCSA. You will need to check with your local DLD for guidance.
My company disagrees with my passing Healthcard…ME was thier choice..can my employment be denied with passing card and who chooses 2nd examination Dr?
@ Craig C
What? You should be able to choose your second opinion CME.
Is it allowable to hold two different CDL medical certificates for two different employers?
@ Eugene J M
No, the last medical card you received was input to the national registry and voided the one before.
The doctor at concentra gave me a 3 month due to my bmi being 2 points over. She told me I had to get a sleep study. Can’t I see another doctor and get my full medical without doing the sleep study?
@ Dalton
Yes, go get a second opinion from someone other than a ‘Doc in a Box’ that’s in bed with a sleep study facility. Conflict of interest, maybe?
I’ve been trying to get me medical card since December and every time I got they come up with a different reason why they won’t give me one. I’m on a cpap and they say I have to be 70% compliant and I am now they say 70% for the whole time I been on my cpap. That’s at 69%. If I don’t get it can I start over somewhere else?
@ Geneva W
You can try. DOT/FMCSA requires, for a class A cdl, a 70% compliance for a 30 day period. You should be OK.
Does anyone know this answer swift will send u to do a dot examination even if your card is valid and for some reason your disqualified does it effect your current card
@ Robert
If the CME inputs your data to the federal registry, which he is supposed to do, then your old medical card is invalid from that date.
I had a medical exam everything was good except I didn’t have 30 days on the sleep apnea machine so the Dr. Gave me 3 month extension. I finished my compliance in 30 days and I need one for a year so I can start truck driving school. The Dr said he can’t give me another one until this one expires. What should I do?
@ Cali
That’s BS, he can provide you with a new card anytime during those 90 days. It may require a new medical certification examination. (that’s a DOT/FMCSA policy)
A company I applied to payed for my medical certificate. I ended up not working for the company. They said, “they own the certificate and to return it”. Is it there property?
@ James E M
If the examination was registered on the national registry, then make a couple copies and take pictures on your phone, your medical card is still good until its expiration date. Then give the company their card. It is a weird thing these companies are doing now.
Does a pace maker affect ones ability or my ability to get a fed med card?
@ Luke
If there is no defibrillator built in then you have a pretty good chance. The CME will need documentation and a medical release form from your doctors. Then it all comes down to your other abilities to perform the duties of a CMV operator.
If I have a valid dot medical certificate but I get prescribed a new prescription that is disqualifying do I need to go get a new exam?
@ Brady
Yes and you want to be on this new medication for at least 30 days before going for the exam. Just to make sure there are no abreactions to the meds.
How long after you’re medical card expiration is the grace period for getting a new one
@ Ace
No more grace periods. Card expires at midnight of the expiration date. Go get a new medical card ASAP.
I just got my med card renewed. When I went back into work 3 days later, I was told the clinic called and wanted me to come back in, but didn’t give a reason. Any ideas why this would happen? It’s Sat. So I can’t even call to see what the issue is.
@ Angie
Call and find out. We will have no idea.
So I currently have a valid medical card. My company thought I had an issue so they took me to their clinic. The medical examiner disqualify me because I take oxycodone. Other than that everything was good. I gave him a letter from my physician stating that he has cleared me to drive, and I’ve been under his care for the last 15 years. Does the disqualify test take away my current med card how does all that work?
@ Duane
If the medical examiner at the clinic was a certified medical examiner on the national registry and he input data to the national registry, then your card may be invalid. If he is not on the national registry, then nothing happened and your card is still good. Now it will fall to the company and their HR department.
If I have one eye can I have drive commercial transportation?
@ Sam
It will depend on the type and class transport you are looking to drive and what class cdl you are going for.
I’m on workers comp in mass , my dot card expires next week , I am on comp until the unforeseeable future until my next appointment in March , what should I do
@ Carmine
Contact your local DLD and follow their procedures.
I just got a 3 month certificate for my DOT physical. Everything look fine but they said I need a sleep study done. I disagree I don’t have no forms of sleep apnea they just based this on my neck size. Could I go to another Dot doctor to get my full medical card.
@ Chuck c
That would be our recommendation.
In Mass if I don’t get my medical card & self certify by my expiration date is there any grace period before it is down graded
@ Carmine S
Your state drivers license department will be your best source of information on this issue.
how many years back do they look for possible health issues. Had a seizure 20 years ago from a head injury, was cleared of it, but resurfaces this year on a questionaire about past health.
@ Paul
The CME may request additional documentation before moving forward. If you have had no issues and are not on any medications, then your chances are very good.
Even when I have passed the DOT physical and the DOT Dr has signed all papers, Can my employer call that DOT Dr and tell them to send me for more test somewhere else outside of the DOT Dr office when there is no established medical reason to do that?
@ David
Why would they do this? What is their reasoning?
This may be a question better answered by the companies HR department.
My Dr is not letting me get a 3 month card. Is there a website with rules and regulations for that?
How do I go about updating my Medical Card to the DMV, so it shows current on my reports?
@ PJC
Contact your local DLD for their process.
I sent for MN Dot health card at end of Nov 2022 and still have not gotten it. I have gotten my vision wavier card. Can’t fins a number to call to see where it is. Help, employer asking.
@ Terri
This will have to be answered by your local drivers license department.
Can a CDL driver operate a school bus while wearing a wrist splint/brace?
@ JB
This will be a question for your state DLD, unless your cdl is a class A.
Can u your points on my health rewards card for a DOT physical
@ Sonya C
???
Ok, so I had the exam but the DE only approved me for 90 days because he feels that I may have sleep apnea and wants me to go see a specialist and the come back after the 90 days after seeing the specialist. It I passed the exam what gives him the right to tell me I have to see a specialist before I come back after the 90 days.. No other dr including my cardiologist has suggest this..
@ Douglas R
Before the 90 day card expires, go somewhere else for a second opinion.
Have you heard of going to a company’s DOT approved physical doctor, obtaining the health card then the company says it has to be approved by a medical examiner?
@ J
A DOT/FMCSA medical examiner is a medical examiner. Some are physicians and the Fed also approved some advanced nurse practitioners, still under a physicians umbrella.
That’s fine but if you obtained the med card, why would a diff doctor have to approve it?
@ J
There is no reason for another CME or other doctor to approve your medical card. It was completed by a registered CME, then it is good to go, period.
Can someone who just has a work permit get a non excepted interstate Class A Permit?
@ Rosa
It will depend on the class license the individual carries.
Is there a grace period for completing your DOT physical ,Iwill be out of the country at the time my physical would be due .Can I postpone it for a month or two .
@ maurice k
Or get it done now and not worry either way.
My husband is been a driver with the same company for over 20 years. He has a excellent driving record and no negative issues with the company. He has always pasted his DOT physicals, etc. The company’s office is in another state.
A company safety procedure is to review with the driver any incident that causes the truck’s camera to activate (which could be for any reason including tapping the breaks hard or a low hanging sign on a overhead bridge, etc).
In the winter, a few minutes after one such review and all information was cleared, a company supervisor called my husband while he was home and told him that he was sending him to get his recertification (DOT physical). This was a few months earlier than when it was due. We would not have necessarily thought anything about that (my husband and I always have 6 months health checkups because we are getting older and want to stay healthy as possible), however the supervisor sent him to a different DOT Dr office from the one from the last 20 yrs. Then after the Dr said he passed the physical, she left the room. When she returned she handed him some papers saying he had passed the physical and could still drive on his old Card for now but his status was “pending” and that she was sending him for a neurological assessment . She would not explain any thing except his supervisor just called and wanted her send him for other test. The Dr’s assistant administered the DOT physical, he only saw the Dr for about 5 mins. When he asked her why she was sending him for more test, she told him he would have to talk with the supervisor that called her.
He called the supervisor (this is a general supervisor over a department that oversees a lot of drivers, not one he generally ever even talks with) and was told he would have to have the test and pay for it out of his own pocket. He was told if he wanted to keep his job he would have to do what the DOT Dr said. (But the DOT Dr says the supervisor is telling her he wants the other test).
The supervisor is always saying that the driver’s that have never had a wreck are more likely to have one soon so they need to quit while they are ahead. (And the company just had some drivers involved in big $ wrecks costing the company lots of $. We think the supervisor is taking his stress out on him and trying to force him and who knows what other drivers to quit. ( company has 1000’s of drivers).
Is the company allowed to call the DOT Dr and is any of this procedure legal? This is causing a major hardship on my husband and his career. Is the company able to tell the DOT Dr what to do etc? This is going on for months and the company will not work him. He has received a “normal” bill of health from the neurologist/ he passed. Now they are deciding what other kind of test they want to send him for. (The DOT Dr never talks with him, she just says she is waiting to here from his supervisor.) We think it is time for a lawyer. What can be done?
@ Sandra B
Sounds like it is time to talk with legal council. The CME is taking orders from a supervisor? Very strange.
I went for a DOT CDL physical and was told I had to be able to touch my toes or I would not pass my Physical. Is it true that a driver must be able to touch their toes to pass? Because I could not bend over and touch my toes the Doctor Failed Me. What do I do now?
@ Nicholas McC
Some level of flexibility is needed to perform the duties of a commercial motor vehicle (cmv) operator, but being able to touch your toes is not a mandatory requirement. Go get a second opinion elsewhere.
I had a heart attack in 2018. It is now just under 5 years with no other problems. They put a stint in at the time of the heart attack. Do I still need a cardiologist to do a stress test each year since I have had no issues in nearly 5 years?
@ Kevin D
You need a stress test every two years for DOT/FMCSA class A cdl. Lesser class cdl’s fall under the state guidelines and variances.
I’m currently a driver in Hawaii with a new Hawaii cdl because I transferred my license from Texas to Hawaii. My dot medical card I got from Texas is valid and has my old drivers license number on it. The new job im wanting to work for had me do a second physical for another medical card for them. During the physical the doctor instead of giving me a two year gave me a three month card because of a condition I had on my last medical card and it’s no longer a condition. The question I have after explaining is does the new dot medical card void my Texas Medical card since technically getting the new medical card was a second opinion and my Texas medical card had not expired at all and was not even close to expiration.
@ Mike C
Unfortunately the new card voids the Texas medical card. Try to get a note from your primary care physician indicating your old condition is no longer an issue.
Does urine have to be at temputure when testing for blood sugar ect. For renewal?
@ Curious
You have to pee in the cup at the time of the examination and on site, so yes, it will be at body temperature.
I have Schizoaffective disorder and I am having a hard time renewing my physical. I have documentation stating that I am not a threat and that I am fallowing all my psychiatrist request while taking proper medication.
CAN I RENEW MY DOT PHYSICAL?
@ Jesse
With proper supporting documentation from your treating and prescribing physicians, you should be able to renew your medical card.
I am currently on workmans comp until Jan 15, 2023. My DOT medical examiners certificate expires on Dec 21, 2022. My employer wants me to get my physical before it expires. Is that even allowed since I am not cleared to return to work?
@ Joel G
For a class A cdl. You are not eligible to take the DOT/FMCSA medical certification examination at this time. Need to be off WC and full release to return to work before you can be tested and certified.
can i stll log my required driving hours in my cdl driving class required before passing the odot medical test?
if I wont to keep my CDL license, but am not driving right now and do not plan on driving next year. what do i need to do, I do not want to go through the process again to obtain them but my medical card expires next month.
@ jbf
Most states require a valid medical card to maintain your cdl. Confirm with your local DLD. All you may need is to get a new medical card and you’ll be good to go.
so when i filled out my dot physical form i didnt check off i took a home sleep apnea test my primary dr said that the home test isnt acurate therefore i did not have a sleep apnea test i am now going for sleep test my dr suggested and have a two years medical card my question is is there a way to back and change that i did have a home sleep apnea test? and should i need a cpap with the over night sleep test i will start my treatment do i need to update my medical card? or just wait till my two years are up and just keep up with my treatment thanks
@ Tony
By law DOT/FMCSA will require a new medical certification examination, and you will be on a yearly medical card.
Thank you I asked my examiner and he said if I should need treatment to start treatment and I would have only a one year card but to wait till my card is due for renewal and at that time I would need to show 3 months of data … now your saying if I need treatment to go to my doc and ask for a new medical card ? Thanks
@ Tony
At times there are two ways to read the DOT/FMCSA guidelines. At present you have a valid medical card. Keep it until testing is done. If you have OSA and require treatment, you will need to show 3 months of 70% compliance and will need a new one year medical certificate.
Thank you so much
Hi so i took the test and i have to use the cpap my current card is good till sept 2024 so i should use the cpap for the next 3 months of 70 percent and go get a one year card not wait till sept 2024 ? thanks just want to make sure have a great weekend
@ Tony
Glad to see you are being proactive. See how you do with the machine, mask and all. If you have no issues, then start gathering your data and get your new medical card before your card expires.
I have a coworker who consistently fails his DOT vision test and is always cleared by his physician. How can this be OK
@ Lori B
A lot will depend on the class cdl your coworker carries. DOT/FMCSA for a class A cdl holder is more stringent than a lesser class cdl, which falls under the states guidelines and variances.
I took my DOT physical in September I now have my clp do I have to take another physical to get this updated for employment??
@ Reggie
You should be good, unless the new company wants a new medical examination.
Can a driver use Latuda as a commercial driver?
@ Dr. John M
It will require supporting documentation and medical releases from his prescribing doctors. Then based on the medical examiner findings, given all the available information for his decision making process, he will make a risk assessment and final decision to pass or fail the driver. Depending on the class cdl the driver has and the type of work he must perform.
So I have a current medical card I went for a physical to work for a school bus company and I was told my neck size was to big and needed a sleep study test they gave me a 3 month card mind u I still have a current medical card my question is did they send that 3 month card to the school bus company only or did they send that to fmsca thanks
@ Tony
Depends on the class cdl you hold.
The medical card was sent to the school bus company i was not able to have a copy since they paid for the physiy
@ Tony
If you had a new DOT medical certification examination done after the one from the bus company, then the last one done is the one on record and over-rides the first medical card.
New medical card my examiner said don’t worry that sending for sleep apnea test is a suggestion can’t make me go … anyway I am being hired by a trucking company I’m 2 months into the background check and they haven’t mentioned anything thanks for your advice
@ Tony
You are good to go, no issues.
I got stopped and I had a valid med card but wasn’t up to date in the fmcsa and the officer toke me to jail for it. Looking for something that says that wasn’t right
@ Jacob h
Too many possibilities as to why you were in trouble with DOT. FMCSA’s website was down for ages and the examiners were unable to input their data. Only to be told that after all the time the data base was down, now the CME’s have to input all the back data for the past year or so. Is your CME on the national registry? Was your information input to your states drivers license department?
Hi my husband had vertigo for 4 weeks, hes been cleared by the nose throat and eye doctor 4 days ago. The dot doctor refused him to give him his med card , for another 2 months. His c.d.l B will expire in early Dec. What will happen to his B and will they automatically give it back to him? Or will he have to be tested again? We live in CONNECTICUT.
@ Nancy
Since your husband is a class B cdl holder, he falls under your states regulations and variances, not federal DOT/FMCSA. 1. Make sure the examiner knows the difference between the two and holds him to the states requirements, not federal DOT/FMCSA / class A standards. 2. It is highly unlikely that he would have to re-test for his cdl. 3. Go get a second opinion from a CME that understands your states requirements and variances.
I went to a doctor to get my dots recertification on my medical card everything was fine but my blood pressure he gave me a 4-month card when I was in there he measured it at 170 I am on blood pressure medicine and it does fluctuate but that seemed extremely high so I went to my doctor the next day they measured me at 1:32 now the physical examiner charges me $20 to get reexamined and I think that there’s something wrong with their machine because the last time I went in it measured 190 and he didn’t bat an eyelash so what I’m asking is if I wait for 4 months and use the card I have now will I have to still go back to him for recertification or can I go somewhere else that’s company paid for I paid for this other one on my own
@ Joe
You have the right to a second opinion from any medical examiner on the national registry.
I’m on an LOA from my company for 2 achilles surgeries. My medical expires 11/1/22 I will not be released to work untill 3/23. My company says no problem get physical from their Dr. when released and class A will automatically be reinstated. In California how long can a interstate commercial driver go without medical before having to completely retest. Been diving OTR for 32 yrs no accidents or tickets. Thanks in advance for response. Eric
@ Eric J
This is a state related question and will be best answered by your local DLD.
Contacted CA CDL helpdesk@ (916)-657-5771 was informed in CA when medical expires the license converts to class 3. When the medical is renewed and recorded commercial privileges will automatically be reinstated. I asked if there was a time limit before having to retest and was informed that the only issue would be should drivers license expires before renewed medical. Did not get details as to how to remedy should that occur. This was exactly what my company safety manager informed me of before going out on medical LOA. Hope it helps!
@ Eric J
Thanks Eric, this will be helpful for others with CA. cdl’s.
I am out on LOA from my job in TX. My medical card expires soon. I will not be back to work before it expires. Can I get DOT physical on my own to keep my cdl from down grading; until I get back to work.
@ Will
If you are a class A driver, you can not have a physical done while you are out on LOA. Fully cleared of restrictions before you have a new physical done. You will be OK with your license due to your personal situation. Just get one done as soon as you are released and get a copy to your local DLD.
I went to renew my physical and this doctor claims I am in a risk of sleep apnea so I need a sleep study. I don’t have insurance and my company does not cover it either and I know I don’t have sleep apnea. I left the clinic taking that 3month certification but I didn’t upload it anywhere yet.Did they upload is somewhere or can I just go see another doctor for a second opinion and if he gives me green light am I good to go and I can go to DMV with that certificate?
@ Tom
The CME will have input the examination findings on the national registry. You would be advised to seek a second opinion. If given the green light, the new card over-rides the present one and you’re good to go.
Are student truck drivers required to have a DOT physical and drug screening BEFORE getting their CDL/CLP? Or Can they have a NONDOT physical and drug screening since they do NOT have a CDL/CLP
I take medicine for depression and for Chronic pain Fibromalogy. And I notetake this on the dot exam paperwork. Now the doctor for the exam wants me to have the droctors to sign off on the forms.
But doctors does not want to sign off where it ask, im i able to perform the job. Because they don’t want to be reliable for anything. This is for a driver job at with FedEx express.Will this disqualify me?
@ Rene
For the medical examiner to sign off on your medical card, he needs the doctors release form signed. If you are not a class A cdl holder, then you fall under the states guidelines and variances. Check with your local DLD and make sure the examiner is holding you to the states requirements and not federal regulations.
I’m in California.
@ Rene
Then check with California drivers license department.
I get a stress test every 2 years to keep my Medical in 2023 I’m due for another stress test my medical card expires in march of 23 I was in the hospital in October and while I was there they gave me a stress test I’m wondering if that stress test will be ok to use in march of 23 so I can get my new medical it will only be 5 months away or do I have to wait till January and get another test to take to my recertification?
@ Bruce
Your last stress test, 10/22, will be sufficient for your next DOT medical card in 23..
If I am no longer driving a commercial vehicle but want to keep my CDL B WILL I GET DRUG TESTED and if so what are they drug testing for weed is legal and I’m not behind a wheel?
@ KCJ
Drug testing is requested by an employer or random by DOT, not medical certification examination.
in the state of NJ if my card expires is there an extension
@ mark
DOT/FMCSA extended grace period until the middle of October. What NJ does will be confirmed with NJ DLD, check with them.
I recently took a DOT PHYSICAL EXAM, and was disqualified for some medications I was on. I have since visited my doctor and have been taken off of those meds.
(1) can I retest?
(2) what do I need to provide second examiner in order not to look as though I am falsifying the second exam?
@ Tom J
Lots depends on what the medications were and what they were prescribed for. A note from your physician will be a great help to the CME.
I just noticed my Medical examiners certificate expired 4 days ago I did not get a renewal notice in the mail can I still go for my exam or am I going to lose my CDL?? Im in Colorado. Is there a week or a month grace period to get your exam?
@ Kim
DOT/FMCSA extended grace period to the middle of October, so you should be OK.
Hi, I had a dot physical recertification appointment. I went in filled out my paperwork but they told me to wait for two hours and I just left what will happen?
@ Shy
Nothing.
Can I get a 90 day extension on my medical dot card?
@ Mike
Usually not.
In the state of Connecticut..if you have a renewal date of September 20th 2022 for your DOT Medical Card..can you get a 90 day grace period to get your Dot Medical Card?
@ Mike
DOT/FMCSA has extended their grace period to the middle of October, so no 90 day extension is needed.
Hi
I am in New York State. I will begin my training next week for CDL and before taking permit test i need to do my DOT physical. I smoke marijuana (recreationally). How is this going to effect me? How long until it is out of my system and safe to do the physical?
@ Diana
Lots depends on the rate of consumption. Figure anywhere from 1 to 4 weeks before drug testing clean.
Who is responsible for sending in a medical card renewal to the state? We had a driver that just got his renewed and we pulled in for an inspection and they told him that his card was not registered at the state and that the medical doctor was the one that was supposed to send the copy in. So are they supposed to send it in or are we supposed to send it in? The officer that did the inspection told him that he couldn’t be the one to send it in, that it had to be the doctor but when we called the doctor we were told that we had to send it in that they we not responsible to do that. So who is right?
@ Jack M
Ultimately the driver is responsible for getting the information to the state. DOT/FMCSA had a plan for the doctors to input the data to the federal data base and then the fed would get the information to the state. That was supposed to happen a few years ago. If you want it done right, do it yourself is still the best measure.
My DOT Physical was due in August, but due to 2 major surgeries I could not get it done. My meds alone would have disqualified me. I am healing now and don’t want to lose my CDL. Am I too late already? I live in Utah.
@ Sherry
Not Yet, but go get the medical card certification done now and get into UT. ASAP.
I went in for my first physical to get my card so I could go get my permit. I was told I was DQ for checking a box saying have I ever done marijuana. Everybody told me to just go somewhere else and retest. I went to another state and tested and changed this answer and was given my medical certificate.
There was also a box that said “have you ever been denied a medical certificate” and I checked no because I wasn’t sure the first doctor even gave me a full exam. When I told him I don’t use marijuana he kept talking in circles. I asked when I could retest and he didn’t have that answer either.
Am I good to go or am I gonna have the FMCSA busting down my door and get in trouble? I think I just filled the first form out too quickly and didn’t read it well enough.
@ Anonymous
You are good to go.
Thanks so much! You have no idea how much stress that first physical caused me in the past week.
So you’re sure that I’m not red-flagged by whatever database y’all examiners submit physicals to? Nothing’s in my way? Sorry for the anxiety; the second I read about doctors submitting results to some database and all that I thought I was totally screwed. Again stressing I can pass a drug test.
@ Anonymous
The CME inputs data to the federal database when you pass the examination. The examiner that DQ’d you will not have put data in. You are good to go.
I met a driver that is falsifying information to get a medical card who makes me feel unsafe knowing he is driving. This does not seem right. What can a person do in this case?
@ Jose M
Simply notify the drivers employer of the situation.
A few months ago when I had taken my first dot physical (1 doctor passed me but then others didnt), they said because of my brain injury 5-6 years ago (when I was 17, involved in a ped v.s. auto hit and run) I would need another brain exam. What would that Intel? Would they need a brain scan and a full work up or is there a specific doctor I would need to go to and if so what kind of doctors would I need to go to?
@ Jushua b
All you will need is a medical release form from your primary physician or neurologist indicating your situation/condition is stable.
My doctor misdiagnosed me as having epilepsy ( they could find no evidence that was causing my situation so they medical coded it as focal epilepsy) and my CDL/medical card has been pulled.
My neurologist even stated in a letter to DOT, she finds no reason as to why I shouldn’t be able to continue to do my job.
@ Judy
Have your doctors write a note indicating a mis-diagnosis on their part and see if that helps the CME in his decision making process.
Had a traumatic event involving weapons while driving city transit . Suffering from PTSD as a result and now CDL medical certificate examiner has disqualified me because of PTSD. Can’t I have exemptions to keep my CDL as long as I’m not released to work while still in treatment? Not sure anyone would get better from trauma if they start stacking on more trauma like career canceling .
@ WAbus
Unless you are a class A cdl holder, the examiner has held you to a class A standard. As a bus driver, your cdl may require a medical card, but not a federal DOT/FMCSA standard. You would fall under the states guidelines and variances. AND, if you are still in treatment and not driving, you are not qualified to take the medical certification examination. Once released to return to work, then you can take the medical exam.
I was wondering if you go for a DOT physical and the medical person doesn’t do the exam and disqualified you. Can you get unemployment while waiting for another DOT physical
@ Cathy
If there was no examination done, then there is no disqualification. Go get a second opinion elsewhere.
We know nothing about unemployment.
As of 4 days ago my Podiatrist wants me off my heel for 4 weeks, so no work ! Problem is my DOT card expires in 14 days? Will I get extension or do I just go and take it
@ Tim
DOT/FMCSA has extended the grace period to the end of August. You could take it now or wait until you are ready to go back to work.
I have driven or over twenty years and have a excellent driving record. A few months ago one of the supervisors from the home office called me at home and told me to go while I was at home and get re-certified since it was coming up in a few months. I have failed my DOT Physicals and have gone to a office near the company’s terminal. This time however, I was told to go to a different DOT Dr in a near by city. At first I did not think anything of it because I knew I had no issues and would pass the physical for re-certifying. However, after the physical was completed and I was told I have passed by the physician’s assistant, the DOT Dr came into the room and informed me I had to go get additional test. I found out the supervisor had called while I was there and told the Dr he had concerns and to send me for a Neurology test. The Dr then gave me some papers to give to a Neurologist for testing and the paper had some false statements from the supervisor who is a person I have only talked with on the phone before. I was told I was to go get these other test done and have to pay for them myself. I passed the test but as of today the DOT Dr has not signed off on my re-certification papers stating that she is waiting to hear more from the supervisor. What am I to do? I feel that they are trying to force me to quit/retire.
ps.CORRECTION. I have NEVER FAILED my DOT Physicals…
@ Sammy B
That’s what it sounds like. Might be a good time to start looking elsewhere and go get a second opinion on your DOT physical.
Am I required to share my long form with the company, even when I pay for the examination?
@ davis
Most companies require a copy of your medical card and long form to be on file for DOT/FMCSA.
i have had 2 heart attacks do i qualify for a dot physical
@ neal s
Your situation will require some supporting medical documentation and a medical release from your cardiologist. If you are capable of performing the duties of a CMV operator, then you may get a one year medical certificate. Due to the heart attacks your medical card will always be one year at the time.
I drive interstate as a volunteer for a non profit. We all got the non CDL driver certificate. Passed everything with no limitations. In filling out the medical procedure portion, I stated surgery for colon cancer. It was a cure with no cancer found anywhere. The examiner limited my certification to one year. She stated it was necessary because of the cancer. Was this correct , and will I have to renew every year ?
@ Lonnie F
It appears that your examiner does not use your states guidelines and variances. She has held you to a class A standard, when you actually fall under the states requirements. Go somewhere else next time and let the examiner know you are not a cdl holder and fall under the states guidelines and requirements.
How early can you take a DOT Physical before the current one expires?
@ Richard M
As early as you like.
I tried to obtain a copy of my DOT card from the examiner, he stated that the card belongs to my former employer and they can not give me a copy. I’ve never heard of this, nor had this issue before. Is this true?
@ Ivy T
Some companies have made some BS arrangement with their doctor that if the company pays for the medical examination then they own the forms, not you.
How do I update my medical long form if I start taking other medications or supplements after my physical?
@ Jason D
You have to have a new DOT/FMCSA medical certification examination once you start new meds.
Went for a DOT physical & pre-employment physical. According to the doctor I passed the DOT physical but not the pre-employment physical but refused or couldn’t give me medical certificate. Is this even legal? Please help
@ Steve p
Sounds like one of those scenarios where the company is paying the doctor to screen the potential driver. If you paid for the DOT physical, then you should have received the medical certificate card.
Was told the company was paying for it so since I didn’t pass the pre-employment physical they can’t give me anything
@ Steve
Time to look else where. Get a new medical certificate on your own.
I was recently diagnosed with cancer and the dot medical doctor wants a copy of a PET test that I am scheduled to have after my medical card expires…can i get an extension for the expiration date so that my CDL license does not get downgraded?
@ kc
DOT/FMCSA has already extended the grace period to the end of August and may extend it even further. Also, the state will have some policy for situations like yours, if they are made aware of it. Talk with your local DLD for guidance.
About 5 years ago I was given a 3 month certification because of my blood pressure. Got on medication have passed 4 years straight now my BP is creeping up again..if I go and fail will they issue me another 3 month card to get this under control?
@ Melvin C
Most likely, since you have had it under control for 4 years. The CME will want you to have it under control again.
I self-certified my medical card in March and I didn’t realize I marked intrastate ,but I was supposed to mark interstate because I travel across state lines, how do I correct that or do I need to take another DOT physical
@ Paul
This will need to be corrected at the state level. Talk with your local drivers license department, they should be able to guide you from there.
Do you have to be employed to get DOT certified?
@ Robert D
No.
I was in a alcohol rehab center and completed the program. Then took a dot physical for the first time. Now my dot doctor said she has to check with sap to see if I pass? I passed the physical and drug test. How long does this take
@ James O
It should not take very long. All depends on how fast DOT doctor request information and get the SAP response.
Will having a tracheostomy disqualify me from passing the medical portion to keep my CDL?
@ Jenn
Your situation will raise questions, but is not a disqualifier.
I need to ask if I’m do for aDOT physical and my CDLs don’t expire until 2026 and I had stroke do I need to turn in them or can I keep them until I can drive again
@ Edith M S
If you had a stroke you have a one year waiting period before you can take a medical certification examination. Let your local drivers license department know what your situation is and then follow their procedures.
whare can i check vailidity of my driver’s CMV MED card
@ Ali
You can check with the medical examiners office. It should be listed on the medical certificate.
I am scheduled for a full knee replacement. I am at this time still able to do my job with no issues. I need my physical done before my surgery because I will be recuperating when my card runs out. My employee health is telling me they cannot do it now, but have to wait till I’m ready to return to work. By that time, I will have lost my certification. I have had a CDL for over 20 years and refuse to lose it and start over. Is there any reason I cannot take the physical now, since I can pass it with no problems and then have a second when I am ready to return to work? The surgery is only to improve my quality of life, not because my issues are affecting my job. I’ve lost no work because of my knee. I work in Pennsylvania.
@ Maritta P
If you get the medical certificate done now, the moment you go for the knee surgery it will become invalid. Then would need to be done again, once fully released to return to work, without restrictions or limitations.
A new job that I accepted needed me to take a DOT physical examination. I’ve taken about 4/5 physicals every two years. Well this time I had to take a deep breath and blow into this machine until I was out of breath & told to hold it when I can’t blow anymore. Well I didn’t pass because you need 75%. Ok can someone tell me if this is new in the testing requirements? Also being 48 y.o. & a smoker for 30+ years throw in two years of sitting on the couch what person besides a non smoking healthy 25 y.o can do 75%.. is there perimeters for age/weight/ for each person? Just really confused
@ Steve P
DOT/FMCSA has not changed their procedures and it is not a mandatory practice to do a breath test, unless other signs or symptoms present themselves. Your class CDL will be important also. Try getting a second opinion somewhere else.
I got a dot physical done this past April and passed. Today I took a new dot physical as part of pre employment and was disqualified for my cpap reading being below 70 %. I was told I could come back in30 days to be Re-evaluated. Does this mean I can not drive until then given I just had a dot physical done? The dmv couldn’t really give me a straight answer because I’m in there system as having a valid one.
@ Brandon
If the examiner did not put your information into the DOT/FMCSA data base, then your last med card is still valid, until you retest, meaning you can drive.
Was in a serious motorcycle accident 8 months ago. I’m able to walk without a cane for short distances, but like to still use it. Don’t know if walking with a cane will fail me on a Med Cert. I will most likely limp for the rest of my life.
@ RJ
Lots will depend the class cdl you hold. For a class A interstate you should have no restrictions or limitations. Intra-state or less class cdl’s are more lenient.
I had an ischemic stroke 5 years ago that affected my right side. I have had no health issues since and want to return to driving motor coaches. I can walk, drive, and function ( I still have a driver’s license and a full time job teaching); not in the same capacity, but I CAN do. Am I still eligible to have my medical clearance and CDL reinstated? What physical abilities are a MUST for medical certification? Thank you for you time.
@ matalyn
Everything will depend on the class cdl you need to operate a coach. Less than a class A, you will fall under the states guidelines and variances, which are more lenient than federal DOT/FMCSA. Make sure your examiner understands the difference between state and federal regulations, in your case.
Would it be possible to pass a dot physical with a ureter stent? With a stent in there is possibly microscopic blood in urine, and since with urine test one thing they check for is blood, the reason for the stent is because past kidney stones, all have been removed and dr worried about blockage. Other than that no problems, no diabetes.
@ David P
It is possible, but will require some documentation from your doctors supporting your claim.
Thank you
@ David P
You are welcome.
I have an intrastate class A CDL. I’ve been told by my many drivers you can travel 50 miles outside your state with an intrastate license. Is this true?
@ Chris
We would recommend you confirm this with your states drivers license department.
If I got a dot physical card good for 2 years last month and change Jobs and get another one the following month but it is good for only three months can I just use the older medical card?
@ Jack
No unfortunately, the last medical card was input to the national registry and is the valid card now.
@ Latrice
Your medical examiner that issued the two year medical certificate did not see enough reason to request a sleep study. Unfortunately, the last examiners data went into the DOT/FMCSA data base and is the valid card now. Best to return to your original CME and get a new medical card when this one is up. DOT/FMCSA does not have any mandatory sleep study regulations without a multitude of signs and symptoms. There may have been a conflict of interest here.
How long do you have to wait if you fail your physical for the second time first time bp was 169 over 70 2nd time bp 149 over 90.
@ Bill
As soon as you can hold a bp below 140/90.
I am pregnant and the doctor told me if I go in for my physical they will take my dot physical no matter what because I am pregnant in a liability but I have a doctors note by my baby doctor saying I can operate a commercial vehicle Long with lifting 50 pounds or less does these DOT doctors have a right to fill my DOT physical because I am pregnant even though I have a doctors note approving me to work
@ Jass
Lots depends on the class cdl you carry. Class A, you are a bit of a risk and you have limitations on your note. DOT/FMCSA guidelines say no restrictions or limitations. A lesser class cdl goes by the states guidelines and variances and are more lenient.
I got a 3 month card last year, and I only needed to drive for the summer, so when it expired, I took it off of my license. I need to get another physical this month, and my bp is still a bit high. Am I eligible for another 3 month card since I took it off my license? Or does it still carry over since that was the last card I had?
@ Travis
Not sure. If your bp is still high, then the examiner may give you a three month card to get your bp under control. If the system catches it you will be out of luck.
Can I print my own DOT medical form before my Doctors appointment?
@ Lisa H
As long as it is the correct form, yes.
If my driver neglects to take his medical certificate to DMV, is his CDL valid? EPN indicates his medical is still expired.
@ Laura O
Each state is different on their grace periods for this type of issue. Best to get the driver to get his paperwork in ASAP.
Can a senior driver renew their medical card at 79 years old? It has expired about 2 weeks ago.
@ Bonita
Sure you can, as long as you are able to perform the duties of a driver you should be good to go. CME may limit medical card to one year at a time due to age.
I am coming off a six week cancer treatment program. I have a feeding tube that the team wants to leave in for six weeks post treatment. If I can receive a full fit for work release before the tube comes out, can I pass a DOT physical?
@ Steven P
For a class A cdl, it would be difficult with the tube still in place and not have any restrictions or limitations. For a lesser class cdl, you will fall under the states guidelines and variances, which ar going to be more lenient.
Is a new D.O.T. medical card required if I change the address I currently have to a new address?
@ Owen
It would be nice, but we do not think it is mandatory.
Do you have to carry your Medical Examiners Certificate with you when driving a commercial vehicle?
@ Joe M
Yes
Thanks
@ Joe M
You are welcome.
WE ARE IN COEUR D ALENE, IDAHO (NEAR SPOKANE, WASHINGTON) AND I DON’T SEE ANY PLACES TO GO TO GET THE EXAM ON THE MAP. AM I MISSING SOMETHING? PORTLAND AND SEATTLE ARE 6-7 HOURS DRIVE FROM HERE WHERE I SEE A FEW PLACES. AND NONE IN MONTANA. PLEASE ADVISE…WE CAN’T MOVE FORWARD WITH OUR COMPLIANCE.
@Connie
Sorry we don’t have any doctors in our network close to you.
Check FMCSA NRCME official website to find a CME in your area.
I completed a DOT physical on Friday…on Wednesday of the following week, the Dr called and said they were invalidating the physical because they didn’t realize my stroke was 10 months ago..they want 1 year, FMCSA says recommended not required based upon the examiners discretion…the question is…they already submitted a successful physical to DOT, can they invalidate it?
@ Brian
Not that we are aware of. If the CME was happy with his original finding, then there is no reason for him to reverse his decision.
If I have a 2 year DOT medical card and my company wants me to get a new DOT exam due to a surgery and been out for 6 months and I can’t pass does my old (Up to date) card still be good?
@ George
In reality your last medical card was invalidated when you went for surgery. Getting a new medical examination would give you a valid medical card. If you fail, for some reason, your old medical card is still invalid.
I am a diabetes nurse educator. If a trucker who has diabetes needs to start insulin, can he/she continue to drive as they go through the Federal Diabetes Exception Program. From what I read, the person has to go for their certifying medical examiner before they can start the exemption process and see the endocrinologist and the vision evaluations. While they are working through these steps can they administer insulin for treatment of the diabetes and continue to drive or do they have to have they have received the insulin exemption from the Fed Motor Carrier Safety Administration to be allowed to drive?
@ Liz D
For a class A driver, they need all the paperwork and exemptions in place before returning to driving. For lesser class cdl holders, they fall under the states regulations and variances and may be able to continue driving while going through the process.
My medical card has expired and I need a letter from my doctor I am trying to get this letter. But I am having some issues with the office people getting the doctor to sign this letter because the doctor is not available or he is very busy I been taking this same letter to the medical for 10 years. Can some one give me answer to get this resolve so I can get my physical done and the car renewed
@ Gerald K
It’s your physician that is holding things up. The CME needs the information to support his decision making process. See if you can get the doctors staff to understand that this is urgent, like now.
Hello,
I have a quick question. Can an employer randomly drug test you if your medical card is expired and on hold do to a medical condition?
@ G
That may be the companies policy. If it is. then yes. If they drug test and it’s positive for prescription meds, then all you need is a prescription for the MRO.
Hello, I do not have a CDL my company requires me to go to their doctor to get a dot medical card because a vehicle we drive occasionally is over 10,000 pounds.
I had blood in my urine and went to my personal doctor and was diagnosed with a kidney stone. I was able to copy and paste the diagnosis and medical report with a detailed description of a sonogram from my health care provider online app. Which I sent to the company doctor.
They want me to release all of my medical records with x Ray’s ct scans sonogram.
My question is asking for all of my medical information a violation of the medical privacy law. Thank you for your time
@ Rich
It seems as if the medical examiner is holding you to a class A cdl standard, which you are not. Your requirements are held to the state level of guidelines and variances. If there is a question of privacy, you may need to seek legal council. But first check with your local drivers license department for their guidelines for a medical card for a non-cdl holder.
While doing my DOT follow up drug screening test for the doctor made me pull my pants down pull my shirt up and do a circle completely naked before he eye balled my junk while I peed. Is that legal? I know there supposed to supervise while you go to the bathroom and that’s fine I understand but I feel super violated about having to be naked just to take a pee test. Did I just get discriminated on? What if a person has a rough childhood and now all these bad feeling just got surfaced again. How could this be legal. It’s a violation to my civil right as a person.
@ Jesse
If this was a follow up from a positive test, then the examiner was doing what he had to do.
The test was all messed up. They said I was negative. Then positive. Then negative again. Then positive once more and that was the final decision so none of it makes any sense.
@ Jesse
Then the medical examiner is only following the rules and regulations of the proper procedures, not eyeballing your junk.
I got a new med card Jan/22. 3 weeks ago I got my foot jammed with a power pallet jack. No broken bones but bruised and sprained it. I was out on workmen’s comp. for the 3 weeks, just got cleared to go back to full duty. Now my employer wants a new med card too. Is that really required?
@ Ren
For class A, DOT/FMCSA requires a new medical certification following any incidence which takes a driver from behind the wheel for any period of time.
If a doctor gives you a bogus (3) month DOT card for refusing an experimental sleep apnea study, when your previous DOT card was issued two years from another doctor, do not sign the (3) month DOT Card. No signature invalidates the DOT medical card. You let that doctor know you disagree, they don’t know you at all but one visit to allege you have sleep apnea in a job physical. If that doctor files that (3) month DOT card on your license after you refused to sign it, you sue that doctor for fraud. No DOT card or any contract is legally binding unless you sign it. Do not sign THE DOT medical card if you disagree with the doctor, they are not God and nether know your health history well enough!
Sleep apnea test are being used by trucking companies as a pretext for racial discrimination, sex, age, and marriage status in employment. These carriers contract with certain doctors in “Concentra clinics” to use sleep apnea exams to keep minorities from employment by down grading there CDLs to (3) months using sleep apnea test for harassment, experimental injury in breathing, and employment discrimination. Sleep apnea is also used to railroad older drivers near retirement to force them out of there trucking jobs, or injured there health by Cpap machines. Doctors are using “discretion on who is suspected of sleep apnea, using it to mask hidden bias. I want to know how many sleep studies have impacted minorities by race and age in “Concentra clinic”. It is discriminatory for a doctor to decide a person has sleep apnea when the patient has listed medical history contrary to sleep apnea, like no snoring, insomnia, or drowsiness when driving. I believe race and age is the “discretion” doctors are using to disqualify drivers from employment. Sleep apnea is a fraud, and anyone can fall asleep in the truck driving long hours. We must challenge this fraud so that drivers can take back control of our medical choices. No doctor has the right to call us sleep sick, if we have a sleeping disorder, we will seek a doctors help ourselves because we are suffering. Why is there no history of DOT recordable accidents involving sleep apnea, as to why doctors have discretion to disqualify.
Is it legal for a company to refuse acceptance of a DOT physical issued by a chiropractor on the registry list?
@ Michael S
All depends on the company’s written policy. Ask HR to see this in writing, otherwise ask for their reasoning, in writing.
I broke an ankle 5/17/21. Med card expired in that time. I made an appointment and passed the physical 3/21/22. They requested a no restrictions from work from my doc. Received 3/22/22. In my med file I admitted to using Marijuana the night of my injury. Because of this, the physical doctor is requesting a drug test to be submitted and that I pay for it before they give me my medcard. Is this legal or damaging to my CDL if I choose a second opinion?
@ Mike
The CME is only trying to cover his bases for possible risk factors. You could go for a second opinion without consequences. Or drug screen, either one will work.
My company just revoked my DOT card. Or their DR did for migraines that are getting worse. I already came in with a current DOT card and they had me redo it through their Doc. I think my working environment might have been causing them to increase. How can I get a new DOT card and keep driving somewhere else? This is FL.
@ Pwinche1
Simply go somewhere else and have a new DOT/FMCSA medical certification examination done.
I was born with a mild heart murmur and was told it was not getting worse so I hadn’t need to go since I was 10 or 11. I don’t even live in the same state as my old cardiologist anymore and it’s been 20 years since I’ve gone. I failed my dot physical 3 months ago because he wanted me to see a cardiologist. I need to be referred and once I finally get that appointment it will be hundreds of $, possibly a couple grand for the ultrasound. Is this situation common? People born with mild heart murmurs failing exams unjustly? Almost half the population has a heart murmur. I’m a healthy 31 year old.
@ Emma
Just get a note from your primary doctor stating that he is aware of the murmur and it poses no issue. The CME is trying to avoid any risk factors.
I went to get my DOT medical card in Michigan and the they want me to get a sleep study for sleep apnea. I am 36 years old, 5’10, 235lbs. My BMI was 33 but she said because my neck measured 17 1/4in and I said I occasionally snor when I am really tired this warrented the test and she gave me a 3 month card. My question is what are my options, I do not suffer from sleep apnea I get great sleep so I don’t want to take the test because I don’t ha e the money to pay for it. If I lose weight over the next 3 months to bring my BMI down and possibly my neck size (not to sure this will happen because I have always had a big neck) could I go back and get cleared without having to do the testing. Or am I just up a creek because she has suggested this testing be done. What happens if I let this med card expire and then go get a new physical say 4 months from now?
@ Jacob
Go else where for a second opinion.
How long does a clinic have to keep a paper copy of the DOT Physical? Can it just be on the computer or does it have to be a paper copy?
@ Brittany
If it is kept on a computer only, there needs to be multiple backups available. No paper copy and a crashed computer equals no copy. Keep backups available offline.
Paper just insures an available copy.
Clinic on site at school said I have high blood pressure, and I need a sleep apnea test to pass. Yet when I went to my GP, my blood pressure was normal. Now the school won’t allow admittance without the test results from a useless test, and won’t accept a new med card from my 2nd opinion. Do you have any ideas on this?
@ Richard
Ask questions higher up the chain of command or find another school that accepts your new findings.
Are there any laws against laminating your Medical Examiner’s card?
@ Dave
As long as a DOT officer can read it with the naked eye, you’re good.
I had hip replacement surgery a couple months ago. Within that time my medical card expired.
Is there a required wait time with DOT to return to work after this type of surgery even with a release/ return to work form from my doctor?
@ King F
As long as you have been released to return to work, without restrictions or limitations, you should be good to go.
I had a fracture jaw left mandibule in 2007-2009. I don’t remember the year so it’s aprox. I don’t have the doctor who performed the surgery. Will I be disqualified for this? I don’t have any problems eating or drinking or anything. It’s permanent plate and screws too. I can get a letter from my PCP explaining this and that I’m ok to get my CDL.
@ Victor R
This will not be an issue at all.
I just successfully passed my physical. I am from LA, but my card expired while in IL. I faxed my long form to the state of LA. How do I know they received it and do I have to wait to drive. How can I tell if they have updated it in the computer. When I call DMV in LA they refuse to answer the phone. What to do?
@ Rick
We do not have any information with state related issues. Keep calling or find a way on the internet, that shows you have been input. And keep driving, if you have a valid medical card on your person.
Just updated my Medical Certificate today. No changes from last exam in 2020. After filling in the form the CME advised that my certification will only be good for one year. CME reviewed my past medical and did not know why it was limited to one year. After looking at the form it indicates monitoring “Glaucoma.”. CME indicated it was determined by the computer. Glaucoma is treated by eye drops and I have 20/20 corrected vision with glasses. Again, same as two years ago. CME was as confused as I was as to the limitation on the certification. Why would Glaucoma prohibit my two year certification?
@ Steve
It is the medical examiners opinion that your situation should be monitored yearly, rather than every two years. It is the medical examiners inturpretation of the DOT/FMCSA guidelines for a class A driver.
CME indicated it was a DOT determination based on the input on the computer filled form.
Does the CME have the ability and authority to override the computer generated DOT form in Florida? It would be nice to know for next years medical exam.
@ Steve
If this a Florida computer generated stipulation, then it is not a Federal DOT/FMCSA mandate. Check with your local drivers license department for clarification.
I work at a clinic where we do DMV physicals, with the new update to the website we are having a hard time locating where we should be submitting driver information. Do examiners still need to submit this information to the national registry? If so, what is the link for this?
@ Abbey
With the re-launch of the FMCSA web site, there have been many questions. There is s short cut into the areas which need to be completed by the CME for diver information input. You are going to need to dig around a bit to find it, but it’s there.
just retired from trucking. turn in my cdl. on Feb 2. 2022 I have been trying to let the Dot that I have a regular license now.
@ Wayne L J
We have no knowledge of this process, or if it is even necessary. The state may have this responsibility, but confirm with your local DLD.
Can I pass a dot physical if I take gabepentin for nerve pain in shoulder not seizures it does not cause no side effects also is pft testing still required in smokers over 35
@ Brian J S
The medication is going to raise questions and the shoulder pain will be a possible issue also. Make sure you bring medical documentation from your prescribing physicians to support your situation. PFT testing is not mandated by DOT/FMCSA unless additional signs and symptoms are present.
What if I have a condition on one eye,but the other eye is acceptable to pass with glasses,will I get a 90 day extension?
@ Paul G
For a class A interstate cdl, it is highly unlikely you will get any extension. For lesser class cdl’s, you fall under the states guidelines and variances. You would need to check with your state on this issue.
If I have been off for 33 days do I need to get a new card ? I still have 5months left on the previous one
@ Russell
It all depends on the reasoning for being off for that period os time. Illness, injury etc. would require a new DOT physical. Been on a convoy to DC, not physical needed.
If i am denied my DOT medical card, shouldn’t I be notified first before my employer is notified, Doesn’t this violate my right under hippa rights?
@ Rebecca J
You should have know at the time of the examination that you failed the it for some reason. No idea why a facility would not tell you first,
What if I passed an eye exam at my optometrist but failed eye test at dot physical. Can I get a form from my optometrist stating I don’t need glasses to drive
@ Paul H
Yes, if your eye doctor is stating that you have acceptable vision, then the CME should go with your doctors findings.
How often do I need to get a stress test? The stress test was needed because of a heart attack and subsequent bi-pass surgery.
@ Brent l a
DOT/FMCSA requires a new stress test every two years.
I’m in Texas and was disqualified a med car for aura migraines…I drove for a whole year at this company and always mentioned my migraines when getting my med card…just recently I was disqualified because the ME said that it’s a vision problem…but my vision is never obstructed…things just seems brighter…my question is am I able to get a med card elsewhere or is this the end of the line for me
@ Trucker H
You can get a second opinion from another CME. But, do confirm that your vision is not a background cause of the headaches. Better to know than to assume.
I do PD dialysis at home for last couple years. Had to give up up my CDL A then, A lot of local non cdl driving jobs still want you to have a DOT card. I do my dialysis at night, so I have the whole day and most of the evening to work. Is there anyway of getting a DOT card to drive a reg vehicle local?.
@ Dave S
Sure, you may be restricted to an intra-state only or a lesser class cdl. These fall under the states guidelines and variances, not federal DOT/FMCSA. Make sure your examiner understands the difference between state guidelines and federal regs. Class A, OTR, is a higher standard examination and federal.
I didn’t pass the physical because I can’t see out of my left eye and when I asked for a copy, the office said that they don’t have a copy of my Medical Certificate or any of the forms because I wasn’t cleared. But here it says I can request a copy. Can they do that? This is in California by the way.
@ Anthony
Not clear which office does not have a copy of your medical forms. The medical examiners office should maintain a copy.
I work for a utility and took my first DOT physical to drive a utility body bucket truck. They ended up giving me a 3 month certificate because of high blood pressure. Are the qualifications set in stone, or does the doctor have any discretion of maybe a 1yr pass instead of 2? Also, at the end of 3 months can he/she renew it if the blood pressure isn’t at 140/80? I plan on getting in meds but what happens if it doesn’t work in 3 months for me? Sorry I’m new to this and it’s stressing me. Thanks
@ Will
You need to get on the medication as soon as possible. If after three months, for a class A cdl, your bp is not under the 140/90 mark you will not be given a second card until your bp is corrected. If you are a lesser class cdl holder, then you should not be being held to a class A cdl standard.
I have cellulitis in my leg. I feel that I will not be able to pass the physical at this point. The card runs out in 3 weeks. It’s probably going to be a month before I go. Will I be able to get a New card and continue? OR, will my CDL license be revoked? If it runs out? I understand I can’t drive after it runs out. But, once it’s recertification? I should be okay? Correct? State of PA
@ Christopher T
You will need to check with your local drivers license department for your best answer on this situation.
Will you pass your DOT physical exams if you have a plate in your from spinal surgery
@ Steve c
If the plate causes no restrictions or limitations and you are able to perform the duties of a cmv operator, then you should be fine.
I am 80 year old school bus driver with a class A license and a recent recipient of a pacemaker. If i fail my NJ 6 month physical for my CDL license. can I collect NJ unemployment benefits?
@ Harry K
We have no idea what your state will or will not do. Best to check with NJ unemployment offices.
If I am a Type 1 Diabetic and take Insulin am I able to get a Non CDL Medical Card? Would I need a letter from my doctor to be sent to the Doctor conducting the DOT Physical?
@ Tracy E
Much will depend on the state you are licensed in. Since you will not be applying for a cdl, then it will be up to the state drivers license department to provide you with the best answer.
As an employer do I except a Medical card that the national registry number is crossed out, initialed and the correct one written in?
@ C. Byram
It would raise questions as to why this is. Would request a properly completed medical card form.
Does Tennessee D.O.T. honor Canadian D.O.T. medicals ?
@ Stephen H
You need to check with Tennessee on this issue.
Where do I mail the Medical Examiner’s Cert. for the DOT – New Jersey location
I had cardiac by-pass surgery performed over 10 years ago and have been having annual “stress” tests. Have the regulations been relaxed to require a “stress” test every two years? and only have a cardiologist evaluation of condition?
@ Andrew K
DOT/FMCSA requires a stress test every two years. Any additional request for additional information or documentation will come from the CME doing the medical examination.
I Tore my ACL my doctor has cleared me to drive but can’t get a medical card because I still have restrictions is there a way I can get my medical card my restrictions are No jumping or pivoting and weight restriction
@ Scott
For class A, there can be no restrictions. You have until the end of February to renew your present medical card. Hopefully you will be healed and have no restrictions.
I had spinal fusion in 11/21, L3,4,5,S1. Doctor said I had to wear back brace for 6 months. Plus wear bone stimulator 4 hrs a day for 6 months. Will this keep me from passing DOT physical.
@ Mary L
For a class A interstate driver, yes. For a lesser class license or intra-state only you will fall under the states regulations and variances. You would need to check with your states drivers license department for further information.
I no longer need a CDL for my current job but i don’t want to loose my CDL do i need to renew my DOT medical card even though I’m not driving a commercial vehicle anymore? Thank you.
@ Mitchel R
Each state has different rules for the maintenance of a cdl. Check with your local drivers license department for the correct answer to your question.
I had a DOT physical in Sept 2021 in NY State and was given a 2 year recertification. I moved to FL and was told by a potential new employer that they would not accept my medical card. Insisted I get another physical. I did and was only given a 3 month recertification. Been told that now supersedes my 2 yr. Add insult to this situation, come to find out not even a Class B truck as they stated. Just an Enterprise rental. No CDL required. Do I have any legal rights in this situation?
@ Kurt J
The first question will be, why were you given a 3 month card? Yes, unfortunately it does supersede your 2 year card, but for a class B license you fall under the states guidelines and variances, not federal DOT/FMCSA. Go get a second opinion from another CME and explain that you hold a class B. The CME should know the differences.
Hi, I just moved to PA from Virginia. Can I get the DOT medical card with an out-of-state license?
@ Laura H
Yes, you can take a DOT/FMCSA medical certification examination in any state. Make sure that you report the medical cards updated information to the state which your cdl is from.
I was given a 90 day card because of my BMI was at risk for sleep apnea but I didn’t agree with the diagnosis. Two months later I went to get a second opinion and I was issued a second 90 day card. Will I be flagged and disqualified if I submit the second card for the same diagnosis from a different doctor? Will I have another 90 days to comply?
@ Andrew
Your second card is valid for 90 days. BMI alone is not enough information to warrant a sleep study. You should show a multitude of signs and symptoms before a request is issued for a sleep study. If you do not agree with the present diagnosis, you can go for another second opinion. If you feel that you may have OSA, then get the test done. Either way you are still good.
what are the rules on a a1 blood test?it was a7 has that changed? and if what is the window?
@ Robert A
As long as you have your blood sugar under control and there is no spill-over into your urine, you should be OK. There will be questions, but DOT/FMCSA does not test your a1c. A a1c in excess of 10 would be and indicator of poor managment.
Patient given 3 month card for mild OSA, is getting CPAP machine. When he returns in 3 months and has been on CPAP and compliant, can we give him a 1 year card without doing another DOT physical ?
@ Jann T
If driver was placed on a pending status, then yes.
My DOT card will expire on January 13, 2022! I am in limbo because the DOT physician will not sign until my primary care doctor okays that I am stable with current medications! But my next appointment is set for January 18, 2022! Can I still drive until my doctor appointment?
@ Chennanoah J
You have until the end of February to get your new medical card, so you should be fine to drive.
My name is Nate and my medical card that got issued to me 01/30/20 needed to be renewed 01/03/22 expired today. My Covid test came back positive and was told to quarantine. Is there a grace period or extension period for my situation so my CDL privileges dong get revoked?..
@ Nate S
You will have until the end of February to renew your medical card.
I no longer drive as of 2020 for personal reason, but I want to keep my CDL in case I change my mind at a later time. Do I need to still get a DOT physical each year or only when they go to expire?
@ Kristina
Most states require a valid medical card to maintain a valid cdl. You need to check with your local state drivers license department and confirm. They should guide you through their process.
I went to concentra for a DOT physical and drug testing through an employer for prehire and in the forms I mentioned I am taking Adipex-P for weight loss, which is a form of Phentermine. I have a clean bill of health all around. I even provided the DOT medical examiner letter to clinician to receive clearance from my prescribing doctor. I am now being told I have to wait until another DOT examiner reviews this form, but I assumed the one administering the exam WAS a DOT medical examiner, however that person is not available right now due to vacation so right now I am in a purgatory delay. So my question is, could I find somewhere professional to get my DOT physical? I know my information is probably in a “pending” or “in review” status in the FMCSA registry but my local concentra is not it professional, organized, or skilled.
@ CeeMoe
If they did not issue a medical certificate or a failure then you are not in any pending situation. Go somewhere else for the medical examination and get a second opinion.
My medical card doesn’t expire for 1 week. I took a physical for new one. I fail due to high blood pressure. Can i still drive as long as my pervious card has not expired?
@ Robert S A
The new information from the medical examiner should already be in the DOT/FMCSA data base. If so, then the answer would be no. Best to get your bp lowered asap and take a new medical examination.
Employer here. If a driver has a diagnosed concussion, and is doing PT due to concussion, do they have to repeat their DOT physical before being able to return to work/driving?
@ Tammy B
Yes, and they will need a full medical release, without restrictions, before they can be re-certified by the medical examiner.
i am having hernia surgery 12/3 and my medical card expires 12/28; is there any grace period as estimate to return to work is 1/17
@ Dennis L H
DOT/FMCSA has extended the medical card deadlines until the end of February 2022.
I have just completed my sleep study and only have a month to get the machine and use to get a month report. Problem is they have no appointments till december due to shortage and help. What am i suppose to do it is out of my control can I get another extension. It’s not my fault I managed to get a sleep study in less than a mont but time is running out.
@ David M M
You could talk to the CME and ask. Explain the situation and they may work with you.
I am an amputee above the knee of my right leg i recently applied for my authority and went through all the steps to start my own business as non CDL hot shot trucking so Im using a diesel pick up truck and trailer only rated for non CDL hotshot which is a combined weigh of 26000 pounds I still have to get my physical and Pretty much that’s all I’ll have to do got my authority to go active. Will I have any problems because of my leg ? I was told no because I’m non CDL but I just want to clarify that I know that the spe certificate is usually required for amputees that are driving trucks that require a CDL. would this be a problem for me my primary doctor is even drawing the paperwork up for me stating that I’m totally fit and my leg is not an issue at all I’m just asking so I’m clear on that thanks for ur time
@ Frank
Make sure the medical examiner is aware that you are a non-cdl holder and you fall under the states guidelines and variances, not DOT/FMCSA. Class A drivers exams are more strict, and would require a SPE, not so in your case.
I was just diagnosed with diabetes at my DOT physical. What do I do now since my card expires in a week? Will they give me time to go to the doctor and get the appropriate medicine and let it work?
@ Jensine
First you confirm with your primary physician to determine the extent of your diabetes. If you are a class A driver and you need to be on medications, then there will be a waiting period to make sure your situation is under control. If you are not a class A driver, then you will be under the states guidelines and variances. You would need to confirm what the states rules are and act accordingly.
So I just received my DOT/medical certificate and I checked no for cdl/clp was that the right thing to do ? Because I apply for Cdl school to get my license that’s why I went to get the medical in the first place.. so when I do get my cdl after I complete school does it suppose to change to yes? Or was suppose to check yes either way ?
@ Kayy
If you can go back to the initial medical examiner and have the discussion regarding this situation, he may make the change in his records. If you did not understand the question, simply explain to the examiner your situation, he should be able to work with you to get it right.
I told the dot doctor at my physical I used marijuana in the past so I had to go through the sap program to get my dot card, I did all that but needed my card before cdl school started so I went to another doctor and got my dot card. Do I still need to go back to see the original doctor since I already got my card? And If so will she be able to see I already got issued my card. She was very rude and I don’t want her to make more problems for me. I’ve never failed a drug test and I don’t even have my cdl permit yet
@ Steven
If you already have a valid medical card, then you do not need to return to the first DOT examiner. Your medical card is already registered with the federal registry.
I had a similar experience. I said yes I smoked marijuana previously (4 months back) and was give pending determination. I am new and did not drive commercial until recently. I have a card from a previous test but a possible employer wanted me to use their Dr. My urine test was clean but I didn’t pass dot because I answered yes. Can 8 just use previous card and work somewhere else? Thanks
@ Corey D N
If you had a new DOT/FMCSA medical certification examination for a class A cdl and were placed on pending, then this info was put on the national registry. That would now over-ride your last medical card, making it invalid. Could go for a second opinion, if you are going for a class A medical card. If a lesser cdl then you fall under the states requirements.
Concentra is corrupt, they are only looking to make money off of sleep apnea testing, no other medical doctors utilize it.
Don’t go to Concentra, companies stop using Concentra.
I just recently got a new medical card, my previous one I was taking 20 mg of Prozac for ocd, I do not take this medication anymore so I didn’t disclose it on my medical card renewal, I got the certificate no problem but I’m just wondering if it will cause a problem in the future
@ John
It should not be an issue. If you want to be proactive, you might get your previous prescribing doctor to sign a note indicating that you no longer need the medication.
I’m a Class B holder, who had an accident in my personal vehicle. My wrist was fractured and my DOT card expired within 1 wk.( should’ve gotten it done before hand) Is it possible to have my card renewed if I’m not driving? Or do I have to wait until I’m released from the Dr’s. care?
@ T. A
You will need to wait until fully released from care before going for your new medical card.
Like many other drivers, I fell into the concentra sleep study trap while trying to get re certified. I have been driving for 24 years and never had any sleep or daytime fatigue issues.
I want to get a second opinion before doing the sleep study.
I went into a truck stop DR. today and he said he couldn’t do a second opinion and that I would have to do the sleep study because it’s already been prescribed by the first DR. and uploaded to the fmcsa. He said that if he gave me a new physical without a sleep study it would be flagged by the fmcsa. (At least he didn’t charge me or take any of my info.)
Was his info wrong? If so, where can I find a DR. that will give me a second opinion?
@ Dave
Unless there are a multitude of possible signs and symptoms of OSA, then you are legally right to request a second opinion. Your second doctor is incorrect in his statements and should have performed an examination to make his final decision.
Think logically, wouldnt your first dot exam be considered passed and legal, your can be re-evaluated at anytime. A pass is a pass and 100% legal. Don’t fall for the BS.
Can a doctor make you go to treatment and deny your physical for your CDL for answering yes to the question Have you ever used pot or THC, Without giving you a Urine test for THC?
Dose anyone have an answer to this question? My company needs me to drive and the powers to be in treatment won’t release me.
@ AKBLT
For class A drivers, no CME has the right to send you for treatment, but can and should request additional information regarding drug usage. Once answered yes to drug usage, he should have requested additional information. If he felt the situation needed additional supporting documentation, then he may request a sign off from a substance abuse councillor. It is not his decision to do a drug screen, but to get clarification on your situation. And who are the powers to be in treatment that are restricting you from driving. If you are not a class A driver, then you fall under your states guidelines and regulations.
I am a Class B driver. I live in Alaska so the state pays for Behavioral Health treatment. When I went for my Screening the counselor said there is no reason for me to be there. I ask him to put that in writing when he went to his supervisor they said I have to go thru the 12 week program. I ask them to give me a drug test and they said they don’t give urine test. I went back to the Doctor and ask him to give me a UA and he said he would only give me a UA after I finish the treatment program. I told all of them they wont find anything in my body because it had been over a year I have had anything with THC.
The question was on the from Have you ever smoke Marijuana or had anything with THC. I said yes because in my passed I had.
@ AKBLT
As a class B driver, you fall under the states guidelines, rules and regulations, not DOT/FMCSA. Your examiner is trying to hold you to a class A license holders standard. DOT/FMCSA guidelines and regulations are for class A and are federal. Your examiner should know the difference and should test you as a class B driver. Go somewhere else for a second opinion or get the examiner to understand the difference. You are under the states variances not DOT/FMCSA.
My dot med expired 2/10/2021 but the FMCSA extension grace period is til 11/30/2021. Am I still good to drive til then?
@ Bill
We believe you have exceeded your extension date. But confirm with your local drivers license department.
Can my company require me to get a new DOT physical and medical card Everytime I call out sick from work and/or injure my self at home and am out of work for a day or two for a sprain?
They say this is legal and a DOT requirement (I highly doubt this) and refuse to give a fitness/return to work physical instead.
Is their a FMCSA reg or law that prevents them from doing this?
@ Chris
If you are a class A driver, then the company is correct. According to the DOT/FMCSA guidelines, any illness or injury which takes a driver from behind the wheel requires a new DOT/FMCSA medical certification examination before returning to driving. And you would need to provide a return to work slip, without restrictions or limitations, from your doctor, if you saw one. If you are not a class A driver, then you fall under the states guidelines and the company’s requirements.
This would include having food poisoning and being out for 2 days with a return to work slip from a doctor?
I am having a problem understanding why a new medical card is required each and every time I am out sick.
@ Chris
Welcome to the federal DOT/FMCSA. They feel that any illness or injury requires a Certified Medical Examiner evaluate you to determine if you are fit for duty, thus a new medical certification examination.
I currently have a 2 year medical card and was applying for a job with a different company and they are requiring a new DOT physical. My new physical was complete and I was only issued 3 month card due to high BP reading. Is my current 2 year card that is on file with DMV still valid? Does the facility that did the new physical report the results to FMCSA? What if I don’t accept the position with the new company?
Thank you
@ Michael
Your new medical card should have been registered with FMCSA and now over-rides your old, 2 yr. card. Not sure if the state DMV has the updated information. Most offices require you to be the one who gets the info to the DMV.
I had a dot physical jan/2020 for a class C, so CLP/CMV applicant box “no”. I just started a new job & i start Class ACDL class 10/11. I provided my manager a copy physical. Does it matter that technically now I am a clp/cdl applicant so box should say “yes”?
@ Michael
You gave the correct answer in the first place. Now that has changed, but your physical is still good until 01/2022. Unless someone questions it, you should be OK. The company may request a new DOT/FMCSA class A medical certification examination.
I’m having knee replacement surgery oct 12. My dot medical card runs out nov11. Can I get a extension
@ Clinton
There is an extension in place due to the covid pandemic. But you will need to update your medical card asap, once you are fully released from your knee surgery.
Can a doctor make you go to treatment and deni your physical for your CDL for answering yes to the question Have you ever used pot or THC, Without giving you a Urine test for THC?
@ AKBLT
No CME has the right to send you for treatment, but can and should request additional information regarding drug usage.
Hello. My husband’s current medical certificate expires 12/21/21. He is currently out of the country and will probably be back beginning of 2022. He will not be in the US at the time of the expiration of the current medical certificate. Upon returning – he will get it renewed immediately, of course. Is this going to place some kind of restriction on his CDL? Is there an attestation that can be submitted in order to avoid that, considering he is physically not in the US and not currently operating CMV? Thank you.
@ Antoaneta A
In most states he would just need to update his medical card. Confirm with your local drivers license department, and explain your situation. They should be able to guide you through their process.
I have to renew my med card in a few day! I may or may not have eaten a few edibles.. Will they do a drug test?
@ Smith
May have eaten edibles? You were not there when it happened? DOT examination does not test for drugs on the physical, unless the company has requested a drug screen.
I was sent by a potential employer for a DOT physical.. The examiner failed me because of
an impairment in one eye. This was a Non-CDL position. Because I thought I should have fallen within the state variances when I got home, I called the clinic back and asked for a copy of the results. After a bit of run-around, they emailed me a copy. After reviewing, I realized the name of the examiner was not the person that had examined me. I contacted the company that sent me there and after a few days, the company that the original company had contracted with to set up the clinic visit, emailed me with instructions to go back to get a new physical at the same clinic In the meantime, I had looked up both the examiner I saw and the one on the report and neither are in my state database of practicing doctors. Met with a state medical investigator and he confirmed that neither is a RCME. Now I am stuck with bogus, illegally done report that has been (I assume )
uploaded to the FMCSA. Can I get the report struck from my record? Shouldn’t I be able to even change some of my answers to some of the questions? Who is responsible for doing this?Who is liable? The state investigator wants me to go back in with a recording device. What happens to my original right to a second opinion? Shouldn’t the whole exam be struck from the record?
This examiner presented himself as a doctor and even falsified the exam by saying he did some of the testing that he DID NOT do such as the hearing and color tests.Man….
@ What2Do
If either of the examiners are non registered CME’s, then nothing was placed on the national registry. So record of the exam exist other than the paperwork that was e-mailed to you. Go in, wear the wire and sink these people.
I recently passed a DOT physical and was given a 1 year card due to hypertension and Sleep apnea monitoring. A few days later, another doctor at the same facility contacted me and wanted to discuss the results of that exam. I told that doctor, since they weren’t the administrator of the exam, that I didn’t wish to discuss the results with them and hung up. The next day my employer contacted me and produced a copy of my long form which stated that I had failed the exam. I disclosed every condition I have and even expanded on those conditions in the comments section of the form. The conditions were discussed during the exam. Does my employer or another doctor have the right to “change” the status of that test? Secondly, how would I go about checking whether or not my DOT card is currently valid?
@ B.J.F
First, was the original examiner a board certified CME. If his/her name is on your medical card then there is no good reason for someone else to try an over-ride his decision making process. You should be able to confirm your medical card status with your local drivers license department or they can guide you in the right direction.
Last year because of the virus it was hard finding an appointment to renew my medical card. I ended up finding a doctor who would only give me a 6 month card because he wanted a complete full checkup due to my blood pressure etc. I take medication which I listed and is well under co trol. He requested that I do a full lab etc and gave me 6 months to do it. Which I did. On my long for they filled in a bubble that isn’t accurate and I didn’t notice until just looking to see the exact date to renew next week. My question is I’m using another doctor and I’m filling it out myself as normal. If I mark the accurate answers will it somehow throw a flag in the system etc? They can’t correct what was inaccurately labeled 6 months ago. I just want to know if this is going to set off red flags and have someone yank my medical card for answering something inaccurate? Thanks
Does anyone know how often “periodically monitor” means? 1 year is checked on my card but I want to know if the doc is going to contact me randomly for any reason to make me come back in. I was prescribed modafinil not knowing it could affect my cdls. I’ve had my cdl for 6 years while on this medicine and never had an issue. This doctor made me get a note from my prescriber saying I wasn’t prescribed it anymore. If I have to get it again is she going to find out and take my license within my 1 year?
@ Henry
If some reason you are prescribed this medication again, then by DOT/FMCSA requirements you would beed a new medical examination. With the note from the prescribing doctor, it is highly unlikely that the CME is going to search for a reason to pull your medical card. The CME does not have the power to pull your cdl.
@ Richard S
Fill the intake form out correctly, if there are questions, then have the examiner contact the last CME for clarification. It is not going to be a red flag if all is correct.
If my MEC expires on 9/1/2021, am I permitted to drive throughout that day, or is the MEC considered expired as of 12:00:01 of that day?
@ Clinton A
It expires at 12:01 a.m. on 9/2/21.
Hi, I am a recent right leg amputee due to cancer, I currently walk on a prosthetic. Do I even have a chance of passing a physical for my CDL med card. I’d hate to lose my CDL.
@ Carmen
For a class A cdl, you would have to have a waiver from FMCSA or you could check with your state to determine another route. As a intra-state only driver/cdl holder, you would fall under your states guidelines and variances, not DOT/FMCSA.
Is there a form I should take to my primary care physician and have him fill out before I schedule my DOT physical? If so – Where do I find this form. I believe it is a federal form – but I cannot remember where to find it
@ ahtenaw
Your doctor should have a medical release form in his office. Depending on the reasoning behind the need for the release form will determine any request for further documentation.
what if a person has suffered a stroke?
@ Jesse PM
Please clarify question.
What if Dot/fmsca deny your waiver, can they block you from taking cdl/clp even if your now misdiagnosed? Need go do new medical card?
@ Chris
Get a confirmed misdiagnoses letter from your doctors and then take the DOT/FMCSA medical certification examination.
Why are Veterans Hospital Doctors no longer allowed to do the DOT physicals? Why was it changed? It seems like all it is now is a money grab scheme for those charging $200 and $300 dollars. They are not doing anything different than the VA doctors except charge you high prices. Is there any talks or plans to change it back and allow the VA doctors to do the physicals and issue the Dot cards again? I think it’s better that way anyways because the VA doctors have access to your medical records in their computer, so you are not going to be able to pull the wool over their eyes.
@ Gerald G Jr
DOT/FMCSA requirements for the doctors to be on the federal registry required that any doctor that wants to perform DOT medical certification examinations must pass the written examination. It required that the doctors understand both the drivers health conditions as well as DOT/FMCSA guidelines and regulations. We believe that the VA was the one that discontinued performing DOT certification examinations. And there are a lot of federally certified doctors that are charging much less for the examination. $200 and $300 DOT medical examinations are taking advantage of the drivers. Shop around, there are others, with reasonable fee structures.
My husband took his DOT physical with the company doctor and she said he failed because is A1C was too high. He doesnt take insulin. He takes Metformin and doesn’t have hypoglycemia. She said other than that he passed. He has no complications from diabetes and has driven for 34 years without incident concerning his diabetes. He went to another doctor ( not his company doctor) and passed. Employer stated he had to go back to the same doctor to get his DOT card no matter what even if another doctor was at the same clinic they use. DOT entered a new rule concerning diabetics that they didnt have to have to go by A1C anymore as a sole disqualifying piece of data. It states that there has to be other conditions associated with it such as retinopathy. Even his blood sugar reading was normal. Should he still be disqualified?
@ concerned wife
No. But now you are dealing with the company and it’s rules and regulations. DOT/FMCSA does not require a A1c reading. The doctor may question it, but, if there is no sugar spillover into the urine, then there is no need for the A1c testing. Somebody is just making money off the company, unless the company has it in their requirements.
Up to how many weeks before your. Card expires can you do your recertification in the state of Florida?
@ Anthony C
You can do your re-certification at any time you like. Give yourself plenty of time before you need to have your paperwork to the state.
Hello, I currently have a New York State CDL class BM Intrastate license. I just moved to Massachusetts and need to transfer my license from NY to MA. I want to upgrade my CDL to Interstate as I am looking for work here and this would give me a better chance at finding a job. Can you give me a medical cert while I still hold my NY Licenses so I can bring it with me to the RMV to do the switch and up grade?
@ Robert S
It is possible. There may be questions regarding your intra-state license. If the intra-state license is due to some restriction, then the CME is going to need supporting documentation to aid in his/her decision making process.
Thank you
@ Robert S
You are welcome, hope it works out for you.
I refuse to wear a mask because of this so called “pandemic” My DOT medical card is set to expire in less than a month. The medical examiner i went to kicked me out because of my mask refusal. Can i be denied service even though the nurses and doctors have all been vaccinated or wearing masks themselves? I full heartedly believe that masks do not help in the least! Therefore, will my refusal cause me to find a new profession?
@ Brent
No, just find another test facility that will accept your decision, or wear the mask for a few minutes to get the job done.
My husband has low-t and does testoerone replacement therapy. Would this condition disqualify him for renewing his DOT medical card? I could not find anything state for federally that says taking a hormone replacement like Testorone would but i want to set his mind at ease.
@ Geannie L
This is not an issue with DOT/FMCSA medical certification examination.
Can an employer require a driver to carry a DOT card even if they would be transporting less than the required number of people? Just looking for options that will help guaranteeing as much safety as possible for our elderly residents.
@ JH
This would be best answered by your state drivers license department. Your driver, unless he carries a class A license, will fall under your states guidelines and variances.
In Michigan 2021 do I really have 12 months to renew my expired medical certificate to get my downgraded cdl back without any retesting?
I don’t work btw I’m out state.
@ Mohamed A
This is a state related questions and would be best answered by them.
I have a driver that had a A1C test perfromed and it came back at a Value of 10.7. Can he obtain a 3 month medical card and then be rested and get it extended out another 9 months if he was able to get his level below 10?
@ Randy
A 5.7 A1c is in the normal range. It is unlikely he would pass a DOT/FMCSA class A medical certification examination. If he is a diabetic then he will need to get his numbers down before he would be granted a medical card of any kind.
I thought the highest they would go to pass is 8.0?
I was disqualified for forgetting to disclose opioid use. It is prescribed and I use a patch, no pills. This is for lifetime pain from a non disqualifying illness. The original doctor will not talk to me and used all her 45 day decision time. I believe I can have the physical redone (with full disclosure)
@ John A
If you are a class A driver, then you will have to supply medical documentation to the CME. If not a class A driver, then you fall under the states guidelines and variances.
One of our employees passed his regular annual physical 7 days ago. By coincidence, he is due for a DOT physical /medical card. I think there is a rule that says the DOT examiner can rely on the annual physical results if it was within so many days. But I can’t find that rule. Any clue?
@ Michael S
The CME can use some of the information, but your employee still has to have a DOT/FMCSA physical examination. The CME he must know both DOT/FMCSA regulations and guidelines as well as requirements of a drivers health.
I am a medical examiner. Who provides a waiver for drivers. I know I Mark it on their Dot paperwork. Just want to know how gives them the actual waiver?
@ Shelia D G
DOT/FMCSA
If I fax my new medical card to the number given on the website will I get confirmation that it was received
@ Tony G
Check with your local drivers license department for your best answer.
My boyfriend went to get his physical today, to transfer his licence from one state to another.T he doctor actually refused to do it based on an answer on his questionnaire. He answered yes to smoking pot within the last 2 years, but nothing recent Doctor refused to do the physical and said he was going to report him to the federal registration. No drug test was done or anything.
@ Tanya
The CME has nowhere to report this to the federal registry, so that is not true. The CME could/should have requested a report from a drug abuse counsellor. Go get a second opinion somewhere else.
I received a 6month card for blood sugar. I just took a renwel test and passed no problem. The DOT Doctor is making me go to my PCP and get tested even though I was “spot on” her words. I have a passing test but she won’t sign it. MY PCP wrote a letter and said I was able to complete any task. Still she won’t sign it until tested. My lisence expires in 3 days. I passed but she won’t sign. Is that legal?
@ Jeffery M
The medical examiner has the right and responsibility, to the driver and the public at large, to request additional testing before signing off on a medical card.
I went to Concentra, at the request of my company and with no medical history of any conditions, no medications, they wanted me to get a sleep apnea test because of my weight. Which they say is an FMCSA requirement if you are overweight. So, can I get another exam or is that set in stone, even if I go to another physician?
@ AM
You should go get a second opinion from somewhere else. IT IS NOT A FMCSA regulation, just a conflict of interest.
I recently took a sleep study cause in was told by concentra to take the test before i can move forward to get my card. I got the results back with NO RESTRICTIONS and mild sleep apnea. I have a AHI of 11.2 under 15. Concentra examiner still told me i need to take a cpap even tho i have no restrictions and mild of sleep apnea. Should i go to a different clinic? Thank you 🙏🏽
@ Miguel
Go get a second opinion from someplace else.
I currently hold a PA CDL , However the company I worked for is now closed . will I still need a physical ?
@ David h
CDL’s are state issued and most states require a valid medical card to maintain a valid cdl.
I am in the process of getting a growth or lump on the right side of my chest checked out. There is no official diagnosis yet and there won’t be until after a biopsy is done. However I am concerned that it could very well be cancer. Does the fact of currently having Cancer or having had Cancer in the past affect someone’s medical qualification to drive?
@ Dale
You will need to provide supporting medical documentation and medical releases from your physicians. If everything checks out, you should be fine.
Can your employer legally request a copy of CDL medical certification long form?
@ F.Y.I. Trucker
That is a legal questions, we are not legally qualified to answer this question. You might check with the company’s HR department. It may be in writing in the policy of the company.
How is that question an HR issue? Doesn’t HIPAA have some gravity is that question?
@ Jim
HR must follow HIPAA compliance. If it’s in the companies written policy, then they are following within HIPAA guidelines. Not in the companies written policy, then you need to talk with an attorney on this matter.
I had a kidney transplant 2 years ago and am still on blood pressure medicine. I need a DOT physical, but not a Class A CDL. Our company makes deliveries on occasion in a straight truck, similar to a Uhaul or Penske. Should I be worried about passing because I’ve had a transplant, and have had a history of high blood pressure, although both are under control now?
@ Tom
Make sure that the medical examiner knows that you are not a class A driver and that you fall under your states guidelines and variances. You should not have any issues.
I am a cdl a driver and I was taken to a hospital from my truck at a truck stop. I was hospitalized for several days and given a iv and X-ray and tested. I am feeling better and I am wanting to get back to work. My physical is due for renewal in a few weeks. So my boss is saying that I need a letter from my doctor saying that I am okay to return to work. And I will also renew my medical card. But what is the legal process when you have been hospitalized and returns to work
@ Raymond
Your boss is correct. You will need a full medical release to return to work, without restriction or limitations.
And any documentation regarding why you were taken from the truck to the hospital.
If I failed a drug test 3 yrs ago , and completed a sap program , do I have to answer yes to the question on my fed med card when asked if I ever failed a drug test.
@ Big j
Question 32 will ask if you have ever failed a drug screen. You can answer yes, then provide supporting documentation to support your answer. you should be fine, if all else is within normal limits.
I want to apply for my first medical card, however, I have had a history of DVTs and a TIA. It has been more than 15 years since any problems. I take Xarelto and use a leg compression pump daily. Would this prevent passing a medical exam?
@ Ed C
Your situation and conditions are going to raise questions. Be prepared to provide medical documentation and a medical release form from your primary and treating doctors.
Can an overweight female be failed on DOT Physical for CDL due to being overweight? I have ZERO health issues and am actually dieting. I’m 5 foot 8 and weigh 260 pounds. I have a lot of muscle though. Can I be failed for that in Texas?
@ Emily
DOT/FMCSA has guidelines for possible health related issues and weight is one. But you can not be failed due to weight only.
I was talking to another driver about medical cards and I have a couple questions. His company requires to use their doctor. How is that legal? A medical card is the same across the board. Shouldn’t the driver have the option to use their doctor of choice, drivers are allowed a 2nd opinion after all. He also mentioned the name of the doctor’s office. I know firsthand that they are a joke. An uncle told me that they only issued him a 1yr card when he had every right under the requirements to have a 2yr card. I’ve heard similar stories from other drivers as well. Is that legal for them to do that as well?
Thanks in advance
@ Chris
A DOT/FMCSA medical card is good throughout the United States. A company my establish, in writing, the company policy of doctor usage. It usually is a financial agreement between the doctors office and the company.(sounds like a conflict of interest to us.) You have the right NOT to work for a company that wants to dictate and micro manage your every move. And you have the God given right to choose your examiner.
can I take my Massachusetts CDL permit exam if I do not have my dot card yet?
@ jen
Check with your states drivers license department for guidance on this issue.
I can’t find any laws governing whether or not someone can get hired to drive a cmv if they have been committed to a mental hospital by a judge years ago. Please and thank you for your help
@ August D
If it has been years ago, you may be requested to provide documentation of a full release. Check with your local DOT/FMCSA examiner and see what he has to have to make a well informed decision.
So a young driver (20) successfully completes driving evaluations and goes for his medical physical. During the screening, the form asks about substance usage. Driver answers honestly and puts down tobacco (dip) and marijuana. Driver automatically fails physical. It had been over a month since using marijuana and only very rarely used prior to that event. Driver is still desires to pursue a driving career. What should be his next course of action?
@ Bob S
Medical examiner should have explained the next steps for you. Best to get a note/release from a substance abuse worker indicating that you are no longer using marijuana.
I have scrolled through your site, called my state, my job and my union, and nobody seems to have the answer to my question.
Can you renew your DOT certificate if you are going through a worker’s comp case when it expires?
I am under the impression that my restrictions play a part in my reasons for not being able to re certify.
@ TJ
You can not pass a DOT/FMCSA medical certification examination while undergoing rehab/treatment from a workers comp case, so any CME should refuse to perform the examination. If you are a class A driver, then you need to be fully released, a medical release to return to work, without restrictions or limitations.
My job requires their employees to get a DOT MEDICAL CARD before they let us drive the company trucks. How do I go about getting a DOT MEDICAL CARD
@ Ryan McA
You will need to find a registered medical examiner in your area. Make sure you explain that you are not a class A driver and only need a medical card to drive a smaller vehicle. You can look on our main website here https://dotphysicaldoctor.com and find an examiner in your area or look on the FMCSA website for a certified medical examiner.
Can I transfer my licence to Georgia with a restriction in Florida because I didn’t need a dot physical at my last job will it be lifted in Georgia if I have the dot physical
@ Lascelles
This is a state related question and your best answer is going to come from the GA. drivers license department.
I have High Functioning Severe Autism and most of it is sensory processing stuff like certain textures and certain foods I don’t eat. I have been diagnosed with Anxiety but don’t have any issues with it and has been stable with that. I have insomnia and take 1 sleeping medication that is NOT a benzodiazapine. I take Ritalin to help suppress my appetite because my other medications cause weight gain. I am under 200 lbs. I also have GERD. Which causes very bad acid reflux. I have 2 stable medications for that. Would any of this cause me to be disqualified? I have been stable with my mental illness. I am very happy when I drive. I have been very excited to get my CDL. I am trying to schedule a DOT soon. I need to know if I can drive.
@ Natalya
Your situation is going to raise questions with any DOT/FMCSA medical examiner. Be prepared to provide medical releases from your treating doctors and medical documentation to help support the medical examiners decision making process. Good Luck
does the doctor register your medical cdl dot card or are you responsible for doing that online now that the pandemic has hit us? It was a little unclear when I was at the doctors office for my physical today especially because they just sold out to a big insurance company. Ive been online all afternoon but havent gotten an answer would appreciate any help you can give. thx. Erin
@ ERIN
The examiner is responsible for getting your medical data to the fed on the FMCSA registry. You are responsible to get it to the state. Some examiners offices do it for you as a general service, and some don’t. Better if you get the results to the state, then you know it was done correctly.
If someone has Bipolar 2 and PTSD can he or she get a CDL in Arizona?
@ Mike
Your cdl is a state issued license, so check with your states drivers license department. You may need additional information to pass the DOT/FMCSA medical certification examination though.
I am trying to upload my husband’s Medical Examiner’s Certification. I am at the point where I have to choose one of the following Self Certification categories. He drives a truck (hauling bulldozers) for the Mississippi Forestry Commission. Which box do I need to check under the categories?
NI-Interstate Non Excepted
EI-Interstate Excepted
NA-Intrastate Non Excepted
EA-Interstate Excepted
@ Janie W
NI. if he has a class A cdl.
Hope you can get to this today!
I have a similar question to this
Can you clarify your answer? Are you saying that if I have a DOT Med Card that indicates ‘No’ under CLP/CDL Applicant/Holder prior to getting my CLP, that I can use that Med Card to self-certify my medical status when I get my CLP? Or, are you referring to another process for the driver license agency to note that I have a valid medical certification?
I had a physical in pa just recently and I have that box checked no even though I am a CDL Applicant in a sense because Im going to take my permits test tomorrow.
Also Does the dot medical place handle my interstate exemption or is it handled when I self certify when I fill out the from before take my permits test.
I passed everything no issues on my DOT but I don’t know if they checked off the correct boxes. Did i need to tell them anything? My recruiter told me they needed to certify my interstate exemption.
Thank you for your help and time!
@ Moe
Be aware that each state is different and operates on different guidelines. Your state should clarify this issue for you. The examination should be valid when you go for your test and should be entered into the states data base as valid when you pass the driving test. Ask your state drivers license department for clarification on this issue. Your interstate exemption should be in your self certification process, which you input to your states drivers license department.
How far back can a Doctor go on redoing your DOT card?
@ Lisa D
Please clarify your question a bit.
How far can a doctor go back on your medical history when your renewning your DOT medical card? I was diagnosed with something in 1986 and I was born in 1981, the doctor I went to revoked my license from what I was diagnosed with in 1986. Can this Doctor really pull something that far back?
@ Lisa D
You were diagnosed with something when you were five years old and the CME revoked your license now? CME’s can not revoke your license, that’s a state issue. And what ever you were diagnosed with may be held as a restriction based on the DOT/FMCSA guidelines and regulations. The CME does not go back into your history unless it presents with possible risk factors based on the FMCSA guidelines.
Yes a Doctor revoked my license from something I was diagnosed when I was five years old. I don’t have any issues driving in fact never had an accident. Thank you so much.
@ Lisa D
No CME has the power or authority to revoke your license, medical certification yes, drivers license no.
I failed my most recent DOT physical due to the doctor talking with my psychiatrist about my depression/anxiety diagnosis and the psychiatrist ended up telling the doc that I had failed a drug test 2 months ago for an ADHD referral that was unbeknownst to me. I was adamant that I don’t know how I would have failed and she wrote that in her notes that I am willing to get an updated drug screen. The doc who failed me says that I can re-do the physical with someone else from the same institution if I take a new drug test and pass.
1.) Will my employer be able to see the reason for this failed test if I used their referral form to compensate the appointment? Or just that I had went in and been seen for the physical. In the past, I always had to send them a copy of any certification that I acquired. However, I did sign a form at the beginning stating that the DMV/employer would be able to view the results of the exam. I am unsure because this reason for failing wasn’t a direct finding of the physical exam, as there was no drug test taken the day of the appt.
2.) If I go to another doctor to have my DOT done and they don’t have knowledge of this failed drug test, will my new certificate be eventually deemed invalid? I have no problem going back to the same institution but for my sanity alone I don’t want a repeat of this situation and all the bullshit about my mental health and supposed drug abuse.
@ chris
We would recommend you to retake a new drug screen so you have your bases covered with fresh results, if there were any questions. Then it becomes a question of whom do you want to perform a new DOT medical certification examination. Since you would provide a copy of the physicals long form, then the employer can read the reasoning behind the failure. A new drug test with negative results will go a long way in this case.
I was told that if I have a pacemaker/defibrillator I would not be allowed to get a CDL. If this is true are there any circumstances in which this could be different?
@ Greg B
The defibrillator will be the main question and DOT/FMCSA has some very strict regulations and guidelines for this situation.
This is for a class A OTR driver. That may not be true in your state with a lesser held license or intra-state only driving.
I had gall bladder surgery (removal) recently. Do I need to re-certify by completing a new DOT physical before I can perform safety-sensitive functions or do I just have to follow my doctor’s restrictions?
@ Jeff
DOT/FMCSA requires a new DOT physical, once fully released by your doctors, without restrictions. If you are a class A driver.
Hi,
I went to a company and took the DOT physical. They put it on hold depending a sleep apnea test. While that physical is on hold, can I apply to other company’sand take their physical? Or do I have to complete the pending physical?
@ Robert V
Sleep studies are not required by the DOT/FMCSA unless there are a multitude of probability factor found at the time of the examination. You can request a second opinion. You should be able to apply else where and take their DOT examination.
Can I get terminated.
For not passing the DOT. FIZ.
It’s not drugs.
It’s a blood pressure related to issue what is the employer’s obligation.
@ Mark w
Termination from a company falls into company policies. You will need to check with the companies HR department for the answer to your questions.
I went to get my first medical examiner card so I could get my clp i went through a company and they sent me instructions and made it really clear that the clp/cdl applicant/holder box needed to say yes but somewhere furring my exam the doctor uncheck it and when I looked at it and tolded them that I was informed that it needed to say yes they told me because I don’t have a cdl they won’t mark it yes what can happen if I try to get my CLP and if I do and drive with it as no instead of yes.
@ Bryan
The CME is following the DOT rules and regulations. When you do go for your CLP, it will be noted on the forms that you have a valid medical certification.
Can you clarify your answer? Are you saying that if I have a DOT Med Card that indicates ‘No’ under CLP/CDL Applicant/Holder prior to getting my CLP, that I can use that Med Card to self-certify my medical status when I get my CLP? Or, are you referring to another process for the driver license agency to note that I have a valid medical certification?
@ Kerrie
Confirm with your local drivers license department. We believe that with a valid medical certification you can self-certify when you get your CLP. Remember that each state is different and you need to confirm with your state DLD.
I had a hip replacement 4 months ago, I am riding a bike 7 miles a day can squat bend twist with no problems. Will the hip replacement cause me to fail a DOT physical?
@ A
You should not have issues with the hip replacement and your medical card.
Does wearing an insulin pump to treat diabetes disqualify a person from getting a DOT Medical card ???
@ Doug
No. It will require supporting medical documentation and a medical release form from your doctors.
I recently had hip replacement surgery 2.5 months ago. I currently do not drive a commercial vehicle but I keep the class B rating, just in case. I need to renew my license this month. Do I need a medical release from my PCP/surgeon for my DOT physical?
I have been fully cleared by my surgeon to return to my desk job, not on meds for the hip surgery and have never felt better (no limitations).
@ Fred
Fantastic.
@ Fred
Class B license will fall under the states guidelines and variances, not DOT/FMCSA. Your state may require a medical release form from your doctors before you pass the medical card examination.
If a new person you want to hire fails his drug test and request the 2nd specimen be tested who has the responsibility to pay for it the prospective employee or the company if we pay for the 1st sample.
@ Angela J
One idea is to have the client pay for the retest, if he passes the second go round then reimburse him. If he knows he is dirty, then he will not pay to retest. Not a question of responsibility, but reasonable.
Where do we submit our Medical examiner’s certificates to in Santa Fe?
Fax number?
Scan?
Address to mail????
The easiest way possible please
Please I need to information to do so so I may comply with the laws of New Mexico.
Thank you,
David
I took my DOT physical last week and passed everything however the medical examiner is asking that my primary care physician fill out the 391.41 CMV DRIVER MEDICATION FORM. I dropped it off to be completed and when I went up the next day the physicians nurse stated that they don’t do anything with CDL or DOT so they refused to sign it. I explained what the form is for and why it is needed but the doctor still won’t sign it because it is for DOT. They asked my why the medical examiner cant fill it out since they are a dr. I stated because they are the medical examiner and arent they one that prescribe my medications. What should I do now? I am not sure how to get it signed or what I should do since I cant get it done?
@ Jason B
You are correct about the role of the prescribing doctor.
Your prescribing doctor is misunderstanding his part in this situation. He is not doing anything for DOT/FMCSA other than answering another doctor’s question.
The CME is the one who is dealing with DOT.
Try to explain this again to your prescribing doctor.
Is there a deadline for reporting DOT exams, once they are complete, on the National Registry?
Federal reporting is required within 24 hours of the examination and this is usually done by the Medical Examiner’s Assistant. It is up to the driver to report a new examination result / Medical Certificate expiration date to his / her individual state Department of Motor Vehicles.
Question: I have type 2 diabetes but it’s controlled with pills but about 3 months ago I had an open wound to flare up on the left inside ankle. It started out as an itch and b4 I knew it had grown to the size of a soft ball. I went to the doctor and he took me off work and I’ve been off now going on 6 weeks. It’s healing but it’s healing really slow and it hurts all the time. I have about 4 more weeks of fmly medical leave left to use but I know it’s not going to be completely healed b4 the rest of my leave is used.
So my question is will dot pass me if the wound is still not healed up all the way even if I can physically pass the dot physical and all the physical parts of it?
@ Terry
If the wound does not interfere with your abilities to perform your duties as a driver, then the only questions will revolve around your diabetes and your present situation. The examiner will, most likely, request a full medical release along with supporting documentation regarding your diabetes.
ive been going to the same clinic for over 15 years to get my D.O.T. physical , do I always have to fill in the same info time after time about the same medical conditions that i ve had for years/?
Our Safety clerk said that i will have to get a new DOT physical after receiving anesthesia for lithotripy. Is that required under the regs?
@ Ken C
Yes, DOT/FMCSA requirements and regulations.
I was new to bus driving (1 year) when I was laid off as a school bus driver in Illinois in mid-March however just before that I went in for my DOT physical. I was given a temporary permit (3 mo) because they were concerned I could have sleep apnea. I made my appointment, however it kept getting pushed back due to Covid19. I finally received the initial consultation last week, and need to schedule a sleep test. However, I no longer have insurance and won’t be able to pay for the sleep test. I believe I need to have everything in order by October of 2020 in order to keep my CDL.
It’s unlikely I will be able to receive the sleep test before October (due to insurance and a huge back order of tests). I’m hoping to re-take the CLD test next year. Is there a waiting period to re-apply for the CDL after failing to meet DOT requirements?
@ Michelle R
Class A drivers are held at a higher physical mental and emotional standard then other drivers. Sleep apnea testing is not mandatory via DOT/FMCSA, so unless there are additional signs and symptoms the sleep apnea test is not needed to pass a DOT physical. If you carry a class B cdl you fall under the states variances and not DOT/FMCSA. Your cdl s state issued and you should check with your state to determine the next steps to be taken.
I’m I aloud a copy of my physical exam results, my company tells the doctor not to discuss the results with the driver , and fax everything to them , and they want me to sign a release of medical records is this legal
@ Andrew M
You should receive a copy of your long form and a new medical card. If a company pays for the examination, then they feel they have a right to your medical records, but still need a medical release form on file to do so. It’s legal only if you sign the medical release. Since you may not have paid for the examination, then the doctor is following the companies request. Check with your company’s HR department for further clarity. It should be part of the companies written policy. Ask to see the policy.
Question? I live in the State of Mississippi and my company pays for the drivers CDL Medical Examination. Is the company entitled to receive / have access to the Long Form (MCSA-5875) along with my MCSA-5876? I know all that FMCSA requires in a DQF is the Medical Examiners Certificate. Are there HIPPA rules that could apply here?
@ Jerry G
It’s a tricky question, but in most cases that we have seen, if the company pays for the DOT/FMCSA medical certification examination then they have the right to a copy. It should be a question for your companies HR department and should be in their written policy.
What if I answer yes to question 31, regarding controlled substances? I took some cbd oil that that had more thc than federally permitted. I’m concerned because I will not be dishonest on the questionnaire. I’m afraid I may lose my job. My next dot isn’t for another year and a half.. what should I do? Thank you
@ Tbird
If your next physical is not for another 1 1/2 years, the thc will be out of your system. If the cbd oils are routine, then answer yes. If not a routine/prescribed medication, then simply explain your situation.
With the Pandemic have Medical card dates been extended. I live in Pa
@ Greg S
Most states and the fed extended medical card extensions for a few months. That period is over for the fed, but states may have additional extensions. Check with your state drivers license department for further information.
I went to get my physical the lady conducting my exam stated my vision was 20/50 she said I had 45 days to fix the issue with a prescription. I followed up within the 45 days, also bringing her the paper from the eye doctor showing my vision was 20/20 she was in disbelief and had me retake the vision part of the exam. She then demanded more money from me. Is she allowed to do this? Prior to my follow up she never disclosed a second payment would have to be made, she only told me to bring the paper showing I followed her orders and she would approve my exam?
@ Richard
You are saying the examiner did not accept your eye doctors findings and demanded a retake of the eye examination only and wanted additional office fees? WOW, and the examiner has that right, but? FMCSA does require a new physical (complete examination) be performed once a driver leaves the office and fees for the physical are within normal limits. All these things should be explained to the driver so he can make a well informed decision.
Is there a provision to allow 45 days to submit documentation without need for another examination,
@ John
Not sure if you are talking state or federal for submission. Please be a bit more specific. Thanks
Till June 30th
I was recently told by my DOT examiner that was blood pressure was high. I get severe white coat syndrome and have been for years. He gave a paper for my primary care physician to fill out with 3 good readings under 140/90 and he will give me my two year card. My BP is totally normal at home or in my primary doctor so I’m not worried. I have 2 questions… first, can this be done every two years? Is the DOT doctor required to accept this for me every two years? Thanks in advance
@ Marc
Sounds like your CME is trying to work with you on your blood pressure issues. If your readings are normal with your PCP, then the CME can, if he chooses to, accept your doctors readings. Not required, but may choose to do so.
The DOT physician is requiring that I have a sleep study, and see a cardiologist because of an abnormal EKG. My personal physician looked at the EKG and didn’t think the EKG called for a cardiologist and sleep study. What are my options?
@ John M
You could go for a second opinion. You have that right to do so if you disagree with the first CME.
Good question. The one I went to said my BP was high and that I have a fast and irregular heartbeat. Which I find is strange cause I went to see a doctor after and never mentioned anything of the sort. Sleep study based off of that. When my own doctor doesnt think so
@ Sherry M
Get a second opinion from another CME..
Can I bring a test report from an eye doctor stating I have at least 20/40 in each eye and have that satisfy the eye test requirement for a DOT physical? Meaning the eye test would not be done during the exam?
Thanks,
Bob
@ Bob E
It will depend on the CME. Test results from your eye doctor should suffice, but the CME may still choose to do the visual acuity examination to confirm the reports findings.
I took my Delaware DOT physical in April and passed but was given a 3 month extension because if you have had a heart attack they require results of a stress test. Due to COVID-19, I was not able to get the test until June when they starting allowing some tests to be completed. The results were passing. I submitted the results and was told I have to take the physical portion again. Is this true and if so why?
@ Christine
FMCSA requires a new examination each time you go for a medical card. Even though all you needed was the stress test, its been two months since the CME saw you last and DOT/FMCSA require a new physical.
Patient condition is hypertension stage 1 with normal blood pressure at the time of physical exam. The doctor mistakingly recommended a 2 year certification on the card. What can be done to correction this oversight or will the DOT automatically correct the certification to 1 year?
@ Tyrone
DOT / FMCSA will not make any corrections. Is the driver taking HBP medications? If so, then the only way the card will be corrected is if they return to the examiners office and point out the error.
I am 19 years old and drive a truck for a small construction company in Pennsylvania. I’m non CDL but required to carry a medical card. The medical examiner would not sign off on my exam because my license still has “Junior License” even though it technically hasn’t been a junior license since I turned 17. Is there a certain age requirement or non- junior license requirement for a medical card?
@ Ryan M
If the medical card was for a DOT/FMCSA examination for a class A driver, then yes. But you are driving non-cdl, so your examiner needs to understand the differences between federal dot guidelines and your states regulations and guidelines.
I HAVE A CALIFORNIA CDL. MY MEDICAL EXPIRED IN 2018 AS I HAVEN’T BEEN COMMERCIALLY DRIVING.I NEVER GOT ANY TYPE OF NOTICE AND KNOW MY LICENSE IS NOT SUSPENDED AS I JUST RECIENTLY GOT A TICKET. I GOT MY RENEWAL NOTICE FOR MY CDL IN THE MAIL IT EXPIRED END OF MARCH AND EVEN THE EXTENTION I REQUESTED GAVE ME UNTIL JUNE 30 FOR COMMERCIAL DRIVERS. MY QUESTION IS CAN I JUST GO AND GET MY MEDICAL AND SUBMIT IT WHEN I GO IN FOR MY RENEWAL? OR WILL I HAVE TO DO IT ALL OVER AGAIN??
@ Melinda M DH
Confirm with California DLD, we suspect all you need to do is get a new medical certificate. Get it now and turn it in. If there are any further issues it will be with CA. DLD.
I recently had a DOT physical. The Nurse and Doctor had access to prescriptions, and diagnosis from a cardiologist that I visited earlier in the year. I told the Physical Doctor that I didn’t give them permission to access my cardiologist records.
The Physical Doctor said they shared the same computer-internet system, and she checked my cardiologist records.
This has to be a HIPPAA violation. I did not give my Cardiologist permission to share my info. I do not think my CDL physical Doctor should have access to all of my doctor records!
@ Dan M
You are correct. Your CDL doctor has no right to check records which you have not given permission to obtain and your cardiologist should have, on file, a medical release form from you also.
What is the proper way to handle this? Should I file a complaint with HIPPAA
@ Dan M
We are not legal experts, you would need to speak with someone in this particular field.
Dan M.:
Did you not report ALL medications to the Certified Medical Examiner? If not, why not?
I frequently check files and review the last 1 or 2 examinations for the drivers who utilize our Occupational Medicine Clinic to look for changes in medication or health status.
Does a DOT Physical examiner always check your medical records, even if you have no health issues?
@ Robert B
No. He may ask for further information or testing if he feels there may be an underlying issue.
I HAVE RECEIVED A LETTER FROM NYDMV STATING MY MEDICAL CERTIFICATE FOR MY CDL NEEDS TO BE REWED OR THEY WILL DOWN GRADE MY LICENSE. I CAN NOT GET A DOT PHYSICAL BECAUSE OF THE COVID-19 GOING ON. I FOUND AWAVIER-3.24.20 SENT OUT BY THE FMSCA GIVING AN EXTENTION UNTIL6-30-2020. IS NY STATE ALLOWING THIS WAVIER?
@ Ken G
Check with NYDMV to confirm.
Hi my medical card is due to expire in early April. The place I get my physical renewed is closed due to COVID-19. Is the DOT granting waiver for expired med card for the month of April? At least until the state lockdown is done. I would like to be able to drive in April.
@ Charles
FMCSA has put in place a grace period for expired or expiring medical cards. Check the information at the link to see if you qualify for the grace period.
got a medical renewal notice 11/29/2019 . renewed it 12/27/2019 paid and left. faxed it from my work fax 9722722630 same day too 5124242002
appeared to be no problem. 02/26/2020 downgrade notice received called dps austin said they did not get fax , found transmission report for fax which shows a no response at the bottom of page. d.l.#06364803 does not expire til l03/12/2021. called austin back 3 times no response.. my mediacl was done for the last several years by Concentra Garland tx phone # 2143407555 . P.S. I am a state licensed commercial vehicle inspector for the last 30 years with good repute. I need your help….Richard K (personal details removed by Admin)
I was injured at work and physically unable to renew my cdl medical card. I am not driving or even at work . I sent a statement from my doctor stating to the DMV in my home state of NJ that I am unable to take the medical exam and my time period ran out. Under my circumstances doesn’t this qualify me to have a waver or a delay until I am able to do my exam under better health. NJ DM V seemed to ignore my request when I sent the paper from my doctor . What’s up . I need answers . I’m innocent and I feel like it’s not my fault that I’m not able to renew my medical card . Any answer would be appreciated Thanks Dave
@ Dave S
Your best bet may be to go to the drivers license department and ask to speak with a supervisor. Make sure you take the needed documentation to support your situation. Most states have some policy regarding workers comp injuries and medical cards. They may downgrade your cdl at the moment, until you can pass the DOT/FMCSA medical certification examination, and then re-instate your cdl.
This is not a problem limited to texas, we have had the same issue with the Virginia DMV multiple times. The solution though inconvenient is to go to a DMV office and submit the paperwork in person. Irritating but better than having a driver put out of service on the highway.
I have been disqualified due to a “history of seizures.” I had a few seizures during a 6-week period 15 and 1/2 years ago. The docs never figured out why. I was never on any seizure meds. I have had no seizures since. I put all this info on the application, but the CME said the only thing that mattered was that I have had seizures.
She’s giving me the option of spending several hundred dollars to get an evaluation from a neurologist who can write a letter stating I am safe to drive commercially. Besides that, it takes months to get in to a neuro around here!
Do I have any other options?
@ Al
You could try a second opinion, with a medical release form from your primary indication his awareness of the seizure 15 plus years ago.
I am temporarily disqualified for having sugar in the urine. They made me do a finger prick because there was sugar in my urine. It came out to be 301. My numbers are always between 115 and 170. I was stressed because my card was to expire today on the 4th and wanted to get it done on the 3rd not thinking I had just ate. I explained to the Dr that I had stopped and ate about an hour or so before coming in and had not taken the other half of my meds yet as I split them by taking half in the am and the other half before dinner in the pm. My Dr said that is fine to do as long as I take the dosage everyday. He gave me a paper to take to my diabetic Dr but when I got home and checked it at night before bed, it was 158. This morning was 125 and this evening it was 140, all in my normal range. Can I go get another second opinion physical as my levels are in my normal range as early as tomorrow morning, or am I flagged because I failed. I cannot get an appointment with my diabetic Dr for 3 more weeks
@ Jimmy F
You can get a second opinion and as long as your numbers fall in the normal ranges, you will get a one year medical certificate.
Thanks for clarifying. I went yesterday and was at the Dr when you responded back and I now have a new card. Numbers were 130 🙂
school bus driver i fell down at work and banged myself pretty bad. is this disqualifying?
@ William B
You are a school bus driver and do not fall under the FMCSA guidelines.
If your blood pressure is 157/75, should I have gotten a 1 year medical card?
@ Anon
FMCSA guidelines for blood pressure is anything below 140/90. Anything above is a one year card.
They told me I failed. Is the one year card by state? I am in Washington state.
@ Anon
A one year medical is good everywhere. If you were given a card then your did not fail. If it is limited to the state only it would indicate intra-state only.
I wasn’t given a card the doctors flat out said I failed and refused to take my blood pressure a second time after the nurse took it first. I do mainly stay in one state, but I do cross state lines sometimes. She didn’t give me a one year.
I do travel across the boarder. The doctor failed me. I do take blood pressure medicine. This is the second time she failed me. Once for not knowing my a1c level(my doctors appointment was the following mont and they would not see me sooner) and said they would sign off for a year if I brought in the level, which I did and they made me do another physical. They took my blood pressure with shirt under cuff and they only took it once, but it was 157/75. I don’t know if the place just sucks and want money, but from what you said I should have gotten at most the one year card after my second physical. I’m going for another physical would a doctors opinion letter help me at this point?
@ Anon
Get the second opinion, and go from there. If you can have your most recent a1C results and a medical release from your doctors, you should be fine from there.
So, Type 2 diabetes will completely disqualify me to get a DOT medical card?
@ Stephen
Not true. It will require some medical documentation snd a signed medical release form from your doctor, but you can drive.
Can I take valtrex and still get my cdl
@ Mikaela m
If the condition does not interfere with your job description, then you should be OK.
I take bp med 10 mg for the past year . Got physical today my bp 123/82,
The nurse practitioner only certified me for one year . Can I get a second opinion from a doctor?
@ Martin J
FMCSA guidelines recommend a one year medical card for drivers on blood pressure medication. A second opinion will still hold you to one year medical cards.
i had prostate cancer and removal surgery, last year. now the doctor only gave me a 1 year card. he says due to any cancer i only qualify for the 1 year card, my surgery was a success and i am now cancer free. i think the doc is trying to increase business
@ Andy K
The CME may simply want you monitored fairly closely for the next year or two and then, if all is well, return you to a two year card.
If a driver is under 21 and passed DOT exam, and received a 2 year card under State variances, what does the driver do if he then turns 21 within the 2 years of that card and needs to have the federal variances for a job.
@ Jessica R
Depending on the class cdl the driver holds. Check with the local drivers license department. He may not have to do anything.
If a driver I has a heart attack and recovers and goes to an approved company dot
Doctor and passes the exam can the company refuse to accept his medical card?
@ John
The question would be, why is the company not accepting a company approved CME’s medical card. You need to find out from the company what the issues are.
I just completed my dot examine today literally right after I passed all 4 of my written exams so I was feeling anxious. As a result my blood pressure was a little high at 147/86. The examiner gave me a 3 month extension and wants me to get an EKG, a diabetes test, blood test, and check for sleep apnea with my medical insurance. I think this is totally unnecessary and a little too much. I’ve never had any problems with high blood pressure nor do I have any symptoms of sleep apnea at all. I sleep just fine. Yes I could lose some weight but it isnt smtg to extreme. What can I do if I dont agree with this dot examiner report. Can I go get another opinion in a week or so? Thanks is advance.
@ Angel R
Use the 3 month card to the end and then go elsewhere for a second opinion.
If regulations say I can get a 1yr can I get a second opinion on a 3 month card how long do I have to get a second opinion
@ Michael S
Use the three month card for now and get your second opinion before it expires. You do not have to wait any specific time frame, just have the examination done before your three month card expires.
What if I fail can I still get a card once I’m below 140/90
@ Michael S
If all else is within normal limits, yes.
If I let my DOT expire do I have to go back to the Doctor that gave me the card I let expire or can I go to another DOT examiner?
@ Thomas D
Any federally registered CME in the US can perform the DOT / FMCSA medical certification examination.
I recently went to get my D.O.T.card renewed as it had just expired. I passed the exam until they found out I hold a current medical marijuana card. I only smoke occasionally to help with my sleep. I have used marijuana for sleep for many years and it does not effect my ability to do my job or effect any part of my daily living. I work hard every day and I believe there should be exceptions. How can I get my card renewed so I can keep my job?
Julie B
@ Julie B
Medical marijuana is a state by state issue. DOT / FMCSA is federal, and marijuana is still a federal offense. If you are driving in state only, then you need to talk to your state drivers license department. And when taking the medical certification examination, you will need to explain that you fall under the states variances and not federal DOT.
If I get my DOT Physical in Vermont is it valid in New York
@ Aaron S
If performed by a federally certified medical examiner (CNE), then it’s good in all fifty states.
I was issued a 1 yr dot card for high blood pressure a few yrs ago. Even though it’s at qualifying levels 365 days a year, they refuse to okay mefor a two year cert. WHY NOT? Thanx
@ Stephen B
It’s a wording issue. Federal form ask if there has been a “history” of high blood pressure. If the CME makes a change to a two year card, then he must explain his decision making process to the company, the state and the federal DOT / FMCSA.
I have just been informed that my new company will not pay for the DOT medical card. I was told I am fully responsible to get it done, they won’t even tell me when/if it is about to expire. So, since I have to pay for it, and I know the doctor has to report to the DOT that I either pass or fail it, am I required by law to provide a copy to my work as well, or can I just tell them I passed or failed?
The way I look at it is, if I have to pay for it out of my own pocket, insurance won’t cover it, and the company won’t either, and it’s my responsibility to get it, I don’t want to give my money away to them by providing them with a copy. I have no problems telling them I passed or failed, but, if they really want a copy, I feel they need to pay for it.
Every other company I ever worked for, including ones that didn’t have CDL drivers, but, needed DOT Medical cards, always paid for it, since it helps their insurance, and keeps them compliant with DOT federal laws and regulations, which helps them out tremendously.
Thanks!
@ Larry C
Check with the companies HR department for their policy. Most cases the company must have at least a copy of the medical card, not the long form, on file for them to allow you to operate.
My dot card expires on1/18/2020
Went to company doctor passed physical on 1/9/2020 doctor told me she will not sign off due to an amputation of toe 18 months prior wants a work release note from my doctor. Report to work the next day was sent home due to I have No valid medical card. Old card is still good till the 1/18/2020 correct
@ John
You should have had a new medical card following the toe amputation. Work release and doctors release should already be present. As of 1/9/2020, if examiner put your info into the FMCSA data base, then your old medical card is invalid. Get the medical release done asap and you should be good to go.
I am the owner of a small construction company. My trucks are all under 26000 Lbs. Because my company is an S. corp the trucks are considered commercial vehicles. As the owner of the company do I require a CDL physical to operate my trucks?
@ ROBERT
Check with your state drivers license department. In most states your drivers would need a valid medical card, but not a cdl.
I had arthritis surgery April 2018. I was released to full duty dec 2018. On my job application it asked about surgeries and (I thought it asked if i ever had) restrictions. The dot dr put down notes to the company that I had restrictions until 1 yr ago which was false. I sent the employer my dr note from dec 2018 that shows released to full duty. But said it wasnt good enough cuz the dot dr said the restriction was from last year.I passed the whole physical but now the trucking company wants a dr note with no restrictions to date. I’ve talked to the surgeons office everyday for 7 days now and I keep getting told hes busy, and theyll try asap. I’m thinking about just going to another company. My question is, if they have me take another physical, will the employer and/or the new dot dr see those notes if it was on the long form? The last dr didnt provide me a long form cuz the employer paid for it.
@ Shawn
If you were released with a return to work without restrictions, then you should be good to go. Go get a second opinion from another CME. No one except the CME and the employer gets to see your long form, if you provide a copy of the long form to the employer. Make sure you can bring a copy of the release from your doctors.
Is idiopathic thrombocytopenic purpura (ITP) a disqualifying condition for a DOT physical?
@ Shane B
It will raise questions with the CME, but it is not a DOT/FMCSA disqualifier, in and of itself.
As a DOT medical examiner, I am drawing a blank and doubting myself about something. A patient who wears corrective lenses and his vision is 20/20 in both eyes with his glasses, is he certified for one or two years.
Thanks!
Tricia
@ Tricia J
If all else is within normal limits and all that is needed to pass the DOT/FMCSA medical certification examination is for the driver to wear corrective lenses, then the card is good for 2 years.
My brother and I have both been diagnosed with genetic hemochromatosis. I am trying to convince my father, who drives a tanker for an oil company, to at the very least have his iron levels tested, but he is concerned an official diagnosis my pose a problem for his CDL. So my question is even if he were to discover he has hemochromatosis, would this disqualify him from driving?
@ Diana
The diagnosis would not be an issue, with proper medical documentation from his physician. The related symptoms of hemochromatosis could be, later on.
How do I file a complaint against a medical officer? I went to get a physical and the Dr. made me get a heart cath even though I have a letter from my cardiologist stating that there is no reason I cannot drive and work. He says ” as a driver you have to be able to change a tire” I told him I’m not certified to change tires or work on the truck never seen a jack on any truck I’ve driven.
@ Steve T
Check FMCSA website. There is a way, but seems to be hidden in the site somewhere.
My current medical card is good until May 2020. the last time I had it renewed was right after I had surgery to remove my gall bladder and repair an umbilical and abdominal hernia without mesh. The card then was good for about another month, and I had to take a week off of work to complete the surgery.
Long story short, the abdominal hernia reappeared over the last 6-9 months, it has never affected my ability to do my job. I just took a week of vacation and had the abdominal hernia repaired with mesh this time. While I would obviously report the issue when I take my next physical, do I have to retake my physical now before I return to work, or do I take my physical again prior to May 2020?
@ Matt
You need to retake your DOT medical examination card before returning to work.
I am a non CDL driver for 2 companies. I am required by one(fedex) to have a medical certificate, not by the other. I’m wondering why the drivers at job #2 are not required to have this certificate. I do not cross state lines but do deliver items that have been transferred from out of state. I drive a commercial vehicle, 26k lbs. Why would these drivers not need a medical certificate?
@ Pamela P
Most states require a medical card to operate a vehicle used for commerce. Your second company may be operating outside the state requirements. Also, FedEx is a nationwide company. Confirm the need for a medical card for company two with your local drivers license department.
This is probably a stupid question, but what happens if I have been back and forth between Utah and Colorado, and I wasn’t notified that my license was suspended due to me not completing my next DOT physical? I recently 100% relocated to Colorado, and was planning on going to get my license changed, only to find out that it’s suspended for failure to complete a new DOT physical. I haven’t been operating any kinds of CMV’s, and I didn’t get anything in the mail or through e-mail, let alone phonecall, informing me of this suspension. And I had been under the impression that it would merely be downgraded to a regular license status in the event that I didn’t renew my DOT card. Zero notification and then finding out through my brother-in-law’s insurance company that my license is showing up as suspended seems akin to entrapment to me. So, what needs to be done in this situation? How would that be remedied?
@ Ariella S
Get a valid DOT medical certificate and present it to your issuing states drivers license department. If they need additional information, they will tell you what to do.
I have Primary Biliary Cirrhosis (PBC) which I have taken medication for the last 4yrs would this condition disqualify me driving a school bus?
@ L A
If you are a class A driver, then there will be serious questions. As a school bus driver with a lesser class license, the answer is with the state. Check with your state drivers license department
I was offered a job driving and the General Manager of the company told me I couldn’t pass the DOT Drug Test and Physical because I am on Dialysis and don’t urinate enough to fill the cup at the level they want. I offered to go get my own Blood Test at LAB Corps and pay for it myself.. The GM told me that they only accept urinalysis test. That didn’t sound right, with today’s technology, there are hair and mouth swab testing for drugs. Are there any DOT regulations that would keep me from passing a drug test because I’m on Dialysis?
@ Dahryl K D
The GM must want the normal report that goes with a DOT drug screen. But yes the technology is available to drug test you. No FMCSA restrictions other than being on dialysis.
Should there be an additional charge for the urine test? I paid . Then 2 weeks later I get a bill for $25 for the urine test.
@ Earl M. C
No, the testing for blood, sugar, and protein are all part of the DOT examination.
What if you have sugar in the urine and they make you do a stick and then charge $63 for the stick, is that extra charge allowed ??
@ Jimmy F
There should be no additional charge for a urine analysis dip stick.
I had a CDL exam and received a 1 year MEC. The examiner claimed my eye sight warranted the one year expiration date. I really wanted a two year card so the next day I thought I’d try a “do-over” and went elsewhere and passed the eye test but failed the BP test, slightly over 140/90 and also received a one year card.
My question is, if I try again, will the 3rd examiner see that I just had two previous tests elsewhere by looking at the FMCSA database? I’m not trying to game the system but don’t want to raise any red flags with the 3rd examiner before I even begin.
@ William L
It looks like, and feels like, your doc-shopping. Use the one year card to get your blood pressure down and get your eyes checked out. Then do a new DOT medical examination.
I’ve had a cdl class a in Oklahoma even when it was commercial chauffeurs license, I’m 64 now . In2014 was in accident broke my leg was off work, signed up disability started drawing dis 2015 had to renew license wanted to keep cdl had k restriction added when renewed license now I’ve been contacted about snow plow duties which I have done in the past . Called the co doing snow job told her I had cdl no med card she tried to tell me my license was invalid, I know it’s not. My dilemma is I don’t know if I’ve got to get a medical card to drive a snow plow don’t really want to pay for med exam I can pass just don’t want cost . Question is I guess do i have to.?? Thank you .I probably already know answer thanks again
@ Aaron E
Each state is different, so check with your states drivers license department. If you have a class A, most states require a valid medical card to maintain tour license, but confirm with your state.
Do I have to disclose surgeries that won’t disqualify me from driving on the road. Like for example if I had a cyst removed?
I’m currently 22 years old, I’m interested in becoming a truck driver. I don’t take any medications or have any serious medical conditions that’ll disqualify me from taking a DOT physical. However when I was 17 I had an operation done on my penis for a cyst and couple of skin bridges. It wasn’t serious, but I was under anesthesia. I was just wondering if it would be necessary to have to bring that up to the D.O.T. physician? Thanks.
@ Joseph
You can explain the situation, if asked, otherwise you should be fine.
What if you have a legal name change? How do you go about changing it on your medical examiner’s certificate?
@ Jennifer
Most DOT officers would be fine with a copy of the name change documentation. You could go back to the CME who did the examination and ask for an updated name on a new certificate, but that would create more hassle with FMCSA then simply providing a name change documentation the the DOT officer. When you get your next physical and your license has the new name on it, you’ll be fine.
Can u get a cdl medical certificate in new York state if you have only one kidney
@ Jeanne W
NY drivers license department will have the best answer for you on this issue.
I have a bus CDL with S & P endorsement. I am retiring in December and turned
In my pocket card as required when I signed my paperwork. Can they still make me
Drive a bus without my pocket card until December?
I have a medical issues attached to my card and was not scheduled for New DOT physical
Until 2020.
@ Lynda W
If DOT stops you and you can not provide a valid medical certificate, then they will site you. Simply request they return your medical card until you no longer drive.
Hello. I have posted before regarding brain tumor surgery and cancer treatment. My question is what is the actual guidelines for getting a DOT certification with this existing condition? Any information would be appreciated.
@ Daniel G
It will starts with a medical release form from your doctors and any supporting documentation the CME is requesting. The CME’s responsibility is safety and risk to driver and the public at large. Start there.
I took a preemployment drug test and the test facility lost my paper work. What is my options, I took a home test and was negitive for everything so I know its not me. I had herd I can’t retest. What the hell…..
@ matthew
It is the test facilities responsibility to re-test, and they have access to your last test results, so someone is not telling the truth.
what does your A1C have to be at to pass
@ Ray
Your A1c needs to be in the normal range, between 4 and 6%.
Trucker Docs,
My husband has type 1 diabetes and takes insulin every day and has decent numbers. The diabetes isn’t debilitating and doesn’t affect his job and he has a waiver from his doctor saying this. My question is, is A1C was 8.1, will they pass him or at least work with him when they see his numbers aren’t that high normally and he has the waiver from his doctor?
@ Heather
If he is a class A driver then the CME will have questions and may have to work with him. His numbers need to be lower for sure, but a note from his primary should help.
I have a history of brain cancer. It effects the status of my dot card renewals . My question is what if I start omitting the info on my history paperwork at whatever clinic I go to? Is all the information inputted into a national database where they would find out?
I had brain tumor resection, chemotherapy and radiation in 2017. I had a renewal in August 2018. No real issues. However, I had a new employer in May ’19. With that certification the nurse gave me such a hard time. In the end she gave me a card for only six months. Does that information stay in my records? Or could I possibly get away with not including and get certified hassle free? I am in remission and healthy otherwise.
@ Daniel A. G
You can request a second opinion from any registered CME. It would over-ride the existing medical card once put into the registry.
I do not have a cdl, but my husband is a truck driver and im with him 24/7. Here is my question. Can i have medical marijuana in the semi without him losing his CDL or getting into trouble with the law
@ Cheryl
You put your husband at risk. Until medical marijuana is legal through out the all states, he still must follow DOT/FMCSA and that federal. Most likely it would be an issue.
If a driver’s physical card expires while on temporary disability for an injury will he lose his CDL for not having a current medical card?
@ James W
Most states understand situations like your and all you need do is contact your state, the one that issued your cdl, and follow their guidelines.
I heard my doctor has 24 hours after my exam to report it on the website. What happens if he does not report it in 24 hours?
@ denise
FMCSA website has so many issues, they probably won’t notice. The CME’s is the one that is responsible for the data input. He may risk penalty or warning from DOT?FMCSA.
I submitted my DOT card online, like I always do, but did not receive the email telling me that it was accepted or denied. Is there somewhere I can go look online to see if it was accepted?
@ Darrell B
This is reported to your states DLD, so check with them on your status.
My question is
I had a back inury at work therefore i am not working at the moment. And my medical certification expires Sept 10 2019. I would like to kinow If there is a possibility that i take my certification in sixty days, meaning getting an extension?
Because i am in a debate with a work injury and my Attorney is working on it.
@ Arturo M
There is no extension for your medical card. You need a medical release from your doctor with no restrictions or limitation to pass the DOT medical certification examination. Once you get a release from your doctor, then go get the examination.
I’m required to have a stress when getting my DOT medical examination. However due to another health problem I will be unable to perform the stress test at the time of my next DOT medical examination. Is it possible to get an extension on having this exam done? Will my CDL become inactive unless I have this exam>
@ Crystal A
Stress test are needed every two years. If your last test is within the two year period, then it should be no issue. However your other health matter may become an issue during your DOT medical examination. CDL matters are done by the states drivers license department, so check with them on cdl inactivity.
We have a driver that is going to have an operation and anesthesia will be used. Are they required to have a new physical before coming back to work?
@ Steve B
Yes, FMCSA requirements.
I have RRMS. My DMT is Ocrevus. I’ve had 2 yrs of stable MRI’s. Can I be disqualified for a medical card due to my MS. Have a doctor stating my MRI is stable. At this point I have a examiner saying I am disqualified due to having MS.
@ Cathy
Your condition will always raise major questions with a CME for the DOT. Bring as much supporting documentation as you can with a medical release form from your treating physician. And get a second opinion from another CME. You may, with proper medical documentation and a medical release, be able to get a one year card. FMCSA has guidelines that the CME needs to follow, so be prepared.
do you need a birth certificate for a D.O.T. physical
@ Randy H
No.
I have been diagnosed with OSA Obstructive sleep apnea and am currently being treated with a dental device. I was told by a medical examiner that i would be disqualified because dental devices are untrackable so i was not able to get certified from that doctor. I am being treated and hae gone to another doctor and they told me that is does not disqualify me at all and as long as i am being treated that was fine and was re certified. I now have a 1 year DOT card. My question is will I have trouble with mostly all Medical examiners in the future? I do have an email from the federal motor carriers medical dept telling me dental devices are ok to use.
@ Jason m T
The more experienced CME’s will understand, but there may be issues with some others. If your being treated and follow-up-with routinely, then bring a recent medical release form and any supporting documentation you can.
Will I get my dot medical exam certificate after I get my drug test results back?
@ Traice A
DOT physical medical card and drug testing are two different and separate things.
I took a preemployment drug test and passed, now I have to go get a DOT physical exam that tests urine for blood sugar and protein. Will the DOT physical also test for drugs? or will they use my preemployment drug test results?
@ Jordan M L
DOT examiners are only testing for blood, sugar, and protein.
I took my Dot physical and passed all requirements. Because I had a slight protein in my urine (ketones), she only gave me a 1 year card. Can she do this? How do I make a complaint to the FMCSA about a provider?
@ John
It does fall to the CME’s interpretation of the FMCSA guidelines and how long they would be prepared to let you drive without a yearly follow-up. In most cases, the CME is reading a potential health issue and wants to have you keep a closer eye on the issue. There is an area in the FMCSA/national registry to file a complaint.
minimum age required to receive a dot medical card
Paul McG
18 and your states rules may vary for cdl. Check with your states DLD.
I took a dot exam two years ago and stated that I had anxiety two years prior to the exam and took xanax for it but hadn’t taken them for two years. The doc wouldn’t pass me without a sign off from doctor. I couldn’t afford to pay the extra 100 dollars to get that doctor to fill out a form so I never followed up. Now 2 years after that I am in the same situation. My question is, is my exam info on the database and can I just not put that on my history for this time around because I can’t afford to pay a doctor just to confirm that I haven’t taken any med for 4 years.
Can I freeze my medical card if Iam not driving at this time but don’t want to lose my commercial licensr
@ Ron
No.
@ stwf
If you have not taken any medications for your condition for over four years and have had no issues, then you should be fine.
My question is do they keep a medical record even if you do not follow through. For instance, I had a pending determination based on getting a note from my primary care and never followed up about a year ago. Is this record of examination still on the government file ?
@ stw
It is probably on FMCSA’s registry, but if you have a valid medical card right now your good.
Have a question… if you eat and drink a large glass of orange juice within a half hour before going to get your physical. Does this affect certain things for testing?
@ Carson
Could effect pulse rate, blood pressure and sugar levels in the urine.
Can you have a pre-dot physical performed several months before the actual physical to renew the medical card? To give you some time to correct any issue before the card expires.
@ Jamie
You could ask a CME if he is willing to do so.
Do Article 19A physical exams get filed with FMCSA?
@ Ant
No.
Is there a age restriction for getting a dot medical card I am 16 and getting my license soon and plan to go get my medical card as soon as possible after I get my license or can I get that first and then the license?
@ Cody
Each state has its own age restrictions and FMCSA has age restrictions for commercial license cdl. Check with your state first. Get the license first and then start the process’s needed for the medical card.
I’m not looking for a CDL just a medical card to drive a 26” box truck. I am in Massachusetts do you know what the minimum age here is? If not where could I find out?
@ Cody
Check with your local drivers license department, they should be able to help you out.
I once had my Medical Card and CDL. I had got my CDL in KY because of my vision in one eye. Moved to NC and had been driving truck. I had an accident, where a tire, off the truck, rolled onto my leg injuring my knee. My doctor took my Medical Card and I could not drive Trucks no more. It has been 10 years and I have not had any problem with that knee and I drive everyday. Is it possible that I could get my medical card again and drive trucks?
If you can pass the physical you can obtain a new medical certificate (“medical card”).
@ BC
Yes, first get your cdl back and then follow your states requirements for a vision variances.
I have a driver that was diagnosed with diabetes. He currently has a valid med card but the exam was before this diabetes diagnoses. Can we send him for another for another exam to make sure he is still DOT qualified?
@ Amber
His current medical card should be invalid and a new DOT medical examination is required.
Can I take a DOT physical with Chronic Kidney Disease?
@ Dwayne W
The condition will require further medical documentation for the CME to determine your qualifications.
My cdl physical card expired. I do not drive anymore, although wanted to keep it, in Florida. Question, have you used any drugs in last 2 years. Stupid me, answered honestly, yes, marijuana. Last two years it said. Passed physical, denied card due to saying yes. Card expires 2 days. Can I get a extension? How ridiculous this is?
@ Bob F
No extension, just a new DOT physical.
I was given a 1 year cert due to the fact I had a lymph node surgically removed for squamous cell cancer in 2016 and was diagnosed with low-grade prostate cancer in 2018. The first is in remission and the second is not life-threatening, only ‘watchful waiting’ stage. Neither require treatment, am not on any meds, only need to annually check on them. Was given a 2 year in 2017, only a year after the surgery. Doc says regs have changed. Is this so? everything else was A-OK.
@ Brad
The CME is following the guidelines and if he feels that ongoing monitoring is necessary, then he has the right to limit the cards length to one year at the time.
I had a concussion with a small brain bleed.i was held over night in hospital for observation and released with no complications. My neurologist cleared me to drive but my med card has been revoked for a year. Is there anything I can do to get driving sooner? I have a class a driving interstate.any help would be appreciated.
@ Doug b
Examiner is following the FMCSA guidelines for class A interstate drivers. Check with your local driver license department regarding the guidelines for Intra-state only for the rest of the year.
Recently went for my dot physical and there were some issues that I strongly disagreed with the Dr. Dr. granted me a 3 month medical card. I took it upon myself for a 2nd opinion and retake the physical with a different Dr. outcome was positive was granted 2 year card med card. On the examiner report the Dr. assistance orally asked me all the questions and filled in the responses. One she accidentally checked no when it should of been checked yes(have I ever used tobacco) which I didn’t realize until I got home and reviewed the report now it’s got me worried. It’s Sat. I plan on calling his office 1st. thing Mon. Wondering would they’ll be able to go into the system and make the correction.
@ Scott
You can check with the office and see if they can correct the answer. But there really isn’t anything to worry about. Next time make sure you are the one who fills out the intake forms.
I hold a CDL In Utah , and I have to renew my license and DOT . I am diabetic and my A1C is sitting above 10 what is the max limit for the A1C as I was told this is to high
10 will disqualify you then you have to wait 3 months to take the a1c test again
I went to Concentra for my DOT physical. The first doctor who saw me thinks I have depression/anxiety because I said I was depressed once (long ago) and I like to drink after work. She gave me 3 months to go to a primary care physician to get checked for depression (I did, no depression found). When I returned 3 months later, the other doctor saw me and cleared me for depression, but said that because I was hospitalized 10 years ago for a rapid, irregular heart beat I had to go get checked out for heart disease. I drank energy drinks and shots every day back then. Since I haven’t had any episodes since then and quit caffeine, a cardiologist cleared me for heart disease. 3 months later I was seen by the first doctor who contradicted her colleague’s opinion about my depression and said she STILL wasn’t convinced. She gave me 3 months to get to a doctor and checked out for depression . . . again. She did clear me for heart disease though (I’ll find out on my next visit if HER colleague is convinced or if I have to get my heart checked out again). I was charged $100.00 for each visit.
Do I have to return to these people or can I get my next DOT physical from a different doctor? It does seem I’m being taken advantage of. My co-workers have advised me to seek legal council, but I’d rather not if at all possible.
@ Jay M
Go somewhere else and get a second opinion.
I have a nys cdl driver’s license class b. My medical card exp. Next month, can I go to New Jersey “another state” to do my medical exam??
@ Roberto R
If the examiner is on the registry, then you can have your exam done anywhere you like.
My Dot Medical Certificate expired on May 5 2019 I was told I couldn’t drive my route because it was expired. Our Safety personnel says this is a new rule ny New York state. Is this true or not….
@ Norman D
Most states require a valid medical card to operate a commercial motor vehicle. Once the card is invalid, in some states, your driver’s license is invalid. A new medical card should fix the issue.
I had surgery with anaesthesia, do I have to get another DOT physical before I can go back to work?
@ Kenneth B
FMCSA requires all class A drivers, who have been out of the truck due to illness or injury, have a new DOT medical examination done before returning to work.
If I was off 12 weeks with a pressure wound on my foot. Do I have to renew my medical card
@ Edward P
Yes.
I was given a 1 year physical because I am on gemfibrozil, a cholesterol medicine. I have been on it since 1998 and never been denied a 2 year physical card. Has something changed?
@ Greg
No changes. If that is the only reasoning given for the one year card, then get a second opinion next time from another examiner.
I took the the physical. In March 2019 was told I passed but the waiting period because I was in the hospital for blood clots in my lungs . I should come back after I pass my family dr’s blood test and physical . I did and got a written signed letter from the dr. Went back now the dot nurse said I have to take take another physical from them . Because I didn’t get my card they want me to do it again it’s been about 55 days ?? I have to pay again ???
@ Theodore A SR
FMCSA requires a new examination be done each time. According to FMCSA, things may have changes in those 55 days. New Examination.
I recently had a DOT physical done. I was given1 year on my medical card because a month prior to getting a DOT physical I had been taking an anti depressant for 1 month given to me by my doctor who happen to be my new doctor. She gave me the prescription on my first visit. By the follow up visit a month later I had completely stopped taken the anti depressant as I didn’t feel I needed it. I had never been on an anti depressant before. The DOT doctor noted it on my form as I was upfront. The trucking company I was going to be driving for sent a standard short form asking for clarification. My doctor noted the medications on the form, gave me a copy and approved me to drive. The trucking company sent another form. This time another doctor in the same office who I had never seen nor met disapproved my form and refused to give me a copy and I was turned down by the trucking company. By this time I had already quit my regular job of 16 years and was preparing to go work for this new trucking company. So this doctor who I never met tells me I should be taking the medication. Then I told her I didn’t need the medications and that I was out of work because of all this with no money to pay my mortgage, car payment and bills. she told me to go get badger care. I am wondering is there a way to get a second opinion, Get a new DOT physical, get a new permit and DOT physical out of state. running out of options. I had my heart on becoming a truck driver. what can I do?
@ Ken
Go get a second opinion else where.
If a truck driver has a open workers comp case because of a back injury, can he renew his DOT medical card?
@ David
No, the injuries would restrict the passing of a new medical certification examination.
Do I need to have taken the written test to get a permit before having the medical exam done?
@ Kasey
No. Anyone can go for the DOT medical certification examination.
I was told today that I need an A1C under 7.0 to get any CDL at all. I called the clinic that the school I’m planning on using referred me to. This information doesn’t square with what the FMSCA says or what the state I’m in says either. It just sounds fishy. What are the 2019 DOT reg on Non Insulin dependent T2DM?
@ Alice W
CDL’s are state issued and have nothing to do with the FMCSA. Check with your states DLD for clarification. Unclear as to who gave you this information.
My last DOT physical a “Occupational Medicine” Doctor my company made me use disqualified my CDL because I am on the medication Suboxone, which is not a disqualifying medication.
She requested that I provide a note and research from my doctor stating that I am fit to drive and not a risk.
I have done that. In all my years driving I have never had a wreck in my personal vehicle or in a Commercial Vehicle while on this medication.
I sent her the information she requested and she denied me again. I have been on this medicine for years while driving and in my career have never had any problems with safety.
I am 20/20 vision, perfect weight, perfect hearing, no diabetes or any other problems. I’ve never had an accident yet she insists I am a safety risk. I have been driving a CMV for 6 years without incident on this medicine.
After she told me I was unable to drive safely and took my CDL and livelihood away she proceeded to tell me I could do a appeal process. Her decision is completely unreasonable and is based on her personal feelings towards me as opposed to the general safety of my driving ability.
She told me I could appeal her decision but could not give me any information regarding how to go about it or what to do. Is there a way I can have her decision appealed? How would I go about it?
My company will not let me get a second opinion. They will only let me use her and she is extremely biased. She told me she always denies people on Suboxone and has never passed one in her entire career.
My CDL is my livelihood. Is there anything I can do to get my job back?
@ Jessie C
# 1. She cannot take your cdl away from you, medical card qualifications yes, but not your cdl.
Your medications are going to raise questions anywhere you go for a DOT medical certification examination. Take all the medical documentation, that you have, regarding your situation and the length of time you have been on these meds. A medical release form from your prescribing doctor too.
so what happened?did you pass or is she still discriminating against you and suboxen,yet they’ll let the real drug addicts do whatever they want, when someone on suboxen trying to do things the right way these clowns put the stigma on you,ridiculous.
If you put your not hiv positive but you are will you still pass the dot exam
@ James
If you lie on the intake forms, what else will you lie about? Unless there is reason to question any other physical conditions requiring medical documentation, then you may pass.
As far as the exam is concerned, if we wear glasses,must we bring them, or is it only necessary for them to know that you can have 20/40 with glasses. I need to buy new ones(stolen) , but didn’t know if it was necessary before the test. Also, do they check your prostate or testicles, is it necessary?
@ Henry
Bring your glasses for the examination. DOT/FMCSA does require that the CME question you and examine you for inguinal hernias
I have a driver that needs his DOT physical done in two weeks, he was in a car accident cannot pass physical what can he do to not lose his license because of this?
@ Sandra
He won’t lose his license due to his present situation. You may need to speak with the local drivers license department to determine their process.
If you were hurt on a WC case, but Dr released you as cured. Do you have to put broken bones on physical paperwork if bones aren’t broken?
@ J H
If it ask ‘have you even had’ then yes.
I have hep c. Can I still keep my cal lic.
@ Joe c
Probably, but check with cal licensing for the best answer.
I work for 2 different companies, I have a valid DOT certification. can one of my employers require me to get a DOT certification from their company doctor? I live in NY
@ Vinny
That’s a company policy issue. They should not need another valid medical card. Your card is good throughout the USA.
If I do not have a cdl class license, and I just fall under state variance, are my dot exam results filed with FMCSA? I failed one test, they claim they tested me for drugs and I failed (I thought the urine screen was for blood, sugar and protein) My company did not ask for a drug screen, and I paid for the exam myself, yet was not told that they were doing a drug test. I went for a second opinion and passed, though they did not do a drug test. Does this second still supersede the first?
@ T
Yes.
I am currently half way through a radiation treatment for Grade 1 prostate cancer. Today I received a Texas CDL Medical Certification Renewal Notice with a expiration date of 04/23/2019. First question – should I have contacted someone at TDPS to advise them that I am no longer long haul driving and receiving radiation treatment? second question – If my radiation treatment/clearance to go back to work is not completed before 04/23/2019, Do I loose my CDL Class A license?
@ Caroll C
Your cld class A license is state issued. And at present you are not qualified to do the DOT/FMCSA medical certification examination. And your medical card went invalid with the diagnosis and treatment. Let the state know your situation, they should have a policy regarding situations like yours.
I am currently in Iraq working as a US DOD Contractor and cannot get to the United States in time for the physical deadline. Can I get a physical out of the country and send the results to the Louisiana DMV to meet the requirements?
@ James T H
Contact the Louisiana DMV, we are sure they have special arrangements with out of country DUS OD contractors.
What do you have to do to get a pocket card again for North Carolina to drive a school bus? Just need to get it again because mines has expired.
@ Sheri
The examiner should give you a new card when you do your next examination.
I was previously a OTR driver and decided to drive for a motor coach company, they had me take a new DOT physical and the doctor passed me and gave me a 2 year card , but 2 days later the company sends me back to the doctor and she tells me that per their policy and the motor coaches policy I need to have a sleep study done , so let’s just say that conversation didn’t go well and I left , but when I checked with the state the card that was sent to them was the 2year card that I signed off on, and I advised the company that I didn’t mind taking the test but if they are recommending that I take it they should pay for it ( which they are saying no) , but they still let me drive , until I found out that the doctor sent them a new card that was good for 3 months and that it expired , so when I call my supervisor he tells me that the doctor rescinded the 2 year and gave them a 3 month. My questions are 1. Can a doctor rescind a DOT card? 2. Can this be done without my Signature on the new card, 3. and is the new or old card valid ?
@ Roni b
Company policy is one thing, so check with the motor coach company HR department for their stand on the issue. If they demand the sleep study, then they should pay for it. CME doctors don’t rescind a valid medical certification, without probable cause. We would recommend you check with your states drivers license department to confirm which medical certificate they have on file.
My brother needs a liver transplant. And i am considering doing a live liver donation. will this disqualify me from getting my Dot Physical card renewed?
@ Gerald R
Once fully recovered and released and your medical doctors release form, with no restriction, then you may be aok.
I have my medical marijuana license in ny I am a cdl driver . On my prescription the doctor wrote use 4 hours prior to driving and operating machinery. I failed a drug screen because I thought it was legit because it’s from the department of health etc . Is this not a lawsuit . The department of health and the doctor failed me . I feel it is unfair that neither the doctor or department of health who gave me my card and prescription. I told them I was a cdl driver
@ Matt
FMCSA medical certification does not accept marijuana legal or not. It’s a federal ruling not a state regulation.
I took my dot physical yesterday and also a drug test. I know it will be a few days before I get the drug test results, but how do I know if I passed the physical ? I know I should of asked the doctor
@ Purcell d
Medical certification examination and drug testing are two different things. You should have received a medical certification card if you passed the DOT medical examination. Drug testing results are sent to the employer.
Uhhhh, you’ll be dead without your liver dude!
I HAVE TO TAKE A PHYSICAL EVERY YEAR BECAUSE I HAD BYPASS IN 2012 NOW THEY SAY I HAVE TO TAKE A STRESS TEST SO I WENT TO TAKE THE TEST AND THEY SAID YOUR INS WILL NOT COVER THE TEST . I HAD ONE IN 2016 AND EVERY THING WAS FINE. THE TEST COST ABOUT $10,000 IN THE MEAN TIME MY MED CARD EXSPIRES AND THE SEC OF STATE WANT ME TO SEND MY LIC. IN. WHAT SHOULD I DO?
@ Gary R
If a simple stress test is 10k, I might want to do some shopping around. But your last stress test is now outside the FMCSA requirements. For the CME to issue a card on that stress test and then you have a safety issue, the FMCSA comes after the CME. You need the stress test for DOT/FMCSA
Hi,
If a patient/driver denies the hernia check, does this automatically disqualify him. Is the medical examiner allowed to deny/disqualify the patient for this reason alone?
Thanks
@ Beverly
Some drivers are picky about male/female examiners. The test should be completed by a same sex examiner. Also, under full questioning as to the possible likelihood of a hernia, an examiner could qualify the driver. But, the examiner had best have a good set of notes to show his/her decision making process.
Do CDL holders 80 years old and above require a 6 month CDL physical exam renewal?
@ Janine
It will depend on the examiners findings and potential risk factors. It is not a FMCSA regulation, but aging factors are in the guidelines for consideration.
I am in Indiana and drive a 20 passenger special purpose bus for my day care center and have held a CDL for 20 years. I was diagnosed with Myasthenia Gravis in 2011. Since that time, my symptoms have been controlled with medication with no progression of the disease. Every year prior to having my DOT physical, I go to my neurologist for an examination (for strength, coordination, etc.) and she has always passed me for driving and signed a medical release form – it has not been a problem and I have successfully renewed my license every year. This year, with a new doctor at the clinic where I go, she told me I had to walk on my toes to prove I could apply the brakes. This is the first time anyone has asked me to do this. I certainly have no problem applying the brakes. I cannot do this because I have developed flat feet and my ankles have pronated (turned in). I tried to tell her this, but she would not discuss it and put on the physical form that I could not walk on my toes because of the Myasthenia. She made NO physical examination of my feet and ankles and told me the doctor she called at the Federal DOT hotline said I could not appeal. Basically, she recorded a diagnosis without a proper exam. Is there anything I can do?
@ Cathy B
You are not a class A driver, but were tested as one. Apples and oranges each has their own grading system. Check with your local DLD for better clarification. Also, get an examination done by an examiner that know the difference between class A drivers examination and small passenger bus drivers examination.
If someone is diagnosed with kidney disease stage IV and will begin dialysis immediately. Will they be able to maintain medical card and cdl?
@ mike
Your medical certification will be invalid and may affect your cdl. You should check with your local DLD for a more complete answer.
At my company we have a female nurse who comes in and does all the physicals for drivers and warehouse workers. Some of us drivers find it offensive that we are asked to drop our pants and underwear so she can grab our privates, Is there any consent or restrictions to what she can make us do? I appreciate your comments because I cannot find any wording on this anywhere.
@ William S
If this situation is uncomfortable to you and other male drivers, then you can request that a male perform the examination and report his findings to the nurse
My husband is getting a DOT physical by his family physician who is a CME.
1. If he gets a 3 month card and has to return after 3 months for another DOT will he need to pay full price for the second exam?
2. If he goes in for a DOT with his family physician and gets a 3 month card because his BP is high. The physician also starts him on blood pressure medications at the same visit. Are all charges under the DOT or do I pay for DOT and pay for my hypertension treatments?
@ Frankie
This questions are best answered by your doctor. None of this falls under the FMCSA.
Is it true that at the age of 70, you are only allowed a 1 year medical certification?
@ Alice D. DC
It is not a FMCSA regulation. It falls to your professional opinion as to the length of the medical certification.
Hello,
I live in RI and last year I turned 65 and was told because of my age I need to get my medical card renewed every year instead of every 2 years. I recently renewed it again now that I am 66 also for one year. I do have Rheumatoid Arthritis and have had it for over 15 years, but it is under control with medication. The doctor who examined me for the medical card never mentioned that my disease had anything to do with the one year limit. I tried to see if RI has a limit based on age, but did not come up with anything.
Regards,
David
@ David G
There is no FMCSA age related limitations. And, if the medical examiners feels that he wants to keep a closer eye on you, then he has the ability / responsibility to reduce the time frame of the medical card.
if your medical card is pass due by 2 weeks,can you still drive until you see the doctor next week?
@ mike
If it did not invalidate your cdl.
If my urine was at 100 degrees at the clinic,does that goes to dot records as well
@ Kenneth D B
No.
If a company pays for a dot physical can they legally charge it back to u after they fire u?
@ Sherman M
Whats the companies written policy on this issue? Start with the companies human resources department.
I take unprescribed Amordafinil to stay awake for long hours primarily for school and take as needed. Is this a disqualification? I do not have sleep apnea or any other related sleep apnea conditions.
I went through a treatment program for alcohol and marijuana nearly 4 years ago, does that disqualify me from getting a medical card?
@ Pete
You will be asked, by the CME, to provide specific documentation. If you can, you should not have any problems.
Got hired on as a school bus driver back in August. For my first physical they discovered I had untreated diabetes so they gave me 30 days to get it under control which I did. For my second physical they decided I needed to undergo a sleep apnea test so they gave me 3 months. I did the test, failed and was put on a sleep machine. I did the required hours and my sleep doctor passed me for the physical. I went in last week to get my year approval but my blood pressure at first reading was 168/90!! They said I would not pass with that reading. So I asked them to do it again. The next reading 20 mins later was 138/90(something) because of the lower reading she would not pass me. I told her I had no history of high bp she said her hands were tied but since i still had a month before my license would be revoked she said to see my doctor and get on meds if needed. I did and he said I had no history of high bp and that day it was 130/80. So i thought I was fine i even continued my diet losing 10 pounds in between my visit from this morning which again this morning it was 144/90something. I told them I was very nervous so she tested 3 times each time it was higher. Anyway I have one more try in 2 weeks right before it’s revoked, she told me if its over 140/90 I will fail but I’ve read the guidelines and that doesn’t seem to be true? Should I go to another doctor or is that true?? I’m in Indiana.
@ Josh g
140/90 is the highest a bp can be to pass the medical examination. Anything less, including bp medications, begins to require further examinations and documentation from the attending physicians. If you feel stressed out at the facility you are presently using, them try one that allows you to feel more relaxed.
I took a DOT Physical for a School Bus Driver job October 2018. The medical examiner said I had to sign an authorization to release my medical record to my new employer, before I could be examined. I signed and took the physical. The examiner told me that I passed the physical. They were waiting for my for my lab and drug test results to come in and would send everything to my employer. The examiner did not give me a medical certificate. I was told that the employer instructed them not to give a medical certificate to driver trainees they send to take the physical. I asked the examiner if I could fill out a medical record release form to get copies of my record. He told me that they can not give it to me because the employer paid for my physical and are the only one privlidge to my medical record. I would like to know is this legal? Why am I not intitled to have proof that I passed the DOT Physical if that is the case? Can the examiner withold the certificate I never saw or signed? What legal recourse do I have if any?
@ Leslie D.
We are not legal advisers, and we would have serious questions about this. Check with the hiring company and ask for their written company policy regarding medical records. By law, as we understand it, you should receive a copy of your medical card and a hard copy of your medical examination.
Can i get an Extension to renew the medical card
@ Shelly V
Check with your local DLD for best answer.
My husband is a CDL-A roll-off driver. He hurt his arm at work. On 11/25 we went to urgent care at Concentra, his job’s doctor. He had just eaten and his blood pressure was 200/90. They took his medical card and put him on muscle relaxer and an NSAID, put him on light duty, gave him another appointment, sent him to his PCP. PCP ordered an MRI and changed his blood pressure meds. He’s been back and forth to the doctors, blood pressure is better,- but turns out both the NSAID and pain med RAISED his blood pressure. His medical card expires 12/18, has DOT physical scheduled for that day. What happens now? Where does his blood pressure need to be to go back to work? Last reading was 170/80. Can he postpone physical?
@ Angela
Once your husband has a full medical release, without restrictions or light duty, he’ll need a new physical. His BP need to be below 140/90, with or without meds. You can postpone, but watch out as to how it affects his driver’s license.
My husband failed his DOT physical due to high blood pressure. His Kaiser dr. Told him his BP was fine and was not changing medications. He returned to DOT Dr. And his BP was high again. The DOT Dr. Put him off for 2 weeks and said he can not test again within that time. Can he find another DOT doctor and get a second opinion now or does he have to wait the 2 weeks like the DOT dr said?
@ Sam F
You can always ask for a second opinion at any time.
My husband has been going to a practice for his DOT physicals and regular care and recently they won’t give him his medical card because they say his A1C is still too high. As of Tuesday it was 9.2, down from 9.5 in October. He had an appt in September at which they put it on hold for 45 days because his Cpap usage wasn’t at 70%, never mentioning the A1C. So we got his Cpap straight and went back in October to get his card and was then told he couldn’t have it because of the A1C level in September being 9.2. They have him on Trulicity and he has been taking it religiously and modifying his diet. He’s lost 15lbs since September, but they are still denying it saying they don’t see enough progress. He’s had his cdl for 13 years. Never had a diabetic episode, gotten confused, no physiological issues that would impair his ability to drive at all. He’s now lost his job because of not being able to drive and has no insurance and can’t afford the $800 a month for the trulicity. Can he see another doctors office for a second opinion? Does he need to do anything special to avoid potential issues?
@ Lindsey
As long as he has his A1c down in the normal range, then he is welcome to a second opinion.
There is no limit requirement for A1C levels…not sure why examiner would not qualify???
@ Peter
FMCSA does have limits on the A1c test. CME should have explained why you did not qualify.
I have a cyst on my tonsil that my doctor said is harmless. Will this effect anything? I need to take a company physical on Tuesday and was hoping this won’t be a concern for them.
@ Jacob
As long as it does not interfere with ability to swallow or breath, then there should be no issues.
I have my vision checked by an ophthalmologist. The result shows that I have a 20/40 in one eye, 20/20 in the other and 20/20 on both.
Do I meet DOT vision requirement. Distant visual acuity of at least 20/40 (Snellen) in each eye, with or without corrective lenses. Distant binocular visual acuity of at least 20/40 (Snellen) in both eyes,
with or without corrective lenses.
With 20/40 in one eye is this considered a monovision? Thank you for your candid reply.
@ Peace
As long as all else is within normal limits, then you would pass the vision test and you can use your doctors test results.
I have a cardiologist that will not say I am okay to drive or I am not okay to drive will give no comment either way.Have already passed physical.what can I do
@ Henry L P
If you have a valid medical card in hand, then you are good to go. The cardiologist is mistaken that he can be held responsible for signing off for you.
If I am pregnant, will that disqualify me from obtaining a Class “B” Commercial Drivers License with Air Brake and Passenger Endorsement (School Bus)?
@ Lorena G
Probably not.
One of my employees failed his first DOT physical exam and now needs to go get a second opinion. I was wondering if the results from the initial exam that he failed will be sent to FMCSA?.
@ Brandon
Yes.
My DOT card was disqualified, my company made me get another physical after i just had one in July and passed because they claim they got me on camera falling asleep which was false. Went to doctor passed the dot test then He says I see your company sent you here because you fell asleep at the wheel. I’m disqualifying your dot card until you have a sleep test of done. Im using a apap machine and now the examiner says i have to use it for 30 days and bring in the stats from those 30 days before i can take my dot test for my medical card again and have it reinstated. Is this true or can i go tui another doctor and show him im Complying and using my machine I actually love it I slept 13 Hours today.
@ Philip L
30 Days compliance is a FMCSA requirement, not the doctors request.
I have a driver that was hospitalized. Is her required to obtain a new physical before he can return to work?
@Ron
Yes, the driver must get a new medical certificate before he/she may drive a commercial vehicle again.
I know a driver that failed his medical exam i went to work at the same company and now my medical info has mysteriously disappeared and he is still driving
@ John
???
Can a Dr on the national register doing Dot physicals also be your treating Doctor?
@ Tom L
Yes.
Does having a liver transplant one year ago disqualify me for a DOT if I am otherwise healthy?
@ Christine
You will need to bring your doctors release form along with your most recent test results.
If my husband had a bone marrow transplant and isn’t able to get his DOT physical before the deadline, what will happen? Can he put it on hold for a couple of months until he is well enough to get one?
@ Susan
Check with your local DLD for the best answer here.
Does peritoneal dialysis automatically disqualify drivers per fmcsa
@ Debra
It will cause questions and will need supporting medical documentation from your doctors.
I was disqualified on my dot cdl physical and I feel the Doctor was very wrong. When I go to another approved doctor do I tell them I am disputing my disqualification from the other doctor. And do I have to pay another fee.
@ Richard O’H
Second opinions require time and talent, so it will be very likely you will pay for a second medical examination. The examiner does not need to know you are requesting a second opinion. And you can tell them, if you choose.
Are the new electronic dot medical cards online?
@ Joe B
Not that we are aware of.
I have been driving since 2006 and i have crohns disease. I have always passed my dot physicals with a 2 year expiration. This years the doctors told me that because my crohns disease under new 2018 regulation that ny physical is only good for 1 year. I take an immune suppressant drug and have not had a flare up since 2012. Is this right?
@ Julie
There is no new ruling and the certifying physician can hold you to a one year card, if he feels the need for continued monitoring. Next year try another facility.
A co worker had a DOT physical on 09/28/18 by his family physician who is a CME. He was given a 6 month card due to his diabetic condition which is under control. The company made him go to their CME on 10/01/18 in which he was disqualified the CME said he could hear a heart murmur an EKG was given and showed no abnormalities. The medical assistant did a glucose test which showed a blood sugar level of 469. My co worker was not sent to the hospital for hyperglycemia. My questions are should the company have honered his current DOT physical? I also think there is something wrong with the CME who disqualified him. Being that he discovered a heart murmur that wasn’t detected 4 days prior and a blood glucose reading of 469 and not sending him to the hospital for treatment. Then refering him back to his family physician who issued a 6 month card. He had blood work done prior to his first physical which included A1C levels.
@ Wade
Lots depends on the company policy for accepting a valid medical certificates. It sounds like the company doctor may have a conflict of interest and should have acted in a more professional manner.
I have a current and valid DOT physical card. I am in process of being hired by a trucking company and they wanted me to do another DOT Physical. Do employers (specifically new) have to accept you DOT card? I just passed the physical a little over a month ago.
Depends on what the company policy is. The company can accept your current card or they can send you for another DOT pyhsical.
@ Jon
Company policy. Check with their HR department as to why they would not accept a valid medical certificate.
I schedule my husband’s medical exam each year prior to his CDL expiring. However, the doctor’s office, in order to be sure it gets done prior to expiration, makes it so it is earlier and earlier every year. So, we are never getting a full year out of the card. His card used to expire in the middle of December. Now it is the end of October!! How can we avoid this constant progression?
@ Susan L
You can set the appointment much closer to the expiration date, but we know of no other means to correct the issue.
When a driver fails his med exam, shouldn’t the DOT physician be giving documentation of the failure and the reason, and the subsequent actions ( return in 30 days, etc.).
Our doc is not doing this – simply telling the drivers that they are not passing and to come back after they see their own physicians and resolve the issue. Of course, then their certificates expire, so they are temp suspended anyway, but shouldn’t we have something to cover ourselves for the suspensions?
@ Gayle
Clarify the question and we will try to answer it for you.
I have a driver that would like to quit smoking. I know Chantix is not allowed but is the drug Buproprion allowed
@ Jack P
The medication will raise questions. The driver should be using the medication for more than 30 days before requesting a medical release form from his prescribing doctor. He will need the release form when he goes for his DOT exam.
I failed an initial CDL physical last month because my A1C and Glucose levels were just over the limit. I have recently been diagnosed with Type 2 Diabetes (non insulin) My PCP has been adjusting my meds and I now believe that if I were to have new lab work done that I would be well under the limit ( it has been 6 weeks since my last lab work). Is there a waiting period to retry for the physical? The doctor at Centra Care did not seem to know the DOT rules and was a bit misleading. She told me 3 months but I feel that is because she thought that is when my labs were due again.
@ Vance
A medical release form from your doctor and thirty days, once he has you stable and your med’s well adjusted.
I went in for my Med card and they had me take a sleep apnea test after the physical. She gave me a 6 month card. It literally took all of the six months to get the sleep study done and have me on a machine for 7 days at my home. At that point I brought the results back to the Physician and they made me retake the physical.. which I easily passed again. She then handed me a 1 month med Card pending the results of one month on the machine at home. Its been a month. I emailed my results which are great and she was happy with them but insist that I come back for ANOTHER physical. This seems ridiculous at this point and the office says its federal but everything I read says its not even a law… Is this normal practice?
@ Joe
Office policy and FMCSA requirement, in the guidelines, would be the culprits.
I am a dispatcher that holds a current CDL . I do not drive anymore but still would like to hold my licences. Do i still need to continue to take these DOT physical to keep licence valid ?
@ George
Most state have adopted the policy of maintaining your cdl with a valid medical certification card. You want to confirm this with your local drivers license department.
My medical card is set to expire in September. Am I able to get another physical with another company and use that card? Or do I need to wait to renew it?
@ Matt
You can redo your medical card anywhere, any time you want.
I have a 19a certificate from RTS…. in Rochester NY, however I just got a letter saying because my DOT physical is up, I am going to lose my commercial license, How can I resolve this? I already had a 19A physical on the July 19th 2018, passed it from RTS, so what is my next move?
@ Jeffrey M. M
You need to contact your local drivers license department to get your best answer, they apparently don’t have the new medical certification findings for you.
My family doctor (who is part of the National Registry) told me a new regulations says that you can’t have your family doctor do your DOT physical that it has to be another doctor. I’ve not heard of this before. Is it true?
@ Randy
We are not aware of any such ruling. If he is on the registry then he is as qualified as any other examiner.
I have sleep apnea, have used CPAP since 2010. To pass the DOT physical to drive a school bus, I must provide a 90-day compliance report. How can I get that information? Lincare is the supplier of the machine, but the location in my area has now closed. I have not been able to get an answer from other local Lincare stores. What do you suggest I can do? Thank you in advance for your help!
@ Debra B L
All we can suggest is that you just keep calling up the ladder until you reach someone in authority.
can I still drive with med card expired?
@ Mike
You can drive, just not legally.
I was just informed from my motor coach company that I have 12 days to get my CDL medical card but I have been on disability with that same company since I fell on their property and February 13th of 2018 how can I postpone my physical without losing my CDL driver’s license
@ Brian L
If you are on disability, you won’t pass a DOT medical certification examination. Depending on which state your licensed in will determine what, if any, time frame you may have between having a valid medical card and a valid cdl.
So I’m wondering what I should do my dot physical card says it expires July 19 2018 but I didn’t get any papers in the mail from dot so I called them an they told me that my dot physical card is good until july19 2019 so what should I do ?
@ Josh
If your medical card expires on 7/19/2019, then you don’t need to do anything. Be aware that you will NOT receive any paperwork reminding you to go get it done in July of 2019, that’s your responsibility.
I’ve had my physical but the examining doctor wants verification from my doctor that I can drive without becoming drowsy. I’ve taken a medication for a few years now and drowsiness is one of the side effects. I’ve taken it for 2 years though and drive fine. My problem is things aren’t happening fast enough. I’m waiting for the DOT doctor to send the paperwork to my doctor and then MY doctor to send it back. BUT My physical is due to run out on the 9th of July and today is the 3rd. Is there any grace periods?
@ TAmmy
Medical cards expire at midnight of the expiration date, there is no grace period according to the DOT.
Nowhere can I find an age restriction for a DOT physical. My boss says you must be 18. Also I’m finding conflicting data on age restrictions for a CDL holder in Minnesota. I have found both 16 and 18 for non school bus.
@ Heather L
The first age restriction will be with the cdl portion from the state, so check with them for the best answer. DOT physical can be preformed on any eligible driver, commercial or non-commercial.
With Type 2 Diabetes how current should the lab work be for A1C? Primary does it every 6 months but DOT physician said it had to be within 4 months?
@ Susan R
The CME is correct and is looking for the most up-to-date documentation.
my brother is in Alaska driving a truck for the summer. He got his physical and has his CDL. He said the Doctor that did the physical called him and was told to inform him that she was not supposed to have given him his physical card as he is over 77 years old. He is 81 but runs every day and is in good health and has been a truck driver all his adult years. Can you please get back with me ASAP on this question as he is waiting to hear what the law is in AK. Thank you
@ Nita R
If he has a valid medical card in his wallet, then he is good to go. Age is not a restriction or regulation of the FMCSA. If he was able to pass the DOT medical certification examination, then he was good enough to continue driving. CME can’t go back and change their qualified/disqualified status after the fact especially based on age.
I made an error filling out my health history section on my paperwork. Can this be fixed without getting myself into trouble? I was rushed while filling it out and it wasn’t until later when i talked to another driver that i found out
I have been doing DOT physicals for a school company
I used to have the drivers complete page 1
their handwriting was difficult to read, made mistakes, forgot some medical contieion, so after a few years, Me and the driver would go over each question and I filled out the paper work.is that ok
to the DMV for our drivers
I have a significant number of drivers who are of different ethnicities
and their handwriting and understanding the questions
Therefore, I would sit and fill out the Page 1 and 2 with the drivers to make sure they understand the questions regarding their medical history.
Page 1and 2 says that the driver must complete
@ christine
FMCSA indicates the need to understand english and be able to communicate in an english speaking domain. If you are simply asking and explaining the questions with the driver, then you’re fine.
My nephew is attempting to get his DOT medical card. He went to a testing center and passed every portion until the examiner asked about drug use. He mentioned he had used marijuana in the past three-four months but was not actively using. He was given some sort of substance abuse form that he now has to get filled out within 45 days. He is about to be out of the country for three months and will be unable to get the form filled. Will he be unable to obtain a medical card upon return even though the 45 days has passed? Can he just take the physical again at another facility or does he have to get the Substance Abuse form filled out and returned to the original facility? Also will he have to pass a drug test in order to get this Substance Abuse form certified by his doctor?
Thanks
@ JM
Just do a new medical examination when he returns state-side.
Can the dot physician require you to show an a1c test
@ Marc
If you are diabetic and being treated with a medication that causes a sugar spill-over, then yes.
What’s kind of drug test will be a given at the DOT exam?
5 panel, tests for thc, cocaine, pcp, opiets, and amphetamines/methamphetamines
@ Jimmy
No drug testing done at the time of the DOT medical certification examination unless the company request a drug screen. Urine testing is for sugar, protein, and blood.
I have a co worker/friend who received Chemo for Colon Cancer, and just recently had tumor removed. He has been cleared to return to work, and has already passed and received new DOT medical card. He will be under going some radiation treatment in the next month or so. once he starts radiation treatment will his loose his DOT Medical card or is he still fit to drive? Radiation treatment will last 30 days.
@ Mark
He will need a new medical certification examination following his next treatment period. Make sure he has a medical release from his doctors and a working prognosis from his cancer doctor.
What is the FMCSA email address to send my completed MCSA-5875 to.
@ Gordon
Your examiner should have already done this, it is not your responsibility.
Is this being done now by the examiner> I was told that that ruling was postponed. Our office downloads them for our drivers and we’ve never been instructed that this was not the proper procedure.
My dad was told that I could no longer have my cdl due to being on dialysis but can’t find where is states this anywhere on medical conditions that keep you from having a cdl. This is for the state of Kentucky
@ Sherry
Class A cdl, interstate driver can not operate a cmv while on dialysis. That is FMCSA. CDL in a lesser class and usually intra-state only, is possible. Check with your local drivers license depart.
If I failed a military drug test 3 years ago, …..and answered “yes” to failing a drug screening. Am I disqualified to get my medical card?
@ Paul
No.
I went and had a DOT physical, my blood pressure was 141/84. The Dr. measured my neck at 21″. The Dr. ordered a sleep study and I have been diagnosed with moderate sleep apnea. When checking in for the sleep study the technician measure my neck at 19 1/4″ and I have not lost that kind of weight. I have asked the Dr. to extend my 3 month medical card and can not get a straight answer from him over the phone. My primary care Dr. does not think there is any concerns with my blood pressure. I am awaiting being fitted for my CPAP machine. Now the DOT Dr. wants a 30 day study and I am 2 weeks out from the deadline on my medical card. What are my options?
@ Jennifer R
The CME needs a thirty day read-out from your cpap machine indicating a 70% compliance. You may be able, maybe, to get a short extension if you can show good compliance for the first couple of weeks. Don’t count on it, but maybe.
I have a driver that is on workman’s comp and has not been released to go back to work yet. He has been gone for two years.
He wants us to pay for his DOT medical exam while he is on WC. Can we refuse this since he is not eligible to return to work yet?
@ Marie
He is on workers comp and will not pass the DOT medical certification examination, so there is no question as to paying for something that is not passable. Once he has been released to return to work, then it becomes a question of company policy as to whether you want to pay or not. All in all it is the drivers responsibility to aquire the medical card.
I’m trying to determine whether ambulance drivers need a DoT physical in the first place. If I understand correctly, this boils down to whether ambulances qualify as CMVs. Any guidance?
@ Brian S
First ask the local DMV for guidance. All ambulances are for commercial use, (they make somebody money) But it is not a class issue, so your local drivers license department should have the best answer.
Thank you for your response. Sorry, but please clarify for me what you mean when you say “it is not a class issue.”
Class as in the class of the vehicle.
@ Gregg
Class of drivers license, ex: class A, B, C, etc.
Does DOT send you a form to get your physical done or do you go do it yourself
I have the every 2 yr physical exam
@ Charles g
It’s a do-it-yourself deal.
I have a question any doctor please help. Woman getting dot exam, is require to remove ur back bra, then the breast to be check, also need the hernia check, is that require by the dot gov to be check. Please help me, need a answer
@ Maria Ramirez-Chan
A DOT medical certification examination requires non of the above for a female driver, unless the CME feels that you may have a hernia that would interfere with the safe operation of a CMV.
I applied for a driving job that required me to get take a physical exam to get my medical card. The Doctor went over the entire exam form and asked me if Iʻve ever used illegal substances and I replied “yes”. The doctor then asked me when did I use illegal drugs and I replied “in 2012”. Finally, he asked what kind of drugs did I intake? And I replied “marijuana”. The doctor then told me that I failed to pass the exam and I now must see a Substance Abuse Counselor and obtain a letter from the SAC stating I am not an “addict”. The first and last time I tried Marijuana was in 2012, straight out of high school and because I answered this question honestly, I have to see a SAC to get my drivers. This is absolutely ridiculous! How true is this? And if this is accurate, where does it state in statute that I must do this. I am not on drugs never have been, yet I have to go through all of this. Someone help me! Thanks!
@ Joe
The CME is following the FMCSA guidelines to the letter, but they are guidelines not regulations. You might try a second opinion.
If a driver gives false medical or incomplete list of pain medications taken and obtains a med card what can be done to report that driver?
@ Bob
Notify the company that they drive for and the examiner, if known.
Does anyone know if we can fold the new dot cards then laminate them since the card is now bigger I want to know if we can fold then laminate so it could be a better fit for the wallets. If anyone can help Thank You
@ Ray
As long as the DOT officer can read all of the information on the medical card with his naked eye, then you should be OK.
How long after taking the DOT physical do I have to turn it into the state? Is there a time limit on the date it was taken and the date you have to certify with the state?
@ Patrick
Basically you want the state to know as soon as possible. If you delay and then forget, you could be downgraded or placed on suspension.
IF you have a current med card that is not expired but this one is just a more recent physical I should be ok
@Patrick
Yes, the latest card will be the one on file with FMCSA and your local drivers license department.
If a driver answers “yes” to question 31, which asks if they have used an illegal substance in the past two years, are they automatically disqualified?
@ Julia
No, it just raises questions that may need some supporting documentation.
I dont need a cdl to drive my cmv but my company wants me to get a dot physical my left eye is lazy can i explain to them my job requirements i have had my driver license since i was 18 and have never been involved in an accident i have no restrictions on my license either but cant read with my eye my vision other than reading is perfect no blurry vision just cant read what do i do so i dont lose my job
I work for a package delivery company. I drive a pkg car and I drive a big rig. Diagnosed with type 2 and my doctors orders can only work day time. I worked 3 months straight as a pkg car driver then all of a sudden I was told to go ‘fit for duty exam’. Doctor deemed me ‘temporarily disqualified’ without doing test. but he said come back ‘when i feel comfortable’. I told him I feel comfortable driving a pkg car but not the big rigs at the moment. should he have given me 3 month card instead? are the rules for CDL class A different than class c? because I know drivers with class c with type 2 that got 3 month card and are driving. I will probably go and try to get re certified next week is that too soon?
@ Larry
Not sure why you were disqualified and yes, the rules for class A drivers are different from a class C license.
What do I do if I lose my Medical Card?
@ Jim
You should have a copy of your medical card and your medical examination, if not contact the examiner and see what their policy is for a duplicate.
Can I reduce the size of the medical card?
@ Bryan
DOT wants to be able to read the entire card with the naked eye, so it is not recommended to reduce the card. See if you can locate one of the tri-folds cards and have your examiner fill it in for you.
Hi pls help I just found out that I have prostate but not cancer , can I still qualify for CDL medical card and continue driving ? Thanks
@ Phil
Prostate what?
Today I failed my DOT med card renewal because centre care (required place for McLane drivers)said they detected a slight heart murmur. My card expires tonight. They say they cannot extend my med card for this like they can for other issues. Is this correct? Gonna take me 3 days to be seen and cleared after echocardiogram
How long after being released from my doctor do have to wait to take my D.O.T physical? After I suffered a double saddle pulomory Embolism.
@ William B
You will need a full release to return to work and documentation indicating that you are no longer a health safety risk, according to the FMCSA. The medical examiner should be able to explain any delays and waiting periods, once he has all of the above information.
@ Glenn L
The CME has the right to withhold a medical card until he has the documentation that he needs to make his final decision.
I RECENTLY TOOK AND DOT PHYSICAL FOR THE FIRST TIME AND WAS ISSUED A MEDICAL CARD, BUT I LATER FOUND OUT THAT I FAILED THE DRUG SCREEN. WILL I EVER BE ABLE TO RETAKE?
@ Dante S.
Drug testing and DOT medical certification examinations are two different thing. You should be able to redo your drug test, once you are clean.
I’m off on workman’s comp for a shoulder injury, and my 3 month evaluation is coming up for cpap. Can I still get a DOT medical card, or am I going to have to wait till I am released by the Dr, and get my Dot physical then, and be reissued my CD? If I don’t get the physical I will be down graded and am wondering if it is difficult to get upgraded back to a class A with hazmat, or will I have to take all the test again?
@ Rodney S
You need to be fully healed and released without restrictions before you can take your next DOT examination. Most states have some type of lenience for individuals that are out with injuries during the examination period, so it should be easy to re-enstate your CDL.
I currently have a good up to date medical card and am currently working. I have an opportunity at a better job but they want a new medical card. since my last physical I have gotten a small hernia that does not bother me. my medical card is still good for a year and a half. If I fail a physical for the new job would it void the current medical card I have? would I potentially not get the new job and get fired from my current job because I failed a physical they don’t know I even took? I live in Idaho, I don’t know if it matters or not.
@ Ricky
If the small hernia does not present with any symptoms then you should do just fine. Yes, a new medical certification examination over-rides an existing medical card.
I just had a dot physical recertification the doctor said i past all the test but doctor wanted me to get and updated sleep test. The doctor didn’t issue me a temporary. Was she supposed to? She to come back with the update results.
@ Tim
If you did not receive a medical card then she is waiting for the new results.
My Employer sent me for a Fit For Duty Medical Certification at their Medical Examiner. The Medical Examiner issued me a 1yr Medical Card. Three months passed and my Employer said my Medical Card Expired. The Medical Examiner gave my Employer a 3 Month Provisional Medical Card that I did not sign or know anything about. Is the 1yr Medical Card I got in her office still valid? My Employer is not allowing me to drive and I may loose my job. I have a CDL Class B license.
@Leen
You should have a copy of your medical card in your possession and if it is signed by you and the examiner, then that is the valid card. The examiner should have a copy in your file also.
Well the Employer terminated me and said they are going by the 3-month medical card the Doctor submitted to them without my knowledge. I asked if they would accept a second opinion from another doctor and they would not answer me. Is there any printable documentation that the 1-year is the valid card?
@ Leon
All the proof you need should be in your back pocket as a copy of a valid medical certificate, signed by the examining doctor.
The medical examiner disqualified me for my medical card because I told her that I fell asleep at the wheel of my personal vehicle & had an accident this happened over 4 years ago. The reason I fell asleep was because of my inconsiderate house mate kept my up all night. I then went to work at my non driving job for my 8 hr shift. On my home I fell asleep. I have been working in driving jobs (non-comericial & commercial) sense then with no incidents. Can I appeal the disqualification on the grounds that the decision to disqualify me was unreasonable because the reason I fell asleep was due to situational circumstances and not medical?
@ Jason
Yes, you can appeal, the matter may take quite a while and the forms are hard to find on the FMCSA website, but it is do-able.
I no longer work for (deleted by admin) Trucking, no longer drive an 18 wheeler, so no longer need a medical exam for my CDL. How can I get this removed so I do not lose my CDL?
Thank you!
Steve E
@ Steve a valid CDL for any reason requires a valid medical certificate or down grade your license.
I just had a DOT physical and was disqualified because of medication I take. I am a cancer survivor from Leukemia. One of the medications I take is to help with memory because of “chemo Brain”. This is also used for Alzheimer’s. My PCP and a Neurologist wrote letters to the DOT doctor telling her why I took the medication and that I do not have any diminished cognitive function. This was not good enough for her. She now is requiring me to have a Neuro physic metric evaluation. The wait period is only 3 months to have that done. So I cannot work until I meet all of her requirements, even though two doctor one my PCP and a Neurologist have both told her I don’t need one. My company said I cannot get a physical anywhere else because she still has an open file on me. Is this true or can I get a Physical from another doctor?
@ Jim
You have the right to have a second opinion from any FMCSA qualified CME. And the company has the right, based on their company policy to accept or deny the findings. They have you between two hard places.
Im 32 years old, never failed a physicsl drug test, never had high blood pressure,no medications never been disgnosed with any ailment whatsover.Driving 12 years Go get a DOT physical and placed on a 90 day restriction pending sleep study based on BMI and neck circumference. Passed physical with flying colors, not on medicstions and had no physical indications of sleep apnea. My employer is telling me they wont honor a 2nd opinion by a FMCSA and that i have to accept and follow up with this DOC? This guilty until proven innocent is unethical and ridicoulous and what options do i have before im forced to submit to such a tests thst have life long ramifications in the event im missed diagmosed. Its from my understanding that everyone goes home with a cpap and appears to be the biggest fraud on drivers and the insurance companies. Im basicslly being forced to purchase an ailment regardless of the fact i virtually have no health issues in sny aspect.
@ Chris
They have put you between a rock and a hard place. You are now dealing with your companies policy and not FMCSA. As we under stand it, you have the right to a second opinion, but your company has the right to accept or deny the findings. BMI and neck measurements are not the standard for requesting a sleep study, so someone is taking advantage of your situation. Good luck.
if you do not pass a DOT recertification does the doctor still report to the state? Or can I still run off my existing physical that has a couple months left on it
@ Sheila
A failed DOT examination is reported to the FMCSA and the state, which then invalidates your existing medical certificate.
I recently had back surgery and my doctor doesn’t want me to return to my job due to the lifting & bending. I’m considering applying for Social Security Disability, but worry that if I’m denied, that will keep me from passing a DOT physical to try to do a lighter driving job.
what is the time frame for A1c test results to still be good for a dot physical. 3 months, 4 months or 6 months
@ Ken
The CME’s would like to see the most recent, 30 days if possible. They may accept 3 months, but don’t count on it.
How do I verify that the medical card was received by the DMV?
@ Trudy
Call them.
Is it the law that I must have my Medical card on my person while driving at work or is it as long as the company has it on file as current?
@ Bill
If DOT wants to see your medical certificate, then you need to have it in your possession.
First I’m in Texas. I have a valid CDL and med card. My med card is going to expire in March 2018. I no longer Drive for a living but would like to keep my CDL. What do I need to do or provide to the DMV to keep my CDL? I have looked all over the Web pages and not found the right answer.
I’m also in the same boat. You have to pay out of pocket at a certified Dot office. The price is anywhere between 50/300 and it will be renewed
@ Shaun
Valid class A drivers license require a valid medical certificate.
is there a way to get a CDL class A license or a truck driving job with out taking the dot medical exam just asking
No.
In my state,NC you can have a CDK without an medical card.But then you are restricted to intrastate driving
Is a digital exam or blood test required for a DOT physical?
@ Thor
No blood test are required and unsure of your ‘digital’ question.
My question is if Dot does not require that sleep apnea is mandatory for a Dot medical card then why can a physician tell you that he is not giving you a medical card unless you have a sleep apnea test done. I only drive a small box truck local .
@ Christopher
You fall under your states regulations and not FMCSA. You are being taken for a ride by some one who does not understand the differences. Go somewhere else for your examination and tell them that you drive local and a small box truck.
I answered yes to drug use in the last years but it’s been a year. Does this automatically disqualify me for a med card?
@ Dan
No.
will i be drug tested for my two year renewal certificate
@Mike
Drug testing is not part of a DOT physical exam. However your company may request a drug screen.
I have cdl a and have been told I have some heart damage. they want to implant pacemaker and cardiac defibrillators. will I still be able to have a cdl license? if not would I be able to get social security disability?
@ Dave
If you have the procedure done as you describe, you would be disqualified as a interstate class A driver. That being said, you could consider driving intra-state only and be able to maintain your CLD. Can’t answer the ss disability question. Check with social security for that answer.
Trucker Docs, I am not sure where you get your information from, but an ICD (Implanted Cardiac Defibrillator) are DISQUALIFYING regardless if intrastate only or not.
@TheTruthDoc
This may be possible depending on the license class and the state regulations.
My doctor (who has known me for 20+ years) approved my DOT Certification. I am a Diabetic, under control and have driven small trucks for a living for the better part of 30 years. Now, with these so called “Medical Examiners” who are approved (without knowing their patients AT ALL), are telling me simply because I am Diabetic (NEVER an accident or any other issue due to my condition), that I cannot continue doing my job. I do not have time to appeal nor can I afford legal services. I have already lost my home because of this. What am I supposed to do now? This is unfair practice that some doctor who never met me has more say than my doctor who has been treating me for over 20 years. Do I need to now sell my car to hire a lawyer? Help me out folks. I really need some experience, but I will certainly not snub my nose at some simple advice.
Thank You
@Howard
Based on your story we can only assume that you are driving a small local truck. If that is the case then what you need to do is explain to the examiner what your job consist of. Apparently you are being held to a long distance OTR driver standard and he does not understand the difference between federal guidelines and state guidelines. Yes you need a medical certificate, but the examiner needs to evaluate you as a local small truck medical certificate (state guidelines), not an OTR driver.
Thank You Trucker Doc. I didn’t even know there were state and federal guidelines. I thought this was a federal law covering the entire nation. I did not know that State guidelines are different. I MAY be required to cross state lines, will that require Federal certification or state?
@ Howard
A lot will depend on your drivers license classification. Classes other than class A have different guidelines based on your states regulations. Class A licenses falls under FMCSA and are federal guidelines.
I was just diagnosed with the Shingles. When I was a kid I had the Chicken Pox. Thankfully a very mild case at least as far as pain is concerned. My doctor prescribed me Acyclavir and Gabapentin which are medications, one is anti-viral and one is for pain. Also prescribed was a cream for the rash. Will the Shingles affect my medical qualification to drive? I did not see anything in the FMCSA Regulations regarding Shingles.
@ Dale
The pain medication will be the question for the medical examiner. FMCSA has no say with shingles unless it presents with a safety risk to the driver or public at large.
You are not required to tell the medical examiner if you have a cold or the flu. Shingles come and go just like the flu only it takes longer to get rid of them. I wouldn’t say anything about Shingles.
If i do not Have the money to pay for. The dot medical exam because of the lack of financial means. How can I obtain the medical ? is there any possible way to get around without paying imidiatly? Like billing me.
My husband owns a rollback by TN law we are only required to have an F endorsement class d license. We were recently told we are required to have a health card. Is this true? By all requirements I have read states it is required for cdl not for class d with f endorsement. We are wanting to make sure before we get shut down for this reason
Can an Advanced Practice Nurse (Nurse Practitioner) sign a medical release to be presented to a DOT Medical Examiner?
Yes this is true per federal standards
I am a truck driver in Kentucky and do some over the road driving in other states and have had CDL for 10 yrs. I have incontinence issues due to a birth defect and had my prostate remove due to cancer. I am considering having Urinary Diversion surgery to correct this problem. I will have a Continent Stoma installed in my abdomen where I will use a catheter several times a day to relieve my bladder. After a recovery period and a doctors OK to return to work will I still be able to keep my CDL and return to driving. I am 46 yrs old and have a perfect driving record for my 10 years of driving.
Thank You
This shouldn’t be an issue as it should not affect your driving safety.
What weight class requires a DOL Medical Card if person does’t have CDL ?
How soon after You change name on Your cdl,how many days do You have on Your medical card
I have a Class B CDL as a school bus driver for almost 4 years now. I have been ESRD/Chronic Kidney Failure patient prior to hire. I am treated with HHD/Home Hemo Dialysis on 5 or 6 nightly meds (mainly vitamins). I have not urinated in over 8 years. Since the 2018 Physical Exams Guidelines have/are changing, will this be a disqualifier? And where in Kansas can I locate a ME that will sign off as being okay? This condition is not listed 49 CFR391.15. Since I see a Nephrologist monthly can he fill out the MCSA-5876, based on the response listed on FMCSA Part 391.43- Guidance- the ME should have ‘knowledge’ of the condition and the patients ability to function.
Hemodialysis may lead to sudden and unpredictable incapacity related to fluid/electrolyte imbalance or blood pressure fluctuations and is generally considered a disqualifying condition.
This is a very difficult condition to pass a DOT physical. The examiner has to believe that you are safe on the road and this condition would lead any examiner to immediately deny you. If your neurologist can do DOT physicals, have him do it. Otherwise I think you may need to look much further into getting records of your stability. Another question, how can you do in home dialysis while driving?
I have a 56 yr old.driver that is Type 1 Diabetic and has been since childhood. He has controlled it well all these years with his family Dr. and has never gone to a specialist, Endocrinologist. At this time, his job will require him to drive across state lines, yet his medic. cert. will not allow it without a waiver. How does he go about obtaining a waiver when he has no history with a specialist to give him one? His current cert. would allow him to travel across the state without a waiver but not a 200 mile round trip across state line and back.
I work for a large company and I have Dystonia. I also have an FMLA in place for intermediate absensces. My neurologist, primary care doctor, DOT doctor and any other doctor I’ve seen have all said I’m okay to drive and I’ve passed my physicals just fine. Now my employer says that if I miss even just one day of work I have to go to my primary care doctor get a letter from them that I’m fine and get re-certified by the DOT dr.
Can they do this????
Can an employer make it mandatory for its employees to go to a company doctor for a DOT exam?
@Esther
If it’s a company policy, then yes.
I have my CDL to drive a bus and I’m currently not working. I’m taking the year off to spend time with my baby. The lady at my local dps told me that I didn’t have to get a physical that I am exempt. I just want to make sure she’s right so I don’t get downgraded. My last physical was July 2016 and I won’t be working for another year. When do I have to get my physical again? Thank you.
As long as you hold a two year certificate and return for an examination in the two year period, you’ll be fine. Do not let your physical lapse or you’ll have to repeat the licensure process from the beginning.
This past July, for the 1st time in my spouses 20 plus yr driving history, he was told he had high blood pressure during his DOT physical. He passed everything except the BP and was only given a 3 month card and told he had to be on medicine. So, he went to his personal doctor and got a low dose of blood pressure medicine and his readings have been great. However, every time he went to the company paid medical examiner to show them his readings , he was told it was high! Well, today the lady medical examiner gave him another 3 month card even though he passed! I am so upset because I thought that when you passed after the 3 month extension that you were given a year or at least 6 month card? I feel she is playing games. She told him she could only go back to July and so he needs to come back in January. I don’t trust or believe her because I saw on the official DOT site that after passing you get a 1 year card. What should we do?
I recently came out as transgender. I’m scheduled to start seeing a gender therapist. Would this be considered a mental disorder under 391.41(b)(9)? Do I need to check the box for question # 14 on the MCSA-5875 form? Will this condition disqualify me from recieving a med card? If I decided to start hormone replacement therapy would that disqualify me?
I highly doubt any examiner would consider this as disqualifying or even a concern
I have my class C license and was required to take a DOT physical, so I have a medical card. I have now upgraded to my class A CDL, do I need to get another physical? Or is the medical card I have now valid with my class A?
Any DOT physical is a DOT physical. At this point I think your battle is solely with the DMV
We have a driver that is going to be traveling from IN to OH once a week. He will be driving a cube truck that weighs under 10000. IS he required to have a DOT since he is crossing state lines?
@Christi
Anyone who drives for commercial purposes must have a medical card. Crossing state lines, an interstate medical card is required.
Med card expires next month, on disability till Dec. How can I keep my CDL current so I can go back to my job in Dec? I won’t be able to pass physical till Dec.
@JS
Contact your local drivers license department with this information so they can note this on your CDL record and they will tell you what the process is to reinstate your CDL.
I have a current DOT medical health card. i have recently went back to using my maiden name after getting a divorce . How can i get another DOT health card with my maiden on it?
I have had a CDL for many years but when it came time to get my last physical i did not do so but not for any medical condition. I was just extremely busy at the time and wasn’t sure i would drive again needing a CDL.My question do i just go get physical and take it to the license branch and all is normal then?
@Rosalyn
Each state treats the CDL downgrade and reinstatement process differently.
You’ll need to contact your local drivers license department to confirm your status and what you need to do.
I passed my dot physical today but I had a bad month on c pap machine due to a bad mask my hours average using the machine was 3.6 hours instead of 4 hours. I always have slept over 4 hours with my machine. Can I get a medical card extension in order get my average hours back above 4 hours.
@Ron
You’ll need to take that up with the examining CME.
Hi my name is John i am a dialysis patient have been for 29yrs i have been driving patient transport for 12+ yrs i dont make urine therefore my dot drug was done through blood analysis now im being told that dot want except my blood for my drug test n i dont make urine how can i go bout getting my drug test done with my blood my job n lively hood depends on it thank u.
@John
DOT could accept a blood or hair test if you need a drug test.
Qquestion. I have neurofibromatosis. since 8 years old. I have had my CDL for 15 years. I have never had a problem before. This time a new doctor want a neurologists approval before they approve the CDL exam. If NF1 does not effect Driving is it legal for the doctor to require a specialist?
@Mike
The medical examiner can request additional testing or information by a specialist, and if you have not had any issues in the past, go get a second opinion from someplace else.
Do any states, specifically Wisconsin, require drivers to recertify their medical card more often than every two years based on any certain age?
@Butch
Yes there are states that require this. You’ll need to check with your local drivers license department to determine their regulation.
How does my examiner record or submit that ive completed and pass my examination. Do they mail my paper work? If so what do they mail out? do they do it electronically? or do i need to go to my local DMV and submit my documents? If so what documents do i submit? Im in California, Riverside
@Lulu
The medical examiner submits results electronically to FMCSA.
It is your responsibility as a driver to submit a copy of forms MCSA-5875 and MCSA-5876 to California DMV.
See California requirements.
We have a driver who has been off on medical leave for 3 months. His doctor found a benign brain tumor and had surgery to remove. Doctor has said he is ok to return to work and drive interstate. His medical card has not expired. Before he returns to work, does he need to be re-certified on his medical card in order to drive?
@Georgann
Yes.
If I’ve already done a dot medical physical can I turn around and have another one done again if I so choose for what ever reason.
yes you can. the last one you do will make the previous one invalid.
If I’ve had a dot medical physical done this year can I turn around and get another one done before the current one expires.
I need to know the fax number to send a copy of my medical to state of kansas
very sorry i also saw email addy to send in medical card to kansas I didnt kmow you could do that?? I am not sure I have the right fax number Thank you in advance so much.
@Nathan
Yes you may.
Is there a grace period for DOT physical card in the state of Ohio? My card expires 4 days before my scheduled appointment to have my sleep apnea data read.
@Mike
No grace period. You cannot drive on an expired medical card.
As far as downgrading your license, each state treats this process in their own manner.
Get your new medical card on file with your DLD as soon as you have it.
Is there such thing as being grandfathered on getting medical certificate in state of Texas? I have had a CDL for over 40 years and only drive about twice a month on a 4 mile round trip.
@Roy
No, you must have a current medical card in order to keep your CDL valid, or your license will be downgraded.
I just took a DOT physical and there was blood and glucose in my urine , the NP examiner took my current med card and issued a 45 day med card . How do I go about getting back in good standing of at least one year ?
@EJ D
Go visit your primary care physician and get your medical issues under control!
I had same problem do they make you pay for a new card after you see your regular Dr and get it fixed when you go back with your protein normal? Because I’m out of work and this is costing me a fortune No insurance
Most places will make you pay some sort of fee once it is under control. The CME has to take their time to review your records and agree with your records, therefore most places will charge at least some fee. My clinic charges $35
Can I register my physical with the DOT myself? If so, what’s the web address?
@Jamie
Yes, it is the drivers responsibility to get a copy of the medical card to their local drivers license department. Look up your State DLD to get the information.
My husband has a current medical cert but did not take it to the illinois sec of state office. He just received a letter suspending his license. He has the current certificate in hand. When we take it the next time they’re open, will there be a fine or penalties or waiting period? Also, does the suspension apply to his license to drive a CAR or just a commercial vehicle? Thank you.
I’m trying to get non cdl dot physical but doctor can’t approve because I admittingly smoked marijuana 4 months ago. Is that really a reason even though I can pass a drug test now?
@JM
As long as you stay clean and pass a drug test, and you pass all the other requirements of a DOT physical your should get a valid medical card. Make sure that you explain to the CME that you are not a class A driver and you fall under state variances, not FMCSA.
Hi I was wondering if I can go to my on doctor if I was not happy with the doctor my company had sent me to for a Dot phis.my bp read high one time and I had no rest the night before because I drive nights and I had to sit there for 2 hours and I was missing money and my bp went up she trying to put me on meds to bring it down it read 148/98 I have been keeping up with it and the highest it has read was 137/87 and I try to take meds an my bp drop to low it read 87/57 and I tried to tell the woman and she told me to keep taking the med . and I have stop taking the meds. and my Bp has been fine and I want to go to my on doctor to get a second reading on it what do I need to do because she gave me 2 months to take care of it and I can only take it one time.
You have a couple options here. You can just “go for it” and try a second time and ask for the CME to take your blood pressure. However, even a BP of 137/87 is barely passing and during stress your blood pressure shouldn’t be high like that. Driving in traffic is that stressful. So maybe see if you can take a lower dose of the Med because the the lower readings are super low. What type of blood pressure machine are you using? Any automated machine is fairly innaccurate
Yes where can i get the DOT Physical Form alone so my doctor can fill it out to save me the money, shes approved, I believe.
@Sarina
A DOT physical exam / certificate is only valid if performed by a certified medical examiner. And a CME will already have the required forms.
Hi, Is it required for the examiner to perform a hernia test on all males during their DOT physical examination? If one is not performed, but the examiner marks it on the DOT physical form, is this considered fradulent documentation? Thank you for your response.
@Beverly
FMCSA requires this check, and the examiner should be sure that the driver does not have a hernia problem. And, to mark it as done when the check was not done, that would be considered fraudulent.
Hi, I am going to apply for fedex home delivery non cdl box truck/van and will have a DOT physical. Will I fail the physical if I have Bipolar type 2 and also anxiety? I am stable and you would never know I had bipolar however, I’m worried about the mood stabilizer/epileptic drug disqualfing me. I read something recently stating that all epileptic drugs/bipolar meds disqualify you? As far as the anxiety drug I’m switching to a non narcotic before the test. Should I just cancel the interview with fedex? I greatly appreciate any information regarding this.
@JD
You do not fall under FMCSA class A requirements. So get a medical release from your prescribing and treating physicians. Explain to the medical examiner that you’re going to be driving a box truck locally, and that you fall under state variances. Any questions you would have should now be answered by your local drivers license department.
I got my first physical on 5/19/17. My initial BP was 150/80. I was led to believe by the examiner that it had to be under 140/90. They said they would check it again at the end of the physical. That ”
optional” test was 156/102. Of course this was after sitting there thinking that I was not going to be able to get a CDL. I was only granted a 90 day certificate. Now I see that as long as it’s under 159/99 I should have gotten a 1 year cert. Is there anything I can do to appeal/change this? I am working on my BP but meds I have tried have had some nasty side effects. Without meds my DR measured 136/78. For some reason when I go to the medical examiner I’m over 150. I fear I won’t be able to get under the 140/90 by the 90 day mark. Having a year would have been helpful to get this under control.
@Jim
You have 90 days to get this under control on medication. On medication your BP must be 140/90 or under that.
You get only one 90-day card to get this under control.
Take Low dose Asprin or Baby Asprin, 1 a day , about a week before your physical. I normally have normal BP but mine spikes up 20 points when I’m at the Dr. The asprin really helps keep the BP down when you’re having your vitals done…and I always request 3 separate BP readings, cause my Dr is aware of my nervous condition in the office .
Regardless of passing you should be concerned about that high of a reading. Time to start taking a BP Med to control your blood pressure. Go to the doc and get your blood pressure under control
Can a driver pass a dot physical if he/she does not speak English?
@Dr. Z
FMCSA requires in the physical exam / driver’s job description that the driver be able to communicate in English.
My husband is on dialysis and last year (while on dialysis) he passed his DOT and this year they failed him because he is on dialysis. Is there any way around this or is he just done driving til he gets a transplant? The Dr said something about getting a waiver from FMCSA, but what are his chances of getting the waiver? He also has high blood pressure, which he takes meds for and has been for the last 10 years.
@Niki
On dialysis, he is disqualified as a class A driver for interstate.
No such waiver from FMCSA.
You may want to check with your local drivers license department for local driving.
Does the Doctor submit your physical qualifications electronically to the Fed’s or state? Or is the only proof they get from me when I send them my form?? If I get a one year medical card because of high blood pressure, is that info sent to the state??
@Happy Harry
It’s reported to Federal and the state has access to this information.
Thank you. So if I understand correctly, the Fed’s are notified of the high blood pressure?? Also, the next physical examiner would have access to these Federal records as well??
@Happy Harry
Yes, this information is on record. And, you must answer the health questionnaire truthfully. So, nothing to hide, just take care of any condition that may be an issue. Safety is the intention of the medical examination.
if your medical card expires on a weekend, can you pay the renewal first thing Monday morning?
@Keith
Yes, get your new medical certification as soon as possible and make sure you get a copy to your local drivers license department.
I found out today that I have cancer in my right kidney. It is curable but, the kidney will have to be removed. Therefore, I will now have only one kidney. Is this going to be a problem for passing future physicals?
I live in Kentucky and currently only drive a city bus. No longer driving over the road.
@Paul
No it won’t be a problem for driving a city bus.
I took a Maintenance Wakefulness Test and failed. The doctor at the sleep center says that after I complete my 30 compliance with the C-Pap machine I have to complete another MWT before she will release me. These tests are $3,400 each. Can this extra test be forced if the DOT Medical Examiner is only asking for the 30 compliance.
@Ken
30 day compliance on CPAP should be all the medical examiner needs.
How long do i have to renew my medical card? It has expired, I am not currently employed in a job where i need my cdl. I live in Alabama.
@Kevin
Your CDL will be downgraded if you do not have a valid/current medical card on file with your CDL at drivers license department.
So i went for a dot physical. They found traces of blood in my urine. And the dot physician said she wanted me to get a work up or else she was gonna fail me on the spot. So i went to a doctor and they got a sample of urine. They confirmed trace amounts of red blood cells only. No white. Then they did a ct scan to see if my kidneys were the problem. But the scan covered my chest through bladder. The ct scan said everything was fine. So now the doctor wants to run a camera up my penis to look at my bladder. My question is… at what point will dot be satisfied? Do i have to do the camera thing or will the requirements be met at the kidneys?
@David
The CME could be satisfied at the kidney level, but make sure that you get a medical release form from your doctor explaining that they feel there is no need for further testing, if all else is normal.
I drive a pick up truck with a trailer for a lawn service company, I was stopped by the WI DOT yesterday. I’m not required to have a CDL but the office said I’m required to carry a Medical Card. I’m licensed in MI and so is my equipment. We are on the Michigan and Wisconsin state line. We only travel less than 20 miles into WI, do I need a medical card?
@Jordan
Yes. Any time you drive for commercial purposes, no matter the class of your drivers license, you need a valid medical card.
Hello and thank you for answering these questions. I just received my DOT physical and passed. My question is: Do I HAVE to submit the personal medical history that is not pertinent to my DOT physical to my employer? Such as, surgeries (female related) or anything other than eyes, hearing and things that are needed to get the medical examiner card? Can I black out that information on the long form? This seems like a HIPPA violation. And I do not even have health insurance through my employer. I am not trying to hide anything. I just do not understand why they, the employer should have this information. Thank you very much.
@Malinda
The employer can request a copy, if they have a hipaa compliance policy in place to protect you medical information. Otherwise all the employer needs is a copy of a valid medical certificate.
Due to varying work,family issues I was not able to secure a Sleep Disorder test & my time to do so is almost expired,may I request an extension to get Sleep test done. That was only issue with previous DOT Physical Test. I reside in FL
Is cannabidiol,CBD hemp oil legal to take if I have my CDL
@Rahsaan
You can ask, but don’t expect an extention. Just be happily surprised if it does occur.
As an employer do we receive a copy of the long form? If not, can we request a copy?
@Deb
You can request a copy as long as you have a hipaa compliance policy in place to protect the individuals rights and health records.
What legal rights to an employee’s DOT medical information does an employer gain by scheduling and directly paying for the medical exam?
I have had a Commercial drivers lic. since 1976 and only needed a medical card when I was hired. There were a few years when I did not drive but I kept my commercial lic. I did not get a medical card because it was not needed at the time because I was not driving a commercial vech. I renewed with out the medical card and had no problem doing so because if I was not driving for anyone at the time. I would get my medical exam when I was hired. Now it sound like NM and other states want drivers to have a medical card even though they are not driving for someone and may not drive for someone for a year or more. I called the NM state office and the man told me I only needed the medical card to be hired to drive a commercial vech. My question is do I need a DOT physical to renew my NM CDL lic and if so why?
It’s all in how you “self-identify.” If you’re driving over the road, you declare to the state that you’re “non-exempt, interstate.” That means you are no exempt from the requirement to have a current DOT physical on file. If you aren’t driving, declare yourself “exempt – interstate.” Your CDL stays current, but you may not drive a commercial motor vehicle. If your status changes (you get a driving job,” simply contact the DMV in your state to have your status changed back to “non-exempt, interstate.”
I went to the Company Dr who doesn’t speak english very well I tried to explain to the MA that the BP cuff was too tight she said it was suppose to be that tight where I could feel my veins pumping ended up with a high BP this was done 2x on same arm after 20 min she did the other arm same way all came out high , in the afternoon I decided to go with another DOT physician and pay out of pocket for 2nd opion no issues with BP cuff BP was normal passed DOT physical company is now telling me they will not accept DOT medical card even though DPS accepted it is this allowed ??
@Carlos
You are dealing with some company policy. You could ask to see what their written policy is, but by all means you have the right to go to any qualified CME to request a second opinion.
I obtained my class A cdl when i turned 18 and i am now 20 and am due to renew my dot card soon. I lived in Illinois but recently transferred my license over to Texas (about 8 months now) however i am still residing in Illinois due to some personal issues. Do i have to go all the way back to texas to renew my dot card or can i get it done where I originally got it done at in Illinois?
@Amie
A federal medical card for interstate is valid throughout the United States. You can get your DOT physical done anywhere provided it is done by an FMCSA certified medical examiner.
I’m a California cdl driver. My medical card expires next month .I just had surgery ,I had a traumatic tear to my rotator cuff and I can’t pass the physical at this time. Is there an extension I can receive do to to my situation?
@Corey
As soon as you have a medical condition that takes you off the road, your medical card becomes invalid.
Best bet is to contact your local drivers license department in CA and notify them of your situation.
Each state treats this type of process differently so find out what the can do for you in CA – maybe a temporary downgrade, and upgrade your CDL once you are fit to drive again.
How do you “downgrade “? Once I could pass the physical I can just upgrade again?
I broke my foot on the job, my DOT physical is due before my foot will be completely healed. I will miss by approx. 2-3 weeks. What are my options, a three month card? thanks
@Jeff
As soon as you have a medical condition that takes you off the road, your medical card becomes invalid.
Best bet is to contact your local drivers license department and notify them of your situation.
Each state treats this type of process differently so find out what the can do for you in your state.
If a CDL driver applies for a part time job and is required by the company to take a physical, does the new card cancel out the Physical Card from his full time job even if it has not expired
If I have a DOT physical exam & the physician recommends a specialist every time , do I have to go every time the physician recommends the specialist?
@Alexia
The question is very vague, so the best answer that we can give right now is, it all depends on the reasoning for the request.
I recently got my dot medical card but then 1-2 months later I legally changed my first and last name due to family issues. Do I have to pay for another physical even though I’m technically the same person just with a different name?
@Desmond
If you are near the examiner that did your original, then they may change it for a small fee. If not then you’ll probably have to do a new exam with your new name. You don’t want to confuse the DOT officers….
I drive a under 26000 gvwr truck in California with a class C license noCDL. Am I required to have a DOT physical?
@Warner
If you drive the truck for commercial purposes, yes, you need a medical card.
Can you pass the dot physical with a massive rotator cuff tear & severe back pain. ???
@Jeff
Not as a class A interstate driver. And you will have difficulty passing almost any type of driving position, especially if you have to shift gears and possibly help unload. The medical examiners are looking for a ‘fit for duty’ status.
I just had a spinal cord stimulator implanted in my back…to help elivate pain from herniated disc,is this something that may disqualify me on the DOT physical?
@Danny
Since your medical card has been invalidated, due to the implant, you will need a medical release form from your doctor explaining your condition and a working prognosis. Take that documentation with you when you go for your DOT medical certification examination. As long as your condition does not pose any type of safety issues, then you may be OK. Good luck
I am a 69 year old man with 50 years driving experience. 2 years ago I had heart bypass surgery and recovered very well from it. I have been driving a truck pulling a flat with lumber loads for the last 5 years. I do not drive out of my home state of Iowa and usually my runs are around 100 miles. A couple of months ago, I went to my heart doctor for a checkup. He said everything looked good and to keep working as long as I could as that was good exercise for me. I went this week to our local clinic to a Qualified Medical Examiner for my renewal of my physical. I guess when I was talking to my heart doctor I said that sometimes I get tired in the afternoon – this was when I was having trouble with my sleep machine and that problem has been taken care of. Well, between my heart doctor and my regular doctor and the Medical Examiner I have been disqualified just because of the statement I said. I have passed every medical test excellently. Can I be disqualified because of this statement I made even though I am in good health, love to work, never work long hours and stay within a 100 mile radius. Is there any thing I can do to remedy this situation.
@Steve
All you need is supporting documentation that all of your issues are non-issues, and since you drive within your state at all times, you could go intra-state only for your cdl and then fall out of the FMCSA guidelines and into your states variances. Good luck
What are the steps after a failure of cpap compliance? Need advice to correct my mistake
Thanks for your answer – I am continuing to “fight” this issue. I feel that I am getting “put off” by my Medical Examiner. The disqualification states “said gets sleepy in afternoon and takes Zoloft”. My heart doctor as released me to go to work. I have tried to get into see my Medical Examiner again – he was off a couple of days and then was too busy to work me in until the next week. His nurse made the remark that between my age and taking Zoloft that was an issue. Sleep apnea test – passed Heart tests – passed Blood work — passed Blood pressure passed. Eye exam – passed Age ?69 is a problem?- didn’t realize that 69 was over the hill for driving truck. Zoloft – problem? I am getting very discouraged and my employer could hold my job for me any longer. Pretty easy to see why we have a driver shortage in this country. If I get a second opinion, do I have to let the 2nd doctor know about being disqualified by the 1st doctor?
If an employee who does not drive for the company, but wants to borrow a truck for personal use, need a medical card?
At the time of my last DOT exam my BP was high so I was only given a 3 month DOT approval. I never turned that approval in to the DMV. The CDL was taken off my license. Is my CDL still valid? If not once I get my DOT exam will it become valid again or will i have to take the CDL exam over again?
@Terry
If you don’t keep a current medical card on file with your DMV they automatically downgrade or suspend your drivers license.
Each state treats this process differently. You will need to contact your local DMV to see what their process is to get your CDL reinstated.
1. Is the DOT medical card transferable when changing to new employer?
2. Is the DOT medical card transferable when moving to new state?
@Douglas
1. Yes, your medical card is yours personally, and the record is attached to your driver’s license.
That being said, a new employer may have a policy that you go through a new medical exam for them.
2. The medical card is valid nationwide if it is “interstate”.
If you have an “intrastate” medical card it may not be transferable because it may fall under your current state’s variances.
I have a spe wavier that has expired. If the dr that will be doing my new dot physical dont think i need the spe waiver am i still required to renew spe wavier
@James
There are more questions than answers on this one.
If you need an SPE for your medical card to begin with, then it is marked on your last medical that it is required.
If that condition has fully corrected and you have supporting documentation to go along with it from your doctor, then the CME may take the information into consideration.
Do I receive my medical card before I know if I passed the urine test?
@Brandon
These are two different things. Medical card is for fit for duty status. The urine test during the DOT examination is for proper kidney function, not drug screening.
Your urine drug test will be at the request of the employer, and only you know if it is going to be clean or dirty.
so the urine test will not show marajuana?
Do DOT doctors in different states share information in a common system that other DOT doctors can see? Just concerned about prior high bp issues that are somewhat under control now. I really want to switch companies but hesitant at the risk of quitting.
Thanks in advance!
@TruckerLife2017
Your results are updated in the FMCSA database by each DOT doctor. So health conditions will be tracked by FMCSA and at some stage by your local drivers license department.
You must be honest when you fill out the Health Questionnaire for the DOT doctor. Lying will catch up with you.
Just make sure you have your BP under control and you will be okay.
Get more info on requirements here at BP and Hypertension.
I was injured in 9-26-2011 by a delivery driver that pushed me against my 53 ft trailer. It broke my arm in two places , my hand, and my arm that attaches into my shoulder isn’t in place and can raise my arm only about 12″ above my hip. I talked to a person that is hiring hotshot 1 ton pickups but was told that I needed a cdl lic. I was turned down by a medical physician because I couldn’t lift my arm above my head. If I am only driving a 1 ton rather than an eighteen wheeler can I get a restriction just to drive a 1 ton and get a cdl lic?
@Danny
There are different classes of cdl’s out there. So you want to check into a class B cdl. That would allow you to drive a one ton and not to be evaluated as a class A interstate long haul driver. And as long as your state allows for your present restrictions, you should be in pretty good shape. Good luck
A few years ago I had depression. I got my cdl last year and was cleared then because I had been symptom free for over a year. Now when I went to get a dot exam with my new job I was informed I have to get an evaluation on my mental state every year after being cleared of all depression symptoms last year and have to get a dot physical done every year as well. Where do I find this regulation?
And I had not taken any medication in over two years, now three years.
@Jess
FMCSA, but they don’t have the regs online.
Try getting a medical release form from your doctor explaining your situation and if he has one, a working prognosis. That should satisfy the examiner. The CME is really looking for any possible safety issues.
i just retired and my medical card expires the end of april 2017. i would like to keep my cdl license in case i decide to go back to driving in a few years. is that possible in pa?
@Mike
Some states may let you self-certify as “intrastate excepted” so you don’t need a medical card. Then when you want to drive again, you’ll need to self-certify to an “non excepted” status and get a new medical certification. You’ll need to check this with you local drivers license department.
Or ask DLD – if you downgrade your license, what is your state’s process to reinstate your CDL?
If you get sick on the road and pass out from dehydration but you bite your tongue, The Medical doctors thinks you might had a seizure but you know you didn’t have a seizure .You are out of work until you see another doctor which clears you to go back . So you go back to the original DOT doctor that took you out of service. My question is if your original Medical dot card doesn’t expired until 5 months later and the medical DOT doctor release you back too. Do you have to re-certify or will the the original Medical DOT card be good with just a work release from Medical DOT doctor.
Will the physical and medical Card that I got to get my CDL permit be good enough to get a job, or will I have to take another physical and get another card when I go to get a job?
@Rickey
It depends on your new employer whether they want you to get a new physical or not.
I just recently had a double bypass heart surgery 5mo ago, got diagnosed w a bladder tumor/cancer, a blockage in left kidney ureter, and pain in right leg. am recieving chemo, on medication, getting a 4 wheel walker as right leg pain almost has my leg buckle, and occasionaly wont let me sleep. all this would i qualify for DOT, or can i pretty much consider my career in trucking over? and i was informed that i could qualify for retirement due to these conditions, is this correct, and where do i get the papers to file?
@Alan
Do not know about your retirement, but yes, you could not meet the FMCSA requirements for a valid medical card. Once you have completed all of your treatment and you feel that you could drive on a limited basis, you might look into intra-state only. You would then fall under your states variances and may be able to continue driving, if you so desire.
How long can you be off work (non work related injury) before you are required to take another DOT physical before returning to work?
@Laaron
The question would be best answered if we knew what class driver you are.
For class A Interstate drivers, you need a new medical certificate once you leave the seat with illness, injury, or surgery. FMCSA is wanting to confirm that any driver running otr is ‘fit for duty’.
If you did not mention on prior exams that you had Hepatitis C and now have been treated and are cured, will this disqualify you from renewing your DOT card since you did not mention it on the past exams.
DOT Physical is complete but Dr nor staff told me if I had to send this in to DOT, do I mail anything in?
@Penny
Yes, it is the drivers responsibility to get a copy of your current medical certificate to your local drivers license department, to keep on record with your drivers license.
Had HCV was cured with Harvoni have a medical opinion release letter from treating physician along with lab results.Was considering.answering not sure to the chronic infectious disease question. What would you change if I answered not sure versus yes.Do I complicate my DOT exam by answering not sure.
@Bob
If you already have a medical release with your doctor’s opinion upon it, then you should do just fine.
If you answer “not sure” you will pose more questions than if you just provide the supporting documentation.
I don’t think it’s fair, or makes any sence, that only cdl drivers need the exams. Should be everyone then??
If there are no health issues, how early can you retake your DOT Physical?
@Dean
There is no regulation about when. Sometimes a new employer will require a new DOT exam. If you have a lot of time on your current card, the examiner may ask why you want a new exam.
Is there a difference in the code on the certification cards?
@Tammy
Not sure what you mean by this question.
Here is a link to the FMCSA Medical Examiner’s Certificate. https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/docs/Medical_Examiners_Certificate_Form_MCSA_5876_0.pdf
If I cannot get in to get my stress test done before my physical expired can I get a 30-day extension
@Gregory
That will depend on the medical examiner. Just check with them before / when you call to set up the examination appointment.
I have a 3 month card and in the midst of me making appointments my mom got sick and she lives in Dallas I’m in Chicago so she was later diagnosed with stage 4 cervical cancer and passed away so I went and got the sleep study done and I have sleep apnea so I’m waiting for my CPAP and I ask the doctor for an extension to get everything done and he said NO. Is there any way I can get a extension?
@ Kevin D
The examiner is following the FMCSA guidelines and does not have a way to by-pass the system without putting himself in jeopardy of losing his license. And be aware that once you start on the cpap, you will need a thirty day readout showing a 70% compliance record to present to the examiner.
Can you pass a dot physical with a drop foot
@Clarence
All depends on the severity of the situation. FMCSA is looking at issues such as yours through the eyes of any possible safety issues. If you can perform the duties of a CMV operator, then you should be OK. Make sure you have a medical release form from your primary doctor explaining your condition and possible prognosis. All the information is useful for the CME to make his final decision.
Does having hepatitis C have to be reportied on your DOT medical exam. Will this condition affect you in being approved for your DOT card
@Bob
Should not be an issue for the DOT examination. So unless you have some symptomatic issues, you should be fine.
I have an Indiana chauffeurs license. I drive a ford 450 flat bed truck. We only operate in Indiana. We have dot numbers on the truck. We only transport our goods which are not hazardous. Do I need to have dot physicals? Every year or every other year I get re certified. But I have just found out by a couple of drivers that they do not go for their phyiscals. We are all intrastate drivers and drive trucks less than 26,000#s.
@Chris
You need to confirm this issue with your local drivers license department. Most states require that any driver operating a vehicle that has DOT numbers on it is requires to have a valid medical certificate to operate the vehicle. And because you grandfathered in under a chauffeurs license, this only means that you now have a CDL of some sort now. Get your best answer from your local drivers license department. You will fall under the states variances not federal.
Thank you! I will check.
If you are taking thyroid medication (Levothyroxine 150mcg) and are in Truck Driving School…… to get your CDL. Will a TSH lab result of 6 (normal .5 to 5 – or even .5 to 2.5) will that disqualify you from becoming a driver?
@Debbie
As long as the medications or the conditions do not cause any safety issues, you should be good. Make sure you have a valid medical release form from your doctor indicating your medications and what his working prognosis is. All of this information helps the CME make his final decision. As far as the levels, you will need to keep a close watch on your medications and maintain your situation to the very best that you can. Driving commercially is not an easy job and requires that you be as personally responsible for your health and overall well being. Good Luck.
Hello. I know what the common response is to my condition. Especially cause it says I disqualify in the FMCSA. However, there are exceptions to every rule. I have been exempt in the past when getting a DOT Physical, but not driving for awhile, and now a little older, I’m due for another DOT Physical in order to apply for a trucking job. My concern?
I have Type 1 Diabetes. Although Diagnosed in 2002, keeping it under control, I still passed a DOT Physical in 2008, and drove OTR for a carrier for 6 months. Only reason I left than, they did not let me get the promised home time. After leaving, though applying for other opportunities, none working out, I gave up trucking for the time. My CDL and my Medical Certification expired, and CDL privileges suspended cause I did not renew my MCE properly in time. Summer 2016, I started with a Motorcoach Carrier to be a CDL B with P operator. I went to get DOT physical, and shared my info about DIabetes on the form, I had no blood nor protein in my urine, only slight rise in sugars in urine, and a Blood Glucose check shared my BS was 150 (in that general area, i don’t remember exact). I talked with the doctor, he asked questions about how i control my spikes, drops, symptoms how I feel, etc. He had general idea I keep under good control. I asked what disqualifies a Diabetic and why so strict on FMCSA, he said something along lines of “if it’s not controlled, which show in the tests, it means your more likely to have mishaps unexpectedly”. He PASSED my MCE, clearing my DOT Physical for my CD, though I needed a DOT Physical in 6 months. However, due to prior issues with CDL when I didn’t renew, having to pay suspension fee on my CDL, the Motorcoach carrier did not continue with training me, and I did not finish getting CDL.
Now, about 6 months or more later, in early 2017, I’m trying to apply for Truck Driver job, going with local company training to get my CDL, i need my CLP and DOT Medical Exam done in advance. Knowing I have Diabetes, I know the roadblocks ahead of me. Hoping to reduce ANY potential Complications… I wanna know what can I do in advance to ensure I have a successful DOT physical. See my Doctor? Get a Medical Release Opinion completed? How to best keep my Proteins from my urine? Honestly though, my sugars go as high as 300, I still don’t feel as if it would effect my ability to operate a CMV. I take a Basal insulin that is 24 acting, Lantus. This keeps a steady supply of insulin in my body. When my sugars spike, the steady Lantus reduces the effects on the body by continuing to allow the sugar to be used, even though high. The only worry I have, if I go without food for 4 hours, or more, I could slowly start to drop in BS. I know this, so I would keep OJ and candy within arms reach of driver seat. I can recognize my BS drops, and I know when my sugars gets around 90 or so, where I still have control of everything, even perception, and would have time to get my vehicle, tractor trailer, off in a safe stop, in order to put my sugars in check, eat a meal, balance with dose of insulin, and be on my way! With properly schedule runs, I would always allow time to make sure I get my sugars in control when I feel they are beginning to fall out of.
Further, at the moment, I’m only managing with syringe doses of two kinds of insulin. I have my spikes at time, and I have my lows at times, but for most part, I have it under control! I’ve experienced trucking as diabetic already, and know I can handle the demands. I’ve passed a DOT Physical twice already. However, moving forward, I plan to get my Diabetes under better control with CGM (Constant Glucose Monitoring) sugar checks and Insulin Pump Therapy (OMNIPOD, Tubeless, Wireless, Insulin pump Therapy) and with these combined, I will know when sugars startt moving out of range without checking, and will be able to deliver insulin with touch of buttons, and have what ever food/snack in reach while driving… I will be able to operate the vehicle as if I wasn’t even Diabetic!
What must I do to ensure I can pass my DOT Physical and get my MCE? Will a Medical Release Opinion from my own Doctor be enough? Will records from my sugar readings be needed? Records of my Insullin Doses provide idea of my control? I want to drive trucks, it’s always been my passion, and I know I’ve done so in the past, even though I was diabetic.
Thank you for your time.
@Dman
Basically it boils down to this.
As a driver requesting to drive class A over the road / interstate, you would have to have a diabetes waiver from the FMCSA before you would be allowed to drive CMV.
That being said, you could check with your local drivers license department and see what your states variances are regarding you driving commercially as an intra-state only driver. That puts you in a better position since you are now dealing with the states variances and not the DOT/FMCSA regulations.
You will still need to support your situation and findings with documentation from your doctor, so a medical release form is needed here. And the best thing you will do for yourself is learn to get this condition under control and maintained. Good Luck
I am a health care provider. A family friend asked me a question which is out of my field of expertise but I said I would look into it for him. His story is that about 15 years ago he was told he had Hepatitis C and that treatment may not provide a cure and could be expensive. He had no symptoms and said his understanding was that it was sexually transmitted disease and therefore his thinking was it was a sexually transmitted disease that both his wife and he had contracted. Turned out her previous fiance had Hepatitis C also. Anyway, he has been a truck driver for greater than 15 years and never mentioned this on his prior exams as he didn’t think it applied due to thinking it was “sexually transmitted”. In 2015 he was treated after seeing commercials on TV and therefore going back to see the Dr. He was successfully treated and told me he is cured with normal liver functions. His question to me was: “Is this a problem for renewing his DOT license if he gets a medical release from his Dr. and will it be a problem that he never reported it due to his medical ignorance? Could this cause him to be disqualified at the time of renewal due to not realizing it was an infectious disease and therefore not reporting/mentioning it on prior renewal forms? Will he need to do anything different when it is time for him to retake his DOT exam?”
@Concerned
No, he should not have any issues. If possible have his medical doctor complete a medical release form explaining the situation. That will help the CME in his decision making process.
Do I need take another dot medical exam?
injured my neck in a fall, doctor will release me in a week.
@Richard
New examination needed before returning to driving. Make sure you have a copy of the doctors release form in hand before going for your next DOT examination.
I have two work injuries. One resulted with a SCS (spinal cord stimulator), for the low back pain being implanted. The doctor is now planning on freezing the nerve which is causing the pain. The second is an injury to the right knee and thigh area up into the right hip. Putting full weight on the knee and leg show signs of weakness. The doctor has placed me on permanent light duty due to the knee injury. Based upon my job requirements, the restrictions mean I cannot drive for my current carrier.
I am due to renew my DOT card in the next few weeks and I am wondering if I should even attempt to get the physical if these issues will dis-qualify me.
@Brian
You are not going to pass a DOT medical certification examination.
So check with your local drivers license department and see what they have to say about putting your CDL on hold or into suspension until you are ready to return to work. You might also check with your local DLD and see what restrictions they may have with you driving intra-state only, once you are ready to return to work. Good Luck.
Hello…I have recently been diagnosed with a balance issue, and I am wondering if that will disqualify me from getting my DOT card. Lamotrigine 100 mg is what the doctor has prescribed. Also I have been on clonazepam .5 twice a day for about 6 years…will that be an issue. I suffer from bad anxiety and I did not disclose that medication on previous exams…will that get me in trouble? I also have had back surgery, and have a hard time performing at the level I need to in my job because of this. Doctor recently told me I have arthritis in my hips from the 25 years of doing the job on the road. I have been inside for past year, and bids are coming up for jobs again. I am worried I will lose my job, but I think I can stay inside from driving if I fail my DOT. Any advice would be appreciated Thank you..
@John
With your present conditions and prescriptions, you could not qualify as an interstate CDL driver. You might look into local, intra-state only, but don’t get your hopes up too high. The medication and your conditions are going to cause a lot of questions, so be prepared if you head in that direction. Good Luck
Hello. I’m being reinstated, I need to know if I need to go to the MVA or get the DOT card first?
@Stephen
Not sure how you can get reinstated without a medical card!
I’m 65 and in great health..will I recieve a 1 year or 2 year DOT medical certification because of my age?
@Jerry
There is no age notation in the FMCSA guideline, so unless the CME feels that you should be restricted, you should not see anything different from your last DOT examination.
What are the requirements for a PASS or FAIL result concerning a stress test ?
@Charles
This will depend on what the original condition was. Heart attack, stent, bypass…?
December 25 2016
I had a bi lung transplant and can’t find anything on this, I’m doing great my transplant dr. says that I could go back to work in 3 or 4 months. He will fill out the Medical Release at that time will that be all I need to get my medical card ?.
@Joel
A medical release form from your doctor and a pulmonary evaluation with a copy of the results. That should be all you need, if all else checks out you will probably be limited to one year at the time for a bit so the CME can keep an eye on you.
I didn’t see anywhere, if the DOT physician accepts Medicaid. I’m currently under the United Healthcare Community Plan, and if so, will making an appointment take forever like other appointments?
@Kevin
DOT physicals are not covered by insurance. You won’t find a physician who’ll take Medicaid or other insurance.
Check out the doctors on this website. Most have same day appointments available.
they dont accept medicaid and i usually pay out of pocket for mine only because its not covered through work ( it doesn’t effect my job(which currently isn’t driving cdl )
How much does the dot physical cost. And where can I get the cheapest physical in Douglasville Ga
I’m uncomfortable with my companys recent request that I get my CDL physical at their doctors. I have had a heart attack in the past and have been working with my personal doctor (who is DOT cert. for physicals) and my cardiologist as the guidelines seem to change. One of the measurements on an EKG I am borderline and my doc requires a report from my cardiologist that I’m fit and able to drive a truck , after my stress tests , etc are completed. Once he receives this report from my cardiologist he passes me for the certification (1 year). I’m concerned that an outside doctor may not accept this as it seems its more of a judgement call on the physicians part. Would I be out of line to follow through with my normal procedures of using my personal doctor in acquiring my Certification, then using to company doctor to appease the company. If the company doctor fails me I still have my certification from my personal doctor and would still be able to keep my license. If the company doctor passes me I could either use that one or continue to use the one issued by my personal doctor.
@Jack
By law you can use any CME that is on the registry.
But if you go to one and he passes you and then go to another and he fails you, the last exam reported to the NRCME is the one that counts. Consider going to your personal doctor, if he is DOT/NRMCE registered. That should be all you need as long as you have the proper documentation.
Do I have to take my DOT card to the driver license place and put it on file
@Rodney
Yes – It is the commercial driver’s responsibility to ensure that they get a copy of their current Medical Examiner’s Certificate (MEC) to their state drivers license department to keep on file with their Commercial Drivers License.
DLD may accept a copy for renewal in person, by mail, fax, email, or online submission. Each state differs in their process for receiving the MEC.
See this article State Drivers License Department – Medical Certificate Update for links to find your State regulations.
is there a grace period for renewing your D.O.T. physical?
I was told i had high levels of protein in my urine and that its most likely an infection can that be because of an std?
@John
Yes.
@John – Proteinuria (protein in the urine) can be caused by diabetes, certain medications, urinary tract infection (UTI), kidney disease, immune system disorders, and several other things. My advice is that you see your primary care doctor, or a Nephrologist (kidney specialist) if you are concerned.
I have a question I was driving charters buses for 4 years and had my dot medical exam and left the charter buses and went to small school buses and did two physical exam with the 19A doctors thru my company…however I received a letter from DMV bus unit that they would suspend my licence and I took the 19A written exam about a week ago..DO I have to take another physical again?
@Robert
The CME should have been on the national registry. If your medical certificate has a registry number on it, then you are good to go from the DOT medical certificate stand point.
What is the purpose of the glucose test and can you fail it? What causes a failed test?
@Danny
The test is for sugar in your urine, which should never be there. It is a test to determine whether you are a diabetic or not. Yes, you can fail it with sugar present in your urine.
What would you recommend in regards to studying for the urine test? I heard some of the CME’s can get pretty pissy about this. Thanks and Happy Holidays!!!
@Dick
You’re welcome. HA-HAppy holidays to you too.
I was recently in a car accident and I have a bunch of strained muscles in my back and possibly a few lacerations on a couple of vertebra. I’m suppose to take my dot physical before Dec. 21st and I don’t think I can pass the physical. I’m sure I’ll be fine in a later date what can I do to resolve this. I’ve tried calling the bmv they transfered me fmcsa number with no luck. Just wondering what are my options at this point?
@Charles
You won’t pass the DOT medical examination, so you want to talk to your local drivers license department. Explain your situation and they should have the best answer for you.
I had a DOT physical done today for medical card, to drive a box truck for my employer. I have had one before and did not have to take a DOT drug test. Why is this now requred? and what panel test is it?
Is my Iowa DOT physical form good any beyond the expiration date?
@Arlan
Your medical card expires at midnight on the expiration date, and is not valid for driving after that.
if you are on diabiliaty for two months with a class a license and then go back to work do you need to renew your medical card
@Randy
Yes. Any time a medical condition prevents you from driving, you need a new medical exam to re-certify and get a new medical card.
How long is an employer required to wait for a driver to pass his DOT Re-certification for a manageable condition such as High Blood Pressure?
@Dolores
The employer is not required to do anything in this case. The driver is either fit for duty or not and either has a valid medical certificate or not. End of subject. Now the company may have a policy to work with the driver, but it is not required.
I have had a DOT medical exam and I passed it. I gave a COPY of my medical exam to the company that wants to heir me but they said they need the original document, not a copy. The Dr. office said they have to keep the original document in there file system. The revised (form MCSA-5875 REVISED 12/09/2015) says the Dr. office must keep the original document. Where can I find documentation that says the company that heirs CDL drivers only needs to keep a COPY of form MCSA-5875 Medical Examination Report Form?
Thank you
@Vic
The medical examiner gives you the original medical card, but has to keep the original long form MCSA-5875.
The company who hires you needs a copy of the medical card only; unless they have a company policy of keeping a record of the long form and you have signed agreement to that – and all they need is a copy.
The doctors office cannot give you the original if they have to keep the original, and the company who hires you should know this since that’s their business.
I am a type 1 diabetic, and was approved to drive by my specialist doctor and submitted paperwork to the dmv, is that the same as a DOT exam? Can I move on from there without the card or do I have to see my specialist again for another exam?
@Wes
Part of your question requires more information.
What type of driving and what class driver are you?
In most states if you drive a vehicle that is used for commerce, then you need a medical card. If you are a class A driver, then you need a medical card that has been done by a physician that is on the federal / national registry. So what type driver and then we can answer your question more completely.
I am a class C attempting to get an ambulance drivers certification in California
@Wes
You will fall under your states variances and need to check with your local drivers license department for the most complete information.
I was unable to renew my medical card due to some medical issues and then I had family issue that had to take president over getting the medical card. I know that they downgraded my cdl. The medical card expired over 6 months ago but the cdl was downgraded less than 6 months. Will I have to retest for my cdl if I provide a new medical card?
@Jud
You’ll need to contact you local drivers license department about your CDL. Only they can answer your question.
I went to get my medical card renewed and because I had cancer earlier in the year they are pending me until they receive additional information from my oncologist. I just want to make sure DOT is aware and there will be a delay.
@Wayne
You need to contact your local drivers license department and let them know your situation. They have their own process to put this on hold. Each state treats this process differently / their own way. Only they can tell you how to do this. Should not be a problem.
I need to go have a DOT physical in PA and have found a doctor listed to do so. However she is stating that I need to provide a laminated card for her to fill in that I will carry with me.
I thought I just needed to do the long form and the medical examiners certificate dated 2015, exp 2018. And I thought from reading your website that a DOT approved doctor would furnish the forms. I can’t find anywhere to buy a laminated card and she has told me that the 2 forms on your website are not the correct forms. So I am totally confused. Shouldn’t the DOT approved doctor have the correct forms?
@Chris
All certified examiners should have the correct forms. If she doesn’t have the forms and she is certified, most likely she seldom does DOT physicals and maybe you want to consider going to someone who deals with drivers often, and understands their circumstances.
Here is a link to the forms: MCSA-5875 & MCSA-5876
Here is a link to some driver friendly DOT Physical Doctors in PA.
I have just had gastric sleeve surgery done and I am wondering will that cause me not to be able to pass a dot physical.
@Chris
Once you are all healed up and fully ready to go back to work, then you should be good to go. You would want to bring a medical release form from your doctor, along with a release to return to work.
i have a question. I was recently in an accident as i was biking to work, and my medical card expired as i was in the hospital. Now i am out and healing. Do I just go get a new medical card, pay the fee at the dmv? or do I have do do all the written tests and driving ones again?
@Zamiel
Once fully healed and ready to return to work, just get a new DOT physical. Also go down to the drivers license department now and let them know what is going on, that way they don’t think you are just being slack. They may downgrade you for the moment, but hold your CDL until you are fully recovered.
How can I find out when my DOT physical is due if I no longer have the letter that was mailed to me about it?
@Jessica
Look at the expiration date on your last medical card.
If you’ve already received a letter from DMV, then probably your medical card is already expired.
I have a valid medical examiners certificate valid until 4/17 with the state of florida which I certified on line.i have started a new driving job which required a new dot physical and when I go on line to certify the new card floridas web site does not seem to allow any access to do this.iam trying to avoid hours on hours wait at the dmv,any suggestions
@Thomas
Sorry we can’t help you, have no idea what you can do other than contact your local DMV.
What are the dot regulations on attempted suicide.
@Tony
A medical release from your psychologist and from your prescribing doctor. There is a waiting period that must be met and a clear medical release form from those above. Also a working prognosis from your doctors stating that they feel that your situation is fully under control and well managed.
I work for a transit company in Florida and also work for charter and tour company.. I have two medical card one for FTA and FMSCA.. my FTA card expired and my employee pull me off from driving.. I explained to them that I had my FMSCA card and they wouldn’t acknowledge it.. how do this work
@Ruby
FMCSA is for the federal drivers and validates the CDL.
Can’t answer for the FTA card within the state of Florida. Check with your local drivers license department for the best answer.
While taking a professional driving class they started the process of getting our CDL. THey brought in a ceritfied DOT doctor to perform our physical for our medical card. I had smoked marijuana weeks prior so this test was positive.
Will I be prevented from going ahead and taking the CDL test and getting a CDL or will any certified DOT Doctor I go to for a physical know that there is this one time failure out there in the system? I have not and do not smoke marijuana at this time and never will again.
Someone said I will be “red Flagged” in the system and disqualified to get a CDL ? Is that correct?
@Richard
Drug testing is for employment.
And the CDL would be to drive commercially. Getting and passing your CDL examination and receiving a medical card is a demonstration of fit for duty.
The positive drug test will effect your employability if it is noted by the company. Make sure you are clean before re-testing and you should be fine.
But if you are going to continue the use of the herb, then please do not go into driving as a career.
The dmv says that my dot physical was never turned in for 3 years. I have copies of both exams, what can I do? They are saying I have to retest
@Sandra
It is the drivers responsibility to ensure that you update your drivers license record with your latest medical card. If you did not provide them with an updated copy, that is why they downgraded your license.
Each state treats this process differently. Go in to you local drivers license department to sort this out, as they are the only ones who can help you in this situation.
This questions concerns the State of Pennsylvania and the laws for getting a medical card recertification. I have an employee who was recently involved in a car accident. His medical card is scheduled to expire this month and there is no way he can take a physical at this time. The law says if the state doesn’t receive the new card before the expiration of the old one he will lose his CDL. Is there any way to put this recertification on hold until he is physically able to be recertified.
@Jon
Each state treats this process differently. The driver will need to contact his local drivers license department to see what they can do to accommodate his situation.
We had an employee not pass his DOT physical because of high blood pressure. We paid for that…..when h went back a week later they just took his blood pressure and since it was under control they certified him. They then charged us for another physical….is that the way it really works?
@Katherine
With the new medical certification forms, that is the way the system forces medical examiners to work. Either: 1. Medical Examination Report with “PENDING” status to be followed up or 2. Issue a new medical examination report, completed.
If the examiner’s office put your driver in “pending” status, and he kept his old card in the meantime, then all they needed to do was make a note change on the BP and issue a new card, and update the FMSCA database that the examination was complete.
If they completed the first exam, and disqualified him, or gave him a short card to get the situation under control, then the followup exam is a complete new exam and update in FMCSA database.
They can charge for another physical, because technically it is another physical, and another complete medical examination report to FMCSA. It’s up to the doctor’s office, and sometimes they make a plan to work with the driver if the situation can be rectified in a short time.
funny thing happened to me as well but i contacted the office for the occupational health part of that company and was told i shouldnt be charged if i saw the same dr but was charged anyway wtf is that
I have been to get a DOT physical in the past for the company that I worked for, however, ended up leaving that company before moving on to the recommended sleep study that they required for me to have. I have recently returned back to the same job, and I am being told that I can’t go through the process again due to the fact that I didn’t finish process before. As stated earlier, I didn’t finish the process because I left the job.
Am I able to go and get this process started without any resistance?
@Bryce
You can get a second opinion from any registered CME. But you may need to follow the company policy guidelines. That may be very different from company to company. There is no requirements for a sleep study unless you demonstrate signs and symptoms of OSA. If it is being based exclusively on neck and BMI, then go for a second opinion.
I own a small business that uses non-CDL rental trucks (26ft, less than 26,000 GVWR straight truck) regularly throughout the month. We rent for less than 30 days at a time. We have historical data on drug and background checks that include BMV check yearly. In the state of Ohio do we need to carry any medical or physical card in the truck with our drivers? Is there anything else other than insurance documents that we need to carry?
thanks
@Joe
If your drive a vehicle for commercial purposes you need to have a medical card. You want to carry it with you in case you are asked for it whilst on the road.
See Ohio DOT Medical Card Requirements
Can i get my medical card and drive with a class C for a class C vehicle the same day?
RSS Says
I have a CDL and i haven’t driven commercially since 2008, and don’t intend to drive commercially anymore. Can i still drive my passenger vehicle and do i need a medical certification to do so?
Thank you
@Rudolph
You’ll need to check with your local drivers license department if your CDL has been downgraded, or if your drivers license has been suspended.
I have a question for anyone who might know the answer. I have a prescription for oxycodone, and I just had to do a drug test a few days ago. I know that it will come back positive and that doesn’t worry me but I just realized that my doctor wrote the original prescription for 100 tabs 5mg, but they don’t really work for me, so the pharmacy changed it to 50 tabs 10 mg, will they fail me or will I be Ok ? If anyone knows the answer to this please help, thank u
My husband has AFIB and the clinic that he has gone to for his DOT physical has told him that his BP HAS to be 140/90 due to the AFIB? I was under the impression that AFIB, if under control, does not have an impact on your physical? Am I wrong about this? Also, if he is “disqualified” from the present clinic because his BP isn’t 140/90, can he request a 2nd opinion from a different clinic? And lastly, if he is disqualified from both clinics and is forced to resign from his current position, can he apply at a different trucking company?
Thank you!
@Roxy
BP must be below 140/90 for FMCSA. The afib is just a possible contributing issue, but is not the primary concern. As long as you have proper documentation and a medical release form from the doctor, then you should be fine.
I have a class A CDL that has been restricted, my endorsments are gone with a cmv, only trans personal prop inter, or restriction code A,P does this mean I can’t drive an 18 wheeler period even if i’m not leaving the Houston area and does it limit me to driving class B vehicles.
I am wondering what will happen to my Washington Class A CDL if I check myself into rehab before without having failed a drug test? I was told that I can go on short term disability while I’m in treatment, and while doing so what do I have to tell my employer since medical problems are confidential. If anyone could give me some information regarding these questions or any other information on this topic I’d greatly appreciate it.
@Dan
The moment you check into rehab, your medical certificate becomes invalid.
You will need to check with your local drivers license department to determine how this will effect your CDL.
As to what you tell your employer is totally up to you as far as to how much information you want to provide them with.
Ive had my CDL for a few years, but recently had a job that didn’t require a CDL. Anyway, my medical card expired before I could get it renewed(forgot about do to the current job), when I renewed it late though the state I live in(Michigan) says I was demoted from a A to a C. Do I have to retest for an A, or can I just show my new medical card to be recertified as an A?!?
@Jason
The only place to get an answer is from your local drivers license department.
Each state is different and has their own process and time frames.
My question is I am on list for a liver transplant because of chirrios of liver and doc says all my labs are normal and wont need transplant if i continue to keep doing what I have been, haven’t drank anything since 2008 and completed a outpatient program in hosptial in 08 with all letters of recommendations and never tested postive since 08, i am tested every 6 months for labs and primary doc has letters also can I get a cdl med card?
@Will
With all your documentation in place and in hand, you should be in a good position to get through the FMCSA examination. Get medical releases and any supporting documentation from all your doctors before you go for the examination. That will be a huge help to the CME in his decision making process. Good Luck!
I have type 2 diabetes and high blood pressure. I have decided to be more physically active and mow lawns from April through September.
If I only wanted to drive truck for Dec, Jan, Feb each winter, is it considered doctor shopping if I got a three month medical card this winter, and then *one year later* got another three month card?
In other words I’m only planning on driving truck for three months a year, so I don’t care if the three month card can be renewed, but I would have to get a new one each winter.
@Mike
In most states, if you are going to maintain a valid CDL you need to maintain a valid medical certificate. So you really need to check with your local state drivers license department and see what they have to say about the valid CDL on a three months basis or have to keep a valid med card to hold a valid CDL.
If I manage to lose some more weight it won’t be an issue. Before I started taking Metformin my A1C was up at 10.4, but after 6 months on Metformin my A1C is down to 6.2.
It’s my understanding that my A1C has to be below 10 to pass the DOT Physical, so hopefully I’ll be good.
I am in the process of renewing my physical card.
I failed my physical twice for having sugar in the urine. They made me pee in the cup and not prick the finger because I have diabetes. They said I have to see my primary dr. I did. He informed me the medicine I am on for diabetes is supposed to put sugar in the body to be released in the urine to maintain the diabetes. What do I do now to pass this test? My primary dr is willing to write a note to let them know my diabetes is under control.
@Bus Grandma
You need the note from your doctor and a copy of your last A1c.
i have the same prob as bus grandma my a1c is8.0 i have my doctors letter stating my diabetes is well controlled .yet the dr.at …… states he will only waiver me for 6 months i reside in wa st yet need the interstate designation .what is the fed a1c threshold and what wuold you recomend?
@Sam
Questions.
What class driver?
How are you controlling your diabetes?
Are you going for a medical examination/medical certificate or a waiver?
Why do only certain people have to take the sleep apnea Test cuz of being over weight. Wouldn’t this be considered discrimination cuz of weight? Why isn’t it for everyone to take
@James.
Overweight is not the sole condition for sleep apnea screening. See sleep apnea articles for more information.
I have been going through a bad divorce. My doctor had put me on antidepressants, Seriquil, and Xanax. The medication was only to take at night when going to bed. How long do I have to be off the medication? The medication was only to help me deal with my husband of 25 years, which is realistically impossible and get some sleep. So I am just refusing to have anything more to personally do with it. Being away from his mess, I don’t need the medication that I was put on prior to divorce. If I would have know that, would have gotten divorce sooner and never went on medication.
I don’t want to take fail my DOT test. Getting on the road and driving is better than any medication. I just want to work.
I drive a school bus for a private school for field trips, and sporting events. Do i need a DOT medical card for this?
@Jimmie
More than likely. Double check with your local drivers license department.
I drive to and from school, plus trips. Sometimes out of state. Do i need a
DOT medical card.
@Antony
You need a medical card only when you’re driving a commercial vehicle, or a vehicle used for commercial purposes.
Does the d.o.t. book tell you , you cant have unopen alcohol present in your vehicle while driving
@James
YES!
i dont know but i would think that with the legal limit being half what a car drivers limit is probably not a good idea
I have a class b .. I got my dot physical two months ago with my current job, I found another job that wants me to take it again do I really need to get it done again
Thank you
@Roman
Not really, unless it is a company policy.
I am a Type 2 Diabetic. When I went for my physical, I was finger prick and my cholesterol check. Is this now part of the certification. I am living in NC.
@Alice
Not a part of the medical examiners report. He can ask for additional information, but it is not his duty to do anything else.
When a driver is put on determination pending and returns to the office to have his exam completed and amended, should the expiration date of the DOT card be from the original exam date or the amended date?
@Nik
From the date of the completion (last date) of the exam.
I have this problem pic was suspended because they said I did not have my exam before the date on the med. cert. which was wrong they asked for add info from my doc @ I comped days later they downgraded my license and have to pay a restoration fee l think that should have waived because I did go before my expiration date . Why didn’t they give me a 45 day med card? It takes about 3 weeks to get back to work. 3 to 10 days to get a letter of reinstatement
I have a 2 year card and just switched jobs. The new job did a new DOT physical and placed that card on hold pending information from my doctor. Can I still use my 2 year card with one year left of validity?
Thanks and happy school year!
@Busdriver76
You can use your current card, while the new physical examination is on hold in pending.
You must complete the pending examination within the 45 day period. The pending examination report is in the FMCSA database. If you do not complete the exam within the hold period, you medical status will become ‘disqualified’.
I have type 2 diabetes that I was controlling with Insulin, my A1c was 8.2 . In May of 2016 I started a lifestyle change with a low carb diet .Since then I have dropped 25 lbs and Im now down to 220 lbs and my last A1c testing was 7.0 and I have not taken ANY insulin for 3 months. I recently was hospitalized with Kidney Stones and Docs did a Urine test and found my Creatinine levels to be at 2.7. They inserted a Kidney Stent for two weeks and my Creatinine levels dropped down to 1.7. They are now taken me off of Metformin because of its effects on my kidneys and putting me on another drug that does not affect the kidneys. I want to get my CDL Via a school. I’m 55 years old and looking for a different career. Will this disqualify me when I take my DOT physical?? Should I not go for my physical until my Levels are more stable,probably 3 more months ?? thanks in Advance for any help…
@Frank
If you have medical release forms indicating that you have been taken off of your insulin and that your other conditions are under control and being medically supervised, then you are in good shape for the DOT examination. Be aware that you will be limited to a one year card due to your previous conditions and the medical doctor will need to continue to monitor your conditions.
My cdl medical card expired two weeks ago .is there a Grace period for the state why dept?
@ c m
You cannot drive on an expired medical card. No grace period!
Each state treats the license suspension/downgrade process differently. You need to get in touch with your local drivers license department sooner than later.
What if your CDL has 4 more years before it expires but your DOT card is expired because you have a cast on your drivers foot and you can’t get a DOT physical.should I downgrade my license or 60 days until the doctor gives me a return to duty.Or should I just be disqualified and wait to see what the doctor says to make sure I’m ready I know somebody can tell me something I don’t want to lose my CDL
@Lisa
The best thing to do is contact your local drivers license department and let them know that you are (temporarily) disqualified because of your foot, and ask them what their ‘hold’ process is. Each state treats this process their own way, so we do not have a definitive answer for you.
can i get a dot physical in Virginia even though the company vehicles i drive are registered in Pennsylvania?
@David
As long as your physical exam is done by a FMCSA certified examiner, you can have it done by any examiner, in any state.
I recently Failed a drug screen for pre employment on a pipeline job which is governed by DOT the test came back positive for cocaine I have no illegal drugs in my body other then those prescribed by my doctor for type 2 diabetes. Also I was prescribed phentermine and Belviq to help me loose weight the phentermine is a controlled substance that has to be picked up in person at a pharmacy and have photo ID to obtain and sign for the prescription I’m trying to find out if phentermine and Belviq is cause this positive result as I was let go from job even though I told physician about taking these meds. I’m trying to find cause for positive result or who do I contact to find out as I have no other explanation for the positive result any help is much needed.thank you!
@Terry
The MRO who ruled the test positive should have gotten in touch with you the moment your test was positive. He should have ask for any prescription that you are taking and then re-tested your split sample. If none of that happened and the split was not re-tested at another facility, then you need to be asking some serious questions. Talk to the employer and ask why this procedure was not followed. Ask the MRO why there was no phone call for prescription verification. That would be the best places to start.
are no dot medical cards good for 2 years anymore? I know they changed the law if you drive a school bus.
@Tim
Medical cards are no more than two years and may be less.
If you are receiving a card for less, then ask the examiner why. There are any number of things that will reduce the card from a two year to a one year or less, but an explanation should accompany the reduced card.
I am on kidney dialysis and was told that I can can get a non cdl medical card for intrastate. Can I get a dot card for intrastate and get my cdl back? I live in Colorado. Every dot doctor I have seen says I’m perfectly fit for driving a cmv.
@Brian
You will need to check with your local drivers license department to confirm that what you have in the way of information is correct.
You could not qualify for interstate, but should be able to qualify for intra-state only.
i drive a truck that doesn’t require a cdl but large enough for weigh stations i have a d.o.t. card but i’m changing my address on my liscence do i nee a new d.o.t. card?
Im currently enrolled in a CDL training program, i got a dot physical done, and i told the doctor i was an alcoholic, in recovery. I was trying to be truthful and broke my Anonymity because thats how im living my life in sobriety. I provided some letters of recommendation from the sober homeless shelter i live in. She gave me a three month card, provided i stay in the shelter and stay sober. and i need to go back and see her in three months. I found out during school that they do the physicals right in the school, and tomorrow they are doing them for everyone in the class. Can I get another physical done at the school? and not have to go back and see her? is all the information already in the database? or should i just keep the card and not worry?
@Steve
Whatever the findings are on the latest DOT medical examination and put into the FMCSA data base is what the feds work off of.
So a new examination that you pass will override the one before. Be honest and if possible bring the same information with you. All the examiners are looking for is “are you safe to operate a commercial motor vehicle?” Are you physically, mentally and emotional stable and ready to perform the duties of a CMV operator / medically fit for duty. If the examiner is not sure your condition is stable, they will want to be able to check periodically, hence a shorter medical card.
I was told by my employer to submit a copy of my DOT physical to you. I emailed everything, but haven’t even received reply that you got it. Keep waiting? Or is there something I did.
@Todd
The driver is responsible to submit a copy of their new medical certificate to their local drivers license department.
Not sure who the ‘You” is you’re referring to, but it is surely not DOTPhysicalDOCTORS.
Make sure you contact your local drivers license department.
If I am a regular school bus driver and had a stroke how long am I restricted from driving following my stroke?
@David
Interstate drivers, class A, one year minimum.
But if you are driving intra-state only school bus you may fall under your states variances and you would need to check with your local drivers license department for further information.
I’m a diabetic who needs to take insulin and have to do a DOT physical. My AIC’s have been bad for over a year most recent A1C tests done by my doctor were 12.5 (10 months ago and 10 (1 month ago). Would having high A1C’s over a year disqualify me for just driving a step up van (UPS type vehicle)? I struggle to control my diabetes and my records will show high A1C’s due to not taking insulin shots when I’m suppose to.
@Tony
You won’t pass the DOT examination for a CDL driver.
You may qualify to drive intra-state only in a truck, but you need to check with your local drivers license department for further information regarding the states variances.
Would protein in the urine cause one to fail a dot physical?
@David
Not necessarily fail, but definitely would warrant further evaluation until the cause of the problem is resolved. You should have been left with a pending examination until your primary doctor can explain to the CME what the protein is being caused by.
what if you are in hospital when your medical card expires
@Jason
Then your card expires and once you are out and medically fit to do your job again, then you go and do a new DOT medical certificate. Besides you are in the hospital and you have to be medically fit to perform your normal work duties, so you are disqualified right now anyhow.
I recently married, do i need to change my DOT medical card to reflect my new married name or can I wait till it is time to renew?
@Marti
Do it at the time you renew, unless you have a good working relationship with the CME to get them to redo your medical card.
i was given a 6 month card but i was called back so that they could look at my leg because i i have lyphedema but the doctor forgot to check my leg and now they gave me a temporary fail because they want me to take a skills performance evaluation test which i called and they told me i didnt have to take test because i dont have a fixed impairment , i just want to know if they can do that
@Edward
You do not need a SPE, you do need to take care of the lymphedema. This condition could render an emergency safety issue, so being disqualified is the perfect time to get it checked out and corrected. Not sure why a CME would miss this and then call you back for a change in your status. If he initially placed you in the FMCSA database as good for 6 months then that will stand, unless he re-entered you as temp disqualified, then that one stands in place until your condition is corrected.
so they can go back and change status from what was initially put in database. also i have been cleared by doctor and has had no problems with everyday activities.CME never even looked at my leg even when she called me back in .And then requested a sleep study which wasnt asked of me to do from the beginning.
Regarding the 3 month medical card. I was told at my last examination I had to take a sleep study because of the bmi/neck size criteria. I don’t believe I was fairly evaluated because I always received a 2 year card before. Only difference was I have a thick beard that put my neck at 17in exactly. After arguing with the woman she said I had the option of losing 30 lbs. I took the challenge and am only half way there with 3 weeks remaining on the 3 month card. I met with a doctor at a sleep study center and the soonest they can do the study is aba week and a half after my card expires. I explained that to him and he said as long as I am under the evaluation process they will issue an extension on the 3 month card. Now the company medical examiner says she will not. What options do I have if any? Would it be reasonable to shave the beard and ask for a remeasure? Does the company doctor have to refuse to extend the card by law or is it at her discretion?
@Scott
There is no such thing as a required sleep study based on bmi and neck measurements. So unless you demonstrate a lot of other signs and symptoms, you do not have to do a sleep study.
Go somewhere else for a second opinion. If you must do the test with the company doctor, then ask to see the company policy that states you have to have a sleep study. If it is there and they require the test to be done, then they get to pay for it. If there is no company policy and there is no new rules regarding sleep apnea based on bmi and neck size, then you have the regulations to support your stand.
FMCSA has no new rules regarding OSA. For more information on this see our articles on Sleep Apnea Screening.
What documents, forms, medical forms do I bring to physical. What do I bring with me to physical
@Ken
See this article on our blog – What do I need for a DOT physical exam?
I got my dot medacal card in ca I have a co drivers license can I use the ca med card to show co dmv
@James
Yes. A federal medical card is valid nationwide.
what are the consequences for a operating a tow truck with an expired medical card? I got pulled over at a DOT check point and now got a scheduled court date next month. PS i did renew my medical card the next business day. Any answers are very much appreciated!
@b
Can’t help you here. Our focus is on medical qualifications, not law enforcement.
An employee answered truthfully about having used marijuana within the last two years for the health history questionnaire. As a result he was denied his medical card even though he passed his drug test. Is there a time limit for when he could do his physical again? He will have to say that he was denied before under the personal information section, and I suppose, disclose the reason why he was denied before. Will this keep him from ever being granted his medical card?
@Inquisitive
This should have been resolved by the CME at the time of the examination.
I would go somewhere else for the next DOT medical examination, which can be done at any time. If it has been two years or so, then answer as requested.
Can you tell me what exactly the number is for a finger stick that will disqualify you on DOT exam. I went yesterday for a new company and the meter read 302. My sugar is never that high and I tried to tell the DR I missed my medicine dosage, he said he didn’t care and now I had to go and get an A1C. I am diabetic but take medicine to control it.
Can you show me in black and white the actual numbers according to DOT. I am really frustrated because I have a valid card and now a new job is in jeopardy. I live in Florida
@Sad Driver
What sort of test was performed to determine your blood sugar levels? If there is spill over into the urine, then you have to get your condition under control, otherwise it’s a safety issue. The CME needs further information from your primary doctor along with a medical release form from him/her. FMCSA wants a diabetic condition fully under control, no questions asked. An A1c will provide the needed information that your CME is looking for.
What do I have to do to renew my DOT Physical if I am on NorTripolean 10mg for neuropathy
@Bob
Medical release form from your prescribing doctor explaining your situation and medication usages.
If I have a Class D license and need a medical card due to the vehicle being rated 10,000lbs, do all of the requirements for CDL Class A,B and C apply to me? Does the sleep apnea apply – that a person has to show compliance with a cpap machine?
@Tim
The examinations are the same. But there may be state variances that come into play here. So check with the local drivers license department and see what they have to say too.
I have been prescribed clonazepam 1mg/day to take at night for an IBS type undiagnosed problem in the past (before clonazapem was a red flag) It’s a problem I have been dealing with for years on and off and have tried a ton of various medications ranging from steroids to anti-depressants and clonazepam for whatever reason stops the problem (which allows me to sleep and function normally through these flare-ups). I have been off it for some time, but currently experiencing problems again but don’t want any problems as a result of getting the prescription again. Would a CME consider an exemption for this if my PCP documents it has never been prescribed for seizures?
Can my company still reject it even if the CME gives me the OK?
@Frustrated
Your meds are going to raise questions because of the other side effects of the medication. Start with a medical release form from your doctor explaining your condition and situation. All depending on the type of driving you do and how far from home you travel, it may be a point of consideration for the CME.
Do you have to have a Driver’s License to obtain a DOT physical examination?
@Mike
No. People get their DOT medical card before they go to CDL school.
I am a Pennsylvania resident. I have a Class B CDL with both passenger and school bus endorsements.I have taken a medical exam that permits me to drive a school bus (excepted, intrastate).
I want to also work as a Motorcoach driver (non-excepted, interstate). Do I have to re-certify with an addition FMCSA-approved DOT medical examination as well?
@Chuck
Your medical certificate will be good for intra-state or interstate.
If you are going to be driving outside of your state then you need a interstate medical card. Same examination but card is marked for interstate transport.
What percentage or how many drivers fail their DOT physicals per year?
If you disclose your sexually transmitted disease on DOT Physical and Doctor requires More medical information from your specialist to approve you; is the employer required to know your STD Status and is DOT Doctor suppose to provide them with any or all information you might of gotten from your specialist??
also; are you able to deny any disclosure of STD’s to employer; without losing your employment ? what rights if any do someone in this case has??
@Unanimous17
What ever information you place on the medical intake form for the DOT is between you and the examiner. Unless you give permission to pass the information on, it should remain between you and the examiner.
If I am an Insulin dependent Type II diabetic I know I can get an Intra-state only medical card. My question is what is the maximum number my A1C can be before I am ineligible?
@Henry
Your A1C needs to be falling in the near normal levels (4 to 5.6) and make sure you have a medical release form from your doctor showing that you are under control and are being monitored on a routine basis.
Does driving a 6 wheel van(formerly a bakery delivery truck) used by a 501c3 as a”mini- museum” require a medical card in Pennsylvania?
@Earl
Check with your local drivers license department on this one. If the vehicle is used for commerce, then maybe yes, but a 501c3 maybe not. Ask DLD for the best answer here.
I was asked to do a UA, but was unable to provide enough urine, now they are telling me that I will have to be completely naked with someone in the room for my next attempt. Is this right? I’m 55 and have never had a positive UA.
@Shannon
Sounds like a company policy thing to me. You may have failed the first test (positive, incomplete) due to an inadequate of urine for the test, but butt naked with a person in the room for an observed test?… that is not a DOT requirement. Same-sex observed specimen collection maybe yes, naked, no. Unless it is some weird company policy, which I truly doubt.
Who’s Excluded from DOT Medical card with a Class A CDL licsene
In California, should I apply at DMV first for my CDL and then get the Medical Exam or go get the exam first and then go to DMV to apply? Just need to know the exact steps to take and when!
Thanks!
You must have a medical card in order to be able to apply for a CDL.
Hi, I work for an Occupational Medicine Clinic and was just informed due to the new DOT guidelines, our Medical examiner can not longer extend a 3 month card as we have in the past. I would like a little clarity please. On page 4 under Determination pending, it gives our doctors a option if needed to mark the follow-up box, which the patient must return to our clinic in 45 days or less. Are we allowed to extend their card at this point, or should we perform a new physical? There’s also a field for the ME to amend his report; if this is required, should a new physical be performed as well? What if a 3 month card is given, but the patient returns the next day or within the week with the proper information in order to extend his certification, will we have to do a brand new physical as well? Thank you in advance for your help!
@Beverly
“Determination Pending” means the medical examiner needs more information before a qualifying decision can be made. Basically the examination is on hold for up to 45 days so the driver/PCP gets additional information to the examining office, and no certificate is issued. When the necessary information is received the examination determination is made and medical certification is issued if the driver qualifies. The examining office “amends” the information on the “pending” report. The decision as to whether or not to conduct a second medical examination when the driver returns within the 45-day “determination pending” timeframe is up to the discretion of the ME and would depend on whether or not another examination is needed.
It’s up to the medical examiner to decide whether to use the “determination pending” category or not. The medical examiner may instead decide to issue a medical certificate with a short qualification timeframe.
Each time the medical examiner is making a new qualification determination and issuing a MEC, Form MCSA-5876, a new medical examination MCSA-5875 is required.
One of my drivers had his DOT on May 25th and was sent for a sleep study and was given a 3 month cert. He has had this done by June 20th and it was negative. Does he really need to have another complete physical? Is this really a FMCSA rule? I checked the website and its impossible to navigate around to find anything. Everything else on the drivers exam was within normal parameters. I can kind of understand repeating the physical if its the 45 day pending and the driver can’t drive at all. If he needs to have another exam, he loses work time and pay, we lose a driver for half a day and we pay another fee. Money for old rope in my opinion there is clearly a moneymaking loophole here for the DOT ME’s!
@Franny
Unfortunately the new FMCSA form system does not allow a medical card/examination to be extended.
This means that the examiner has to start a new Medical Examination Report MCSA-5875 from scratch.
Reporting the results of the “new examination” into the FMCSA online database, supersedes previous reports.
The driver can go back to the original examining office, and you may be able to get them to do the “new examination” without charge.
Otherwise the driver may go to any medical examiner for a new physical exam.
But the system now forces it to be a “new examination.”
The “money” problem here is sleep apnea screening, not necessarily more exam money for the MEs.
I have had a DOT physical annually for several years due to diabetes. Every doctor has advised a different “guideline” for either a finger stick OR A1C even though these doctors work for the same clinic. I feel like clinics make up their own standards. Where can I find the actual federal guidelines and how can I dispute them with the doctors office if they do not agree.
Also, I understand that Congress passed and Obama signed a law that disallows the DOT from using sleep apnea as qualifying or disqualifying condition until proper rule making procedures were taken. Yet clinics still use it to qualify or disqualify and even have standards for length of qualification on cards. Why are clinics allowed to consider sleep apnea when the law prevents the DOT from considering it?
I have not passed my physical because of a health concern that cannot be fixed so as a result I will lose my CDL. Does that also mean that I will lose my auto license and not be able to drive at all?
@Lynne
Each state treats this process differently. Be sure to contact you local drivers license department and check with them that you can keep your auto license.
when doing a cdl physical what is the difference between the federal and state forms? we need to know when to use the federal and when to use the state. Please help!!!!!!!!!!!!!!!!!
@Kathy
Use the Federal Medical Examiner Determination for interstate drivers who qualify under 49 CFR 391 regulations and guidelines or has a Federal waiver/variance. It’s best to use this for all drivers who would qualify for interstate, even if they only drive intrastate. This gives drivers the most options for driving if they change jobs in the future.
Use the State Medical Examiner Determination for intrastate drivers who qualify under 49 CFR 391 regulations and guidelines or who meets the standards in 49 CFR 391.41 only with applicable State variances.
I have an IL driver, who got a fed med physical in the State on WI. How can I check that the state of IL got the information?
@Lana
Federal information: The medical examiner inputs the information into the Federal online database.
State information: It is up to the driver to submit the new medical card to their local drivers license department.
You’ll need to check with IL to find out if they have it.
my ortho doc says i need an ACDF c6-c7 due to degenerative disk disease. Ive had a previous disk surgery. I also have Type2 diabetes and high blood pressure that i have been controlling for several years. Is there anything to worry about when i take my physical this year
@John
Once you are fully healed you will need a medical release form from your doctors. Medical card will be good for one year at the time, but basically you should not have any new issues.
I recently had a California Doctor disqualify me due to my Pain Management Doctor prescribing me Norco for pain – This was a “Return to Work DOT exam following a non-driving work related knee surgery injury. My current DOT Medical card is actually good through June.
Although, I told the doctor that I only take the prescription during my off duty (non-driving) hours “As Needed for Pain” – he replied that he will not Certify any driver with a Norco/Vicodin prescription… Does he have basis here, or is this just his “opinion/interpretation” of the FMCSA regulations? Please also tell me what options I have have for “Appealing” this so I can get back to work?
Thank you, RT
@Randall
If you are still taking pain medication then you are not ready to return to work. That means that you are unfit for duty and the CME is doing his job. He has to determine fit for duty following any illness of injury. Once you are off the medications, then he will be able to determine your fitness level and return you to work.
Thank you for your reply… I have had 5 back surgeries and am being treated on an on-going basis by a pain management doctor, so the prescription is legit and I do need to occasionally take Norco at night at bed time… I do not take it when I drive, so can he still dis-qualify me even though I have a prescription and don’t drive while taking it?
Do you know of an alternative medication that would not disqualify me?
Thank you for your time!
@Randall
Medical release form from the prescribing doctor and an explanation of the type of driving you do. Then it all boils down to what the CME feels may or may not be safety issues.
Once my nys medical is done, how do I inform Albany of my renewal?
@Gee
By mail: NYS Department of Motor Vehicles, Medical Certification Unit, PO Box 2601, Albany, NY 12228-0601
More info: http://dotphysicaldoctor.com/ny/
Can I upgrade my 6month d.o.t. medical if my blood pressure is 136/83?
@Mario
That will depend on your CME. He may upgrade you to a one year card at this point. Best bet is to contact the examiners office and confirm the information with them.
I received a three month DOT card because doctor says my neck is more than 17 inches and will renew it after sleep apnea test is done. One month before my medical card expires again can I still go to some where to get a new DOT card or this sleep apnea test must be done first?
@Edward
You can get a second opinion before you have a sleep study done. Neck size is not a valid symptom to determine OSA. So get a second opinion first.
For more information see these articles on sleep apnea screening and the DOT.
I received a 3 month dot medical card 5-16-16 for Urinalysis at 250 and blood glucose at 156. Do I have to go back to that clinic and get a A1C test done to get certified. If I can go to another clinic before my medical card expires do I have to take a A1C test,
@Daryl
There are some variables that are not in this question, like do you have and are being treated for diabetes?
A1c is not a mandatory test for the DOT, but with your numbers out of control the CME can request further testing.
That testing should be done with your primary doctor, not the CME’s facility. That would be a conflict of interest.
So give us a bit more clarity here and we will do our best to guide you in the correct direction.
I was under the impression from that clinic where they gave me a 3 month medical card that I had to return there before medical card expires and do a A1C test and if didn’t pass I would be disqualified. Have contacted texas dmv office and they said I can go anytime to another clinic and take another physical. if I pass urinalysis this time (which I will) there’s no blood test and therefore no diabetes and receive 2 year medical card. Is this correct?
@Daryl
If you are not being treated for diabetes with any medications, then you have been steered correctly.
156 seems rudely low for a 3 month card. Recently a doctor told me over 200 was disqualifying and the previous doctor in the same clinic told me 265 was the cutoff. No two doctors say the same thing when it comes to finger sticks.
Driver holds a Class B, only drives 4-6000lbs vehicle within the state of MN (intrastate). Is a medical Certificate/Health card required per FMCSA or DOT MN?
@Robert
Intrastate falls under state regulations.
See Minnesota CDL and DOT Medical Card Requirements.
My family doctor informed me that as of July they will no longer do DOT exams. What I didn’t find out until after the exam is that they do not have any more cards. She told me to get a card, bring it back and she will fill it out, stamp and sign it. My question is where do I get a card from? She didn’t know either. Thanks
@Manuel
See this article about the new DOT Medical Certification Forms: MCSA-5875 & MCSA-5876
TA has them
I have a 77-year-old driver just come in today and said that his DOT doctor told him, because of his age, he needed to get an EKG done, per regulations because of his age. It was not requested for last years physical. I’m trying to find the regulations to substantiate this request. Can you point me in the right direction?
Thanks,
@Kim
Unless there are other signs or symptoms that would necessitate further testing, then there is no such regulation that we are aware of.
If you are leased to a company under their insurance, do you have to have their name on the card?
@Tamy
No.
if a driver has had recent surgery which results in slight blood in the urine until completely healed, 6-8 weeks but his DOT physical is coming up if he has a note from the doctor that performed the surgery on his prostate help.
@Mr. S
Until he is completely released from the doctor without any restrictions, he will not pass the medical certification examination as medically fit for duty.
If the release is not going to come through until after the medical certificate expires, you want to talk to the local drivers license department to see what steps need to be taken to maintain his CDL until he can get a new medical certification card.
My self certification form was rejected because i chose the wrong classification. The retured letter claimed that i would be dowgraded if i didnt corect my error and resubmit the form. Well i never fixed the form or resubmited it. And it wasnt downgraded. Over one year later, no more letters, no downgrade. I have since had some law stuff happen. I would ne better off with a dowgraded license. Can i get big brother to retrograde my license to what it should have been since i got the downgrade warning letter? Any way at all?? Thanks.
@TC
Our expertise is on medical certification, not on driver licenses.
Your local drivers license department are the only people who can answer this question for you.
I had a stroke due to an aneurysm four years ago. Thank goodness I am not impaired physically or mentally. I was hired for a job which needs me to be DOT certified. I need to find a DOT certified neurologist or neurosurgeon to evaluate me. Do you have the name or location of one such Doctor?
@Jo
You’re not likely to find a DOT certified neurologist or neurosurgeon.
You best bet is to make sure you have a medical release form from your neurologist in hand before you go for your medical certificate examination. The release form will answer most of the questions that the CME will have up front. You can go to any DOT certified medical examiner to get your physical done, though in your case you want to look for a medical examiner who’ll fairly evaluate your overall health for medical fitness, not just disqualify you because they do a ‘checklist’ screening.
I wasn’t aware that after getting a new medical card that I had to let the driver’s license division get a copy of it in order to keep my cdl. I apparently was down graded for not doing so, so what do I have to do to get reinstated with my class a cdl
@James
Go see your local drivers license department. They downgraded you. Only they can reinstate you. Each state treats this process differently so you’ll need to speak with them.
How long is that card good for if that happens?
I received a three month Dot card because of high blood preasure. Do I need to see the same doctor to renew my card. I have been working with a doctor more local to address the issue.
@Brian
No. You can go to any certified medical examiner for your next physical.
How many years does medical background go
@James
The wording on the new form MCSA-5875 states “Do you have or have you ever had:” ….list of medical conditions. The answer choices are “Yes”; “No”; “Not Sure”.
If I am taking Suboxone for previous opioid abuse, I am stable on my medication, pass a weekly drug test, and have a letter from my Psychiatrist stating it is safe for me to drive on my medication… am I able to obtain a medical card?
@Ken
There will be lots of questions on this one. Your use of this medication is for control of a drug abuse situation. You will need a medical release form from your prescribing doctor and your SAP. Only then will any CME begin to entertain the idea of a valid medical card.
If a driver is on dialysis is he disqualified to carry CDL?
@Mozell
For an interstate driver, yes, he would be disqualified.
For an intra-state driver, you want to check with your local drivers license department. Each state has different guidelines and most have a policy that would allow you to work intra-state only.
My husband has passed his CDL for years and this year went to a different doctor and was told he had high blood pressure and was given a prescription and a 3 month extension and charged $85. He went back a few weeks later for a recheck, was told it was still high, they added another medication and charged our $20 copayment. I then took him a few weeks later to a partner of my doctor that I trust and he had full physical and his blood pressure was fine. He went back a few weeks later and it was still fine. My nurse also checked it during my visit and it was fine. He went back to the CDL Doctor a few weeks later and has now passed but was charged the full $85 all over again and only gave him another 9 months on his medical exam. I do not think he ever had a high blood pressure problem, this doctor is a fraud in our opinion and just kept billing us for as much as he could. Is he allowed to charge twice for the exam he only did once? This sounds like fraud to me.
@Donna
Starting April 20, 2016, with the new FMCSA DOT Physical forms/process there is no longer an option of an extension. The medical examiner can issue a short term medical card so the driver has time to get a medical condition under control.
A new examination has to be completed each time, with a new Medical Report form and a new Medical Certification. So doctors who used to help a driver with an extension can no longer do that, and so will be charging for a new exam each time.
On medication, with his blood pressure under control, the examiner could have issued the driver a new one year card.
I read a report By the general accounting office that says many of thousands of CDL drivers renew their medical certificates and cdl licenses while on total disability either on the federal or state level,how is this possible.I understand drivers wanting to keep their CDL in case their condition improves and they need to return to work but is this legal and will some agency eventually catch up to them?
@Jim
Not real sure where you got your information.
We find most of our class A drivers are working folks. Besides, before you can maintain a class A license you must be able to pass the DOT examination and be listed as ‘medically fit for duty’ before you can be issued a DOT medical certificate. Someone on total disability is not going to pass the examination.
Afternoon,
I was told that I could sign up another way for my CDL. I am currently not using them but do not want to lose them. Is there a way for me to not have to take a physical every year? When I was using them I did not travel out of the state.
Thank you,
Kathy
@Kathy
The only one who can answer this question for sure is your local drivers license department where you have your CDL.
Do you need to take the test results to dmv or does doctor send it over
@Joe
It is the drivers responsibility to update DMV with the current medical card, and possibly need to redo the self-certification form as well.
I am 70 yrs old if i go to renew my expired medical ( i have not been driving since 2013 ) will i be told im to old to drive now??
@Edward
If you can perform the duties of a CMV operator then age is not an issue. FMCSA does not have guidelines regarding your age. But you must be able to perform the duties and be seen as medically fit for duty.
If you are given a 3-month card and then return to the physician for a recheck, are you now required to obtain an entirely new physical or can they just check the status on whatever the medical condition was prior?
@Charla
It’s the CME’s call as to whether he wants a full new examination or just follow-up on questions. The new medical certification forms will probably require a new examination.
I have a class B CDI I want to get a Medical Card, Im on disability at this time. By me getting a medical card will that hurt my disability?
@Robert
You are on disability so you are not qualified as fit for duty for a medical card. If you clear for the medical card, then you are not disabled.
@ Trucker Docs:
Being unqualified for a medical card based on the fact that someone is on disability is not a valid reason. It is in fact against the ADA (American with Disability Act) law. Everyone has different types of disabilities, and being labeled “disabled” because you have disability benefits does not mean you are not able to use other limbs of your body to function at a job with or without reasonable accommodations. If you can pass a DOT, then you qualify. A disability has nothing to do with it unless it affects your DOT exam.
@Robert:
I advise you to speak with your primary doctor about working as a CDL driver, and if you are able enough to pass a DOT test. If your doctor gives you green light, then go to the office for DOT test. Complete your medical report as honesty as it would be if they contacted your primary doctor.
Does my company Pick up truck need a USDOT number and Do all DOT numbered vehicles need a CDL driver with medical card. For example a company pick up truck making deliveries and picking up parts and small supply runs.
@Richard
If you are driving for commercial purposes, then yes, most likely your State requires a medical card.
Check with your State DLD on these questions.
I have a class A, that I got for my retirement age fall back. as Iam a 6G certified welder with twenty years metal fab. behind me. iam not presently driving a commercial vehicle. but its time to renew my liscens and I don’t want to lose my class A’s. do I need an up to date med card to renew my liscens
@Dwayne
Yes, you need a current medical card on file with your license at your local drivers license department. If you do not keep your medical card current, your license will be suspended or downgraded.
Here’s my question,I am new to all this have never drove truck but recently got a dot physical done and passed blood pressure and all but I wasn’t honest on my medications part I have been taking suboxone for 5 years and have never taken anything else since but didn’t want to disclose that because of the stigma attached to it.But now I’m afraid if I take a drug test for a job that they will find out I’m taking it.Will the mro tell them I’m on it or will they just call and confirm I’m prescribed it?And also I don’t want to start out on the wrong foot should I just go someplace else and take another physical and be honest or what? I am a Christian and have been clean and living right ever since my start on the med any advice I would greatly appriciate it because I have a job offer with Roehl Transport and don’t wanna go through with it and take a drug test and my med show up and be denied.Also the reason I didn’t mention it was because my prescribing doctor told me not to put it unless they specifically asked so please help with some advice.Thanks
@wannabetrucker
The drug is going to test positive when you take the pre-employment drug screen. If you have a valid medical prescription for this medication, then keep it close at hand because the MRO is going to need to see a copy.
Next get a medical release form completed by your doctor explaining your need and usage of this medication. It will help answer most questions and gives the examiner a person to talk to if there are further questions.
if i have cancer can i get a dot health card
@Richard
All depends on what kind, where and how progressive it is. You still have to qualify as medically fit for duty as a driver and perform the duties of a CMV operator.
I had a bypass 6 years ago. My BP is fine. What affect if any will the bypass have on my getting my DOT card?
@Guy
As long as you have a medical release form from your doctor and a stress test done with in the past two years, you should be good to go. Just bring that information with you at the time of the examination.
I took my physical after a 16 hour shift and forgot to list a new medication ( Wellbutrin) I had been given. When asked by doc I acknowledged prescription and apologized that I forgot and he failed me. What are my options now ?
@Margaret
You will need to be on this medication for about thirty days and have a medical release form from your doctor before you go back for another DOT medical certificate.
My son has a cdl license in Illinois. He has been off work for about 3 months due to cancer treatments. He discovered that his medical card has expired during that time that he has been unable to work. He received a letter from the state that he must relinquish his license immediately. If he does this, he will be unable to drive his personal vehicle. Can he still keep his license if he is not driving anything except his personal car? Will he be able to get another medical card when his doctor says it is safe to go back to work? He talked to our local dmv office and they told him this is not a problem.
@Gladys
Since it is a state license decision, then talk with them and full clarity on his situation. They have plenty of policy for such a situation.
On the new 2016 pysical form it wants to know about broken bones and surgeries. Do you really want me to go back 45 years to having tonsils removed and broken toes?
@Jennifer
Thank you FMCSA! Yup! Yes!
Question I am a smoker and the doc say,s I have to get pulmonary test.
@ T Bar
If the CME picks up any questionable signs of pulmonary distress, he can request the test. But it is not a routine test to be performed during a medical certificate examination.
I was taken to hospital after an accident .air bags in my face while in the hospital I got uncontious, I was on medicine and was observed for three days they revoked my lisceance now for the unconsciousness and the drugs I can’t find a doctor to clear me and I am a safe sober driver
@Frank
Get medical release forms completed explaining your situation. All CMEs right now are trying to avoid any possible risk factors. Information from the hospital and the doctors would allow the CME to have a more complete picture and should work with you on these situation.
Do you have to be 21 or 18 years of age to obtain a DOT medical card?
@Diane
Medical card for 18-year-old is intra-state only.
Driver must be 21 for an interstate CDL. Most state drivers license departments are the same, but make sure in your state.
I failed my vision for the dot but they said i could come bck this upcoming monday with glasses and re due it..but my class b license needs to be renewed by my birthday wich is 04-06-16 if i jus renew my cdl will i be for fitting my class b
@Isaiah
Talk with your drivers license department. They should be able to help with this issue, once you explain your situation.
I have a MA CDL my medical card is expiring on April 6th but I have been out of work on short term disability because I hurt my back. What can I do so my license doesn’t get down graded from A to D? I should be ready to go back to work in a week or two.
@John
Talk with your local drivers license department and explain your situation. Pretty sure they have an answer to this question for you.
I have been told by my Doctors Assistant testing + for nitraes in a urine test can cause me to fail my DOT exam. Is this true?
@Jerry
Yes, because it is an early detector for a possible urinary tract infection which could pose a significant safety issue as a CMV operator.
I will need to get my physical in august of this year. I live in Pa and the boys and girls in harrisburg are slow. When can I get my physical? Can I go in June or July?
@Jeff
You can go for a new medical certification examination any time you want.
I have been off work for 48 days for prostate surgey do I need to get a new physical card
@Ray
Yes, once you are fully recovered you will need to acquire a new medical certificate.
My husband is currently unemployed and his medical card is about to expire.When he takes the exam where do we send it?
Typically to your dmv. Arizona has few locations that are commercial drivers license oriented. Uncertain of other states.
@Kelly
Most likely the state drivers license department, along with a self certification form from the state. But check with your DLD to confirm this.
If a driver goes to Medical examiner for DOT physical he is given three month card because he has to go for sleep study test, he is very over weight, can he tell his company he is going to another DOT examiner? And if he does and passes what about the first DOT physical that was already sent to Washington to be regustered? Would company be liable if something were to happen? Plus he has other Heath issues.
@melissa
If the driver has health issues that should be evaluated by his primary physician or another specialist, then he should not pass the CME examination to begin with. As far as responsibility, it falls on the CME who passed the driver to begin with. If the company feels that the driver is unsafe, then they need to protect themselves as well as the public at large.
i want to get my cdl. But what i test positive for marijuana if they do a urine sample?
@ Brandin
Then you won’t pass the examination.
What will happen if I test positive? Will they turn me in or let me come back later and do it again?
@Sherry
Test positive for what?
I was disqualified from getting my medical card because of the medications I was on The examiner wanted me to get a letter from my doctor stating that the medications did not affect my ability to drive I did.Next she wanted a list of the medications that I had been on for the past three months I provided her with that. Then she wanted to speak with my doctor which she did .I requested numerous times to be able to provide her with urine to prove that I was no longer taking these medications and each time I offered she refused . I have tried to get in contact with her and she does not return my calls I need to know what are the steps I can take I believe that it’s become personal because there is no valid reason for her not to let me test so I can be qualified thank you for any help you can provide
@ Karen
You will have to look for it, but on the FMCSA web site, you can enter into conflict with a doctors opinion and behavior.
Is chronic lymphocytic leukemia a disqualifying factor for a medical certificate?
@ Ted
If you can perform the duties of a commercial motor vehicle operator and your condition poses no safety issues, then you could possibly get your medical certificate. You may be restricted in the length of the card, due to other possible issues and required ongoing monitoring by both your primary doctor and the CME who does the DOT examination. There will be lots of questions and you will need to be prepared for them. So take any information that you can with you to the examination, along with a release form from your primary doctor.
My stepfather just failed his dot physical due to balance issues. He walks with a cane. Has no issues driving. Is there anything we can do to correct this? Can he retest?
Where can I find that I am required to take a stress test every 2 years.
@ John
FMCSA guidelines for commercial drivers.
Is there a rule that states after the age of 70 you have to get a DOT physical twice a year?
@ Thomas H
NO. And some companies have a company policy that they want it that way, but not from the FMCSA.
My husband works for FEDEX and he has cystic fibrosis. He has always been around the 65% on his pfts. He was sick not to long ago and has recently went back to work. It came time for him to renew his DOT certification and his PFT was 59%. They told him they needed a note from his doctor stating his underlying condition and that he is fit to drive. He went to his doctor and they sent a note with him stating that he is being treated through them and that he is perfectly fit for doing his job. Then the assistant, not even the doctor, said NOPE your PFT is to low you are automatically disqualified. Which I think is absurd. I looked into the procedures that are to be followed for people with pulmonary diseases and it states that if someone with Cystic fibrosis is below 65% they are to be sent for further testing of arterial blood gas measurements should be evaluated before a fair decision is made. They did not even give him that option. They said… oh 59% DENIED…. NEXT… what should we do?
@ Jennifer
Unfortunately you dealt with the ass-istant and they are just filling in the blanks on the form. What you want is a qualified CME/doctor to make the final call on this situation. You have all the documentation that you need, just get a second opinion or go back and see the doctor, not his grunt.
I am a CDL driver and my medical card was expiring on January 15th. I live in NC and was sent a letter saying I had until March 16th to fax in a copy of a new card or my CDL would be downgraded. I had been out of town until this week and so I went for my DOT physical at a minute clinic on Thursday. I had a new examiner and because my neck was over 40 inches she said I probably have sleep apena and because I smoke that I probably have COPD. I have never had this issue before and have been a driver for almost 30 years. She said all of these issues must be tested for and put temporarly disqualifed on my papers. Is there anything else I can do since these two issues are not something you cannot just walk in and be tested for and get automatic results. I am an owner operator and being out of work for weeks can cause me to lose everything I have. Since everything automatically goes into the National Registery, any suggestions. Thanks
@ Jack
You must have looked like a money bags when you walked in into the minuet clinic, or they are really hungry to make a buck. Why not go for a second opinion someplace else. There were no no rules or regulations on sleep apnea and the neck measurement/BMI stuff is a very lazy way to make a judgment call, and you really need to demonstrate some type of breathing condition before a request for a COPD test. The doc-in-a-box facilities are looking to make easy money on your not knowing. Get a second opinion.
Is a medical examiner legally allowed to override a law that is already in existence over the use of medication prescribed by a licensed MD? Can they coerce your doctor to write a statement about the use of medication and/or withhold your medical card until such a time that this statement is received?
@ Samantha
Medical doctors are not, as a general rule, up to date with FMCSA guidelines. And some of the CME are over reading the guideline, which make them feel powerful. It all works best when the CME simply request information from the prescribing physician and then bases his decision making process on all of the available information. The whole thing works very well when you deal with a CME that truly understands the driving community and then works with the prescribing doctor to keep a qualified driver on the road and keeps the public at large as safe as possible, minus stupidity from a four wheeler.
Running a Hot Shot business in Texas only and local delivery. My combination GVWR is under 26000. I do not have a CDL. Am I required to have a medical card!
@ Barry
You want to confirm this with your state drivers license department. Most states want a medical certificate if the motor vehicle is being used for commerce.
diabetes rules class B school bus driver Iowa been driving 7 years never a DOT physical problem new doctor denied me because he did a finger prick in office it was 272 ( had a piece of cheesecake before ) all other readings 120–180 my A1C is 8 ??? lowest numbers in my 7 years how can he denie
@ Jennifer
Your examiner has over stepped their scope. This is to be a urine testing and then request additional information from your primary care physician. Go for a second opinion from somebody else and you will do fine. Make sure you take a medical release form from your primary doctor indicating that you have everything under control and that your numbers all look good.
I just had my A!C checked and it is 8.4, does this disqually me from driving a school bus?
@ Stanley
Your A1c numbers look good so you should not have any issues. You might want to check with your state drivers license examiner though, just to confirm what the state wants for bus drivers with passengers.
5 years post open heart surgery, DOT requires me to have a stress test annually to keep my medical card. The American College of Cardiology deems this excessive, therefore insurance payment is unlikely. Is there any financial help available?
If a driver is put on hemodialysis for end-stage renal disease, is this a disqualifying event? If so, can he apply for an exemption?
If it isn’t a disqualifying event, what does he have to do?
Is having flat feet a concern when taking the DOT physical?
@Phil
Not if you can perform the duties of a CMV operator.
Took a DOT physical today, passed everything but at the end the doctor was reading my long form. On it I stated that I have used marijuana before, so he failed me unless I take a drug test. I thought drug test wasn’t required to pass unless your employer requested?
@Kevin
The examiner is looking further into a potential safety issue here. It is not a part of the DOT examination, but you gave him reason to dig deeper.
I had a DOT medical card at my last job and failed a drug test. When I apply at another company will that failed screen show up to my new employer or can they receive that record?
@ A S
A failed drug screen is usually held within the company, but the information can be passed on if the last employer feels that you may be a safety issue.
All week I have been hearing drivers saying they have been told to get their med card exam done before April 1st, 2016. The fee will then go up to $240. Is there some sort of standard fee being set up or is this a rumor that has been started?
@Kitty
Just a crazy rumor. Sounds like an April Fools joke.
Find a driver friendly doctor on our website!
I am a city Bus Operator. And just had a very mild stroke. By rule can I still operate a Bus with my current medical card. Or do I have to wait for a time period before I can drive again?
@Houston
You want to check with your state drivers license department on this situation. If it was Federal, then you are in a waiting period, but as a local intra-state driver, your state has more say in this than the interstate guidelines will.
could i receive a blank medical history form to see it in advance?
@Bill
The Medical Examination Report Form is available on the FMCSA website at MCSA-5875.
I have a current medical card with a code 54 insulin dependent intrastate restriction I have just started kidney dialysis will I qualify for a medical card under these conditions I operate a local dump truck within a 75 mile radius
@Rusty
Most likely, but you will want to confirm this with your local state drivers license department.
Can a DOT medical examiner disqualify a driver because he has blood in his urine when he goes to renew his DOT physical/ medical card?
@Melissa
All depends on how much blood is in the urine. There should not be any and if there is, then the CME should request that the driver find out what the situation is that is causing blood in the urine.
Here’s our dilemma…one of our drivers just got his new medical card which is good for 1 year. He was told he had to take his medical card to the DPS office in order to update his CDL. He said ALL drivers are now required to do this. Every Year. I asked him if this wasn’t the Self-Certification we have been submitting to the DPS and they just had him do it in person instead and he INSISTED it was something new. I have been calling the Texas DPS all day and can not get through to an agent to find out if Texas issued CDL’s now have to submit their new medical cards in person to a DPS office in order to update their Certification. I’m hoping someone can help clear-up this up for us. Do drivers holding a Texas CDL now have to submit their new medical card in person to the DMV or can they still submit the Self-Certification Affidavit as they have done for the past several years??? Help us, Please!!!
@Robin
Here’s the info we have for Texas CDL and Medical Card Requirements.
Will a missing finger disqalify me?
@Jordan
If you still have good grip and grasp and can perform the duties of a CMV operator, you will do just fine.
Will emphysema disqualify you
@Roger
Only if it interferes with your ability to perform the duties of a commercial motor vehicle operator. You may be limited to a one year card since the condition is progressive and a medical release form from your doctor will be of some help too.
I just had a stress test cause of a past heart attack years ago it was normal but the doctor also found a mildly leaky mitral valve will that be a issue for dot physical and if so what more test or paperwork do I need from doctor to take with me to dot physical thanks
@ Don
Only if it raises a safety issue. Get a medical release form from your doctor explaining his working prognosis and current findings.
Can a person operate a commercial vehicle with a defibrillator ?
@Johnny
Intra-state or interstate? What drivers license class? Not enough to go on here.
I am getting a defibrillator will this keep me from getting my med card in tx
@Jamie
If you are planning on a class A medical, then you are disqualified as a cmv operator. Defibrillators are in the FMCSA guidelines as not qualified for OTR drivers.
Now if you are going to drive intra-state only, then you fall into the state variances and may be able to drive in state only. You would need to check with your local drivers license department and see what they have to say.
How many days do you have after your physical is expired to renew? Do you have a certain day grace period?
@Nick
Medical cards become invalid at midnight of the expiration date. There really is no grace period. You cannot drive on an expired medical card.
Depending in the State, after a period of time your license may be suspended or downgraded.
My dot medical card expire March 3 2016 I got a letter from the DMV Feb 17 2016 I have 15 days to update I have a appointment on 03-11-2011 to get a new medical card can they take my cdl
@Dale
Yes, you can get your DOT physical exam any time soon.
You just can’t drive when your medical card is expired, and until it is renewed.
Get your renewed medical card information to DMV asap or they may downgrade your license.
I currently have a Dot card that I needed for one of my employers, I no longer work for the employer that required the Dot card. What do I need to do to get the DOT removed from my license
@Danie
All depends on what class drivers license you have. Best bet is to check with your local drivers license department and see how they want to handle your specific situation.
I am diagnosed and being treated for sleep apnea. I have a chaffeurs license and am tring to get a job that requires a DOT Physical. Will the fact that i am being treated cause any issue?
You would need to have a 3 month compliance print out proving you are at least using your CPAP machine more than 4 hours at least 70% of the time to try an obtain the maximum 1 year certification. Other than that there should be no issue for being treated
@Nick
In most cases the examiner wants to see proper compliance with the CPAP unit. Proper compliance is 70% usage for at least 4 hours a day. So take a copy of your last readout with you.
I just started with a new employer who requires a new medical card. My old one does not expire until October. When I get my new medical card, does this have to be sent in to the state DMV for their records?
@Kae
Yes – and more than likely you will need to send the state a self certification form.
Not all states have the self-cert so make sure of what information your state drivers license department needs from you.
My husband was just told that he will not pass his medical examiner’s certification to renew his NJ CDL because he takes Sutent, a daily chemotherapy medication for stage three kidney cancer that is stable. He has been driving for a year in this condition. The medication does not adversely affect his driving capabilities. He will be taking it for the rest of his life. Can he appeal this decision?
@Mrs Vinnie
You should have a second opinion on this.
With proper documentation from the prescribing doctor and a medical release form from him, you may continue to drive, based on all other findings. The medical certificate will most likely be limited to one year at the time, but he would be able to continue working.
Is a current medical card revoked if you fail the physical for a new company even though your current card is not due to expire until 10/16? I applied for new company but failed their dot physical with borderline BP 148/88. Can I still keep my current employers card and my current position or am I now considered revoked bc I failed a different physical?
@RR
If the new physical findings went into the FMCSA data base as medically disqualified, then your old card is invalid.
i am a current cdl school bus driver i also drive for the ymca what physical is needed for the ymca bus and where do i find the actual rule and federal law
@Tina
Contact your state drivers license department for intra-state rules.
Who do you need to contact to have a hold place on your CDL? My husband had surgery and his card expires on 2/12. Is there a contact name and number that he can call to have this taken care of? Who issues the 3-month DOT medical cards? To receive a medical card, do you have to be on duty at the time, or if you are on a 90 days leave, is it possible to still get the 3-months medical card?
@Letha
Your husband can’t pass the DOT examination and there really isn’t such thing as a 90 day card.
Yes, you hear about drivers getting them, but that’s because they have to fulfill other requirements before they will be issued a proper medical certificate. You want to talk to the local state drivers license department and ask this question. It will fall under the states rules and not the FMCSA.
Do I need a dot phisical if I don’t work as a driver anymore ,if so what should I do if I receive a letter that I have to renew my dot card ?
@Raiko
This one you want to check with your local drivers license department and see what the state has to say.
You may need to downgrade your license if you are not going to be driving cdl any more.
Is there anyway to get an extension for your medical card?
@Arnold
There really is no such thing as an extension. You either have a valid certificate or you don’t.
In some cases, if there are extenuating circumstances, the state may hold your cld until you can pass the DOT examination. And even that is not an extension, it’s just that you don’t lose your cdl while you get things cleared up.
I have a driver who needs a physical and medical card but will NOT be getting CDL’s. His company wants the medical card just as a requirement. He has a prosthetic leg and has no problems driving. I know that if he was getting CDL’s he would be required to take a Skill Performance Evaluation and carry the certificate with him. Since he is not getting his CDL’s, can we pass him and give him a medical card?
Thank you!!
@ Dr. Payne
You could pass him, but make sure within your state drivers license department that you can clear him with a prosthetic. If he has a valid drivers license right now, then there should be no issues. But make sure first.
Hi, my name is phil ive been driving for 4 years. I am local driver in huntsville alabama, recently i have gone for my dot physical and the docter sites my narco 7.5 which i get from a major pain facility attached to our hospital. The dot physical people first wanted me to have the docter sign a questioneer reguarding driving on the narcodic pain medicine, the pain docter said no, without relly saying no, ( he does not like signing things at all no matter what!!) So i told the dot docter he said no, it was my understanding i would have to stop seeing the pain docter so i canceled my appointments. Somehow i have rubbed the dot physical docter the wrong way and she says the only way i can get my dot physical card is to have the pain docter sign something saying he will no longer write me narcodic pain medicine. Ok, easy enough, so i take it to my pain docter, only to find out he dose not like signing things. What now? I stopped taking the medicine today but my 3 month period has just ended. Is it ok to see a different docter? Or will it be docter hopping? I dont want to get introuble but i am stuck. The pain docter wont talk to me anymore. And i have tryed to explain myself to the dot physical place.
@Philip
Don’t understand why your pain doctor is being such a pain in your a**.
It’s no big thing, a simple medical release form would do the job. So yes you can go somewhere else for a second opinion and yes you will probably need a medical release form from the prescribing doctor.
The CME has no right requesting you to change your medications, so you do need to get someone in the pain clinic to complete a medical release for you. Otherwise, take your business elsewhere.
I have a driver that was told he’s over weight . His BP on boarder line , he was told he needs a sleep app test done an need to shed some weight before he can get a new DOT Phy card. Is this true
@BJ H
As a single issue, no, but with a series of multiple issues it could be so. It all depends on what else is going on, but weight alone is not a disqualifier. Might try somewhere else for a second opinion.
For more insights on the contentious sleep apnea screening issue, see our series of articles on Sleep Apnea.
Has BMI/neck circumference become an official rule for obtaining a medical card? I went for my DOT exam 12/29 and was given a 3 month card and told I had to take a sleep apnea test. I have no other medical issues, other than bmi of 37 and neck little over 15. I tried to argue that I didn’t believe this was a rule yet and was basically told it’s well known in town that this clinic automatically sends people for sleep testonight. Am I able to get a second opinion, or is that considered doctor shopping? He told me it wouldn’t matter if I lost weight in the next couple of months, I would still have to take the test. Is this right? Thank you!
@Lynn
No new rules on sleep apnea, so go somewhere else to get your second opinion. Make sure you wait a month or two before you go for your next DOT examination. FMCSA sees a quick turn around as doctor shopping, so wait and then go for a second opinion.
For more information on this contentious issue, see our articles on Sleep Apnea Screening.
what DMV number do i fax my DOT card to for florida?
before my card expired on 10/14/15 had exam on 10/7-failed for bp & sugar in urine-given 1 month card-went to primary for blood work on 10/24 -found diagnosis of type 2 diabetes with no glycosuria- start diabetes meds- return to company doc on11/5-bp ok but a1c& fbs too high-can not retest blood for 2 to 3 months from last test-card expires 11/7-more blood work on 1/3/16-return to company doc on 1/18-all numbers ok on blood work-now they say I have to take the whole exam again-to me the rules say–patient needs to return with results performed within last 6 months- if a1c is too high, no card is given ” until it is within limits.” Any clarification would be helpful–Thanks
@jimrand
Each CME runs his facility the way they want to run it, so there is no real clarity on this issue. The old physicals would allow you to do as you stated, but the new physicals are different and the rules have changes. New physical went into basic effect 1/1/16. So you may have to redo the entire physical again. Or go somewhere else for a second opinion.
18 year old presents for DOT card for trucking school. Due to his age he is only able to drive intrastate until age 21. Physical exam is completely normal. No medication taken. BMI normal.
He may receive a medical certificate for a max of 2 years or 1 year ?? due to his age.
@ Dr. Ronald
2 years; intra-state only.
if i am not required to have a special permit to drive a small truck is a DOT physical needed, or when is a DOT physical needed?
@Wayne
If the vehicle is used for commerce, then a medical card may be required. If you do not need a special permit then check with your local drivers license department and ask when you would need a medical certificate to operate the vehicle.
My husband went the other day for his DOT physical to one of those walk in clinics. When the girl put his name and social security number in some how his medical records came up. He had a breathing test aobut2 years back and the doctor never submitted the results in his records. Number 2 issue is that she saw that he had a hearing test and failed. Thus far she never gave him the test because of what she read in his medical history. She told him to get the test results from breathing doctor and come back when he had hearing aids. Question can they use medical records for failure of a test? Or determining the failure of a test? State of North Carolina
@Gail
No idea where they would have gotten medical records from. The first question to ask is where the hell did you access my medical records from????
And no they should simply do the examination and determine medical fitness for duty at the time of the examination, not off your medical records from who know where.
Is there any grace period with the medical cards ?
No.
WOULD PTSD DISQUALIFY MY CURRENT CDL LICENSE WHEN I CAME UP FOR RENEWAL? THANKS BOB W THE PTSD IS MILITARY CONNECTED IF THAT HELPS.
@Robert
It all depends on how you are being treated for the condition. But as a general statement, you should be OK.
I’m in cdl school I’ve got my learners permit only.I got letter from ala law enforcement agency witha notification of cancellation of my cdl lience that I dont have yet.im so confused!!
I have a stable dialysis patients with lots of residual function. Actually he does home hemodialysis. can he be qualified for DOT exam. Blood pressure is under control, he still makes lots of urine, and he does dialysis at home in the end of the day.
@ YK, MD
You would need to check with the state drivers license department for this one.
He would not qualify as an over the road or interstate drivers requirements, but may qualify within the state only. Check with your local DLD and see what they say.
In the state of Illinois is there a grace period to get your DOT physical renewed? Do you have 30 days once it has expired to get it renewed?
Went to my Doctor with some symptoms a week after they happened. Dr. sent me to E.R. because she said the symptoms sounded like a TIA. Had an MRI.There was no damage found. A stroke was ruled out at the E.R., so the diagnosis was brain TIA because they can’t rule that out. The CME at the clinic refuses to pass me now because of this. (He told me this before the appt) I don’t work for anyone right now. I just want to hold onto my CDL. I have had it for many years. I really don’t believe the diagnosis. From what I have researched, it is a disqualifier. Physical is due this week. Should I just let my cdl go or take the physical and be disqualified for however long. Or will they just take it away for good? I don’t know how this works.
@CZ
Unless you can get the present diagnosis changed to something else, you are on a one year waiting period or longer. FMCSA has a strict set of rules on this issue.
You might check with your local drivers license department and see what the state requirements are for intra-state only. But as an interstate driver with interstate privileges, you are on a one year or more waiting period.
If you do not plan on driving ever again, then you may want to release your cdl and go to a class D license.
Each state treats the self-certification and medical card process differently. Best to visit your local drivers license department and find out what options they can offer.
Thank you. I have a class B , with P and the S for school bus. I was hoping to hold onto it in case I decided one day to return to driving. I will talk to the nuerologist today.
Thanks again for your input. I appreciate your fast response.
@CZ
You are very welcome. Good luck!
would that apply to drivers in Ohio my Dr.says it does but BMV says you can drive intrstate without medical card
my doctor told me no on new card Ohio bmv said no med card needed for intrastate
@George
If you are sure that you don’t need a medical card for Ohio intrastate, based on information from DMV – it’s their sate rules so that’s your answer from the horse’s mouth.
Our focus on this website is federal, though we do try to help out with state variances where we can.
@George
If you are sure that you don’t need a medical card for Ohio intrastate, based on information from DMV – it’s their state rules so that’s your answer from the horse’s mouth.
Our focus on this website is federal, though we do try to help out with state variances where we can.
Are municipalities and authorities exempt from medical exams and having a medical card in Pennsylvania?
@kevin
You’ll need to contact your local drivers license department for this information.
Each state has their own regulations. See Pennsylvania CDL and Medical Card Requirements.
I have a chronic back condition which I have lived with most of my life. It is now causing some bending of my posture. Other than that and occasional pain (I only use OTC medication for pain), I have had no issues driving (r lifting, etc.). I was at my company’s medical examiner’s office the other day for a random drug test (no problem there) and the doctor mentioned he might not be able to pass me because of my back. What are the criteria for denying a license based on back issues. I have had no performance issues to date.
@Paul
If you have no performance issues and you can perform the duties of a CMV operator and can be classed as fit for duty, then there is no issue.
I went to a B C U care center for my Dot exam because my Primary DR told me he does not do them while I was there he took my blood pressure and it was normal but said he cannot do the exam because he did not take the class for it. So I went to the Urgent care center where they do them. my blood pressure was taken and it was 156over 90 Then she took it again and it was 130 over 80. I have never had any blood pressure problems in my whole life. She also gave me a Testicular test which I found very embarrassing and felt violated. My DR did this 6 months ago . Is this test to be performed on a DOT EXAM? I also take colsterol meds .She gave me a I yr Medical card I asked her why and she said because of my meds and Bp .How can this be. I get it checked every 6 . months and its under control my Dr says its fineand so is my BP. She said its because of my chlosterol meds. How can this be. I got a 2 yr medical card the last time and nothing has changed since then.
@Bruce
Sounds like your CME is being over cautious. A lot of the new CME are reading the guidelines and feel that they have to be held fully responsible to the facts. And the FMCSA is looking over everybody’s shoulder, so examiners are being very selective on who they give a two year card to. Next time try another facility, you may get a different result.
on 10/06/2015 I went for my dot physical and past everything but my blood pressure. it was high so I was put on a med to lower it. got a three month card. on 12/16/2015 I went back to get a new physical. this was a different dr this time but I past my physical. blood pressure was140 over 90. that is a passing level. the dr would only give me another 3 month card. I told her I was already on a three month card. she told me she could do it again. I told her I only get 1 three month card. I passed the physical. she has to give me a 1 year card. what can I do to get this rite.
@Kevin
A bp of 140/90 is very barely passing and I suspect she just wants to continue to monitor. If your blood pressure was not passing on the first examination and you had to go on medications, you should have received a 3 month card so you could get your bp under control. If the new CME feels that your blood pressure could continue to go down and she wants to continue to monitor, then she can, if she chooses, can do another three month card and then go to a one year card. Now it is just a monitoring things, not a regulation issue.
My husband is a perionteal dialysis patient. Can he drive a school bus?
@Cindy
This one you will need to check with your state drivers license department. Each state is a little different, so it falls to the state to answer this question for you.
My husband has his completed Medical Examination certificate, but the status is pending until approved. Can he still drive?
@Mary
What status from whom for what?
If the driver has a valid medical certificate and a valid drivers license, then who is holding what portion of that process up? Don’t know of any state that does such a thing.
I am a current CDL class A driver with a clean record. I have HazMat, tanker, and passenger endorsements through the state of MO. I possess a current medical card with no restrictions. A public transportation company that I have submitted a job application to is requiring that I also submit the original physical examination form I had to obtain for the DOT medical card. The physician that performed the physical is a DOT medical examiner and on the approved list of examining physicians. Does the Public transportation company have the right to request the actual physical examination paper work?
I paid for the examination myself in order to maintain the status of my CDL-A certification.
@William
They can request a copy, but you have the right to ask for their HIIPA compliance policy before you hand over a copy of your medical records.
If the CME is on the NRCME, then that should be enough. Check with the human resources department and see what the company policy is. Remember, you have rights too.
If a driver is temporarily and totally (TT) out of work due to an accepted workers’ compensation injury and under the care of an accepted treater for this injury and does NOT keep his DOT physical appointment, how can he get his license reinstated?
He missed the appointment because he assumed he didn’t need to go based on his current medical care, and Motor Vehicles just informed him he has lost his license. What can he do?
@Barbara
Go down to the drivers license department and explain the situation, which is out of work and unable to pass a DOT examination due to existing injuries. That should then give the drivers license department a way to maintain his cdl as inactive until he can pass the medical examination.
first, a little back story.
When i was 21 and in the air force, i felt i was starting to drink too much, so i self identified to the air force ADAPT (Alcohol and Drug Abuse Prevention and Treatment) program to cut down. They asked how much i drank, and i was honest about it (people in the military drink a lot). They labelled me as an alcoholic in my military medical records. I successfully completed the program.I did still drink occasionally after that (a couple weddings, bachelor parties, ect), but nothing like i did before. I learned a lot form ADAPT about the dangers of alcohol abuse and where i could end up if i didnt control my drinking. there were no more problems after that.
Fast forward 3 years later, and I am in flight school. I applied for a new aviation medical certificate, but it got declined because i stated i drank again in the last 3 years (i didnt think this would be an issue, but according to the FAA i am supposed to permanently abstain from alcohol)
I am now looking in to trucking as an alternate career, just because i love the world of transport. I also do not drink anymore, because of the failure.
Given alI this information, I have 3 questions,
1. I know that alcoholism is disqualifying factor for a CDL, but what would I have to do to prove that alcohol its not a problem in my life?
2. Would having a FAA medical exam failure affect getting a CDL medical? The reason i ask is because they are both part of the Department Of Transportation.
3.Would it even be worth attempting to get my CDL?
Health wise, other than the alcoholism, my health is fine. Any advice would be much appreciated.
Thank you for reading
@Miles
There is no reason not to pursue the cdl, but you will need some documentation before you go in for the testing. Your primary doctor can complete a medical release form for you indicating that you have been clean for the past few years and that he feels that you have mended your ways. That should be about all you need to do the DOT medical examination. If the old stuff surfaces from the flight physical, then the medical release form should be able to supersede it. Good luck
is there a specific amount of time of sobriety that the DOT wants to see? For example, the FAA is 2 years sober (which i dont have)
Thanks for the reply,
Miles
@Miles
FMCSA and the CME would like you to bring a medical release form from the appropriate agency stating that you have demonstrated, in good faith, a sobriety treatment program and that you are doing fine. There is not a specific time frame. Your certificate will be limited to one year at the time for a while so that the CME can continue to monitor your progress. If all goes well, within a few years and no issues, you will go to a two year card. Good Luck
hello I have been diagnosed with diabetes type 2 and they are talking shots. I want a list of the approved medications that are ok with keeping my cdl and driving my truck. this is my life and I can’t take insulin and lose my license. I have been told that there are shots that are not considered insulin like trulicity” that I could take and not lose my cdl and keep my diabetes better controlled.
@desperate
Byette is another form of injectable that is also approved by the FMCSA.
You will need to be on the medications for a month or so, to make sure you are responding well, have your condition under control and then take a medical release form from your doctor explaining your medications along with your latest a1c results. With all of the proper documentation and medical release from your doctor you should be able to pass the new medical certification examination.
my question is my son has epilepsy but has not had a seizer in 8 years but they have revoked his medical card can you tell me why they would do that he has controlled his epilepsy with medication so I do not under stand
@Pamela
The FMCSA has recently established a seizure waiver and it may be that they are wanting him to fullfil the FMCSA requirements. This waiver did not exist a few years ago, so it is new to everyone.
Can I get dot mediacal form filled out by a dr online?
@Charles
No!
When filling out the ‘card’ for the driver to carry AFTER he has had the DOT exam….on the card it has CDL with a yes or no box next to it. I was taught that if the driver does NOT have a class A, B or C on the back of his Florida’s License that we are to mark the NO box for CDL. Is that not correct??? I had a patient call and argue with me, that he had to pay for another DOT physical when he arrived in Illinois to take the Truck Drivers School exam and I guess they marked his card CDL – yes. Are we doing something wrong???? I have looked EVERYWHERE for instructions for filling out the Medical Examiners Certificate (wallet sized card) and the only instructions I found are the ones for filling out the DOT physical forms. Can someone please verify – – are we supposed to mark yes next to CDL even though his Florida Drivers License had a Class E on it which means NON CDL license????
@Cheryle
It isn’t that you did anything wrong. Further questioning would have revealed that the client was getting ready to go to truck driving school and must have a FMCSA quality examination. It is a weird catch 22. He does not have a cdl, but is getting ready to do so. In our state, if they are going to go for the CDL, even though they do not have one at the moment, we mark CDL “yes” because if we do not and they go for the cdl examination, the DLD will not let them sit the test. Like I said, a weird catch 22. Just ask a few more questions about the direction the client is going in and you will know what to do.
Can I still take a MN DOT physical to renew my CDL if I am pregnant or do I need to go through some sort of waiver/extension process and take it after the baby is born?
@Barbara
To pass the FMCSA medical examination you need to be’ fit for duty’. If you are not fit for duty, then you will want to wait until after the baby is born and then take the DOT medical examination.
even if that won’t be until after my license is due? I am certainly fit to drive but obviously I have the physical effects of pregnancy that change my normal range of health measurements – ie blood pressure, heart rate etc..
@Barbara
If you can pass the examination as a fit for duty driver, then you are good to go. If, with the pregnancy, you are unable to perform those duties, then you are not going to pass the examination. Each state has some guidelines regarding issues just like your’s. You are going to have a baby and can not pass the DOT examination, so you need some extended time before it effects your CDL. Some states are very picky on this and others are more understanding. So check with your local DLD to see what they have to say.
We have a driver whos DOT physical ran up on Nov. 22. He is now scheduled for his DOT physical Dec. 10th. After the expiration date of a physical, how long does it take to lose your license? Should he be okay with the physical just a few weeks away from when it expired?
@nick
Each state is a little different, but at midnight of the expiration date the medical card is invalid. Some state kill the drivers license at that time. Some give you a few days. DOT likes to pass out tickets to the tune of a couple hundred dollars and the company can be fined also, so it’s up to you.
I do not have a CDL, the trucks I drive are under the official weight. Do I still need a Drivers Medical Card?
@Ted
If the vehicle is used for commerce and can pull in excess of 10,001 pounds, then most states want you to have a valid medical card. The card is not for a CDL, it is because you are driving a vehicle that is being used for commerce.
I work for a trucking company. One of our drivers recently had his physical to renew his medical certificate. He gave me his paperwork to fax in the certificate and place in his file. I noticed on the forms he filled out at the doctor’s office, he marked that he is not a diabetic when I know for a fact he is an insulin dependent diabetic. If I fax this in, am I, or our company, liable if anything happens because of his diabetes? I know his diabetes is under control, but I also know as a diabetic he is supposed to have the physical exam every year as opposed to every two years, and that is probably why he lied….doesn’t want the hassle.
@Jenny
So you are saying you have a liar as an employee and you are wondering if you will get in trouble. You would be considered an accessory to any injury that your drivers causes.
You should notify the examiner and let him know that the driver has falsified his medical records and send the driver back to complete his paperwork properly. You are responsible for telling the truth and you have a driver that isn’t doing the right thing. It’s a safety issue now.
I received a 3 month card (renewal) because of a high blood pressure issue…
I made an appointment with my doctor to get checked out and resolve this issue before the 3 month card expires… Everything else was fine…
Will I be able to obtain a two year card ever again ?
@Marcus
Depending on how the issue was resolved, but expect to get a one year card for now.
My husband had a aortic heart valve replacement 11 years ago was on coumadin with regular monthly INR checks. August 2015 he had a stroke while driving truck he did not recognize that is was a stroke. Went to family doctor diagnois as the flu sent home after 4 days off he went back to work. He made it 6 miles from terminal went to hospital emergency room that is when they found that it was a cardioembolic cerebrovascular stroke. He has memory loss and sometime dizziness, he is 63 years old an been driving truck over 40 years. This is all he knows how to do. we live in PA. The family doctor said he can go back to work, his neurologist won’t release him until he sees a neuropsychologist for testing which i’m told is very expense. When we had insurance they would not pay for this testing. we can’t afford to pay for it ourselves.
First of all if he had the test and the neurologist released him would he Pass a CDL Physical Exam?
He is on coumidam 11.25mg. 3 days a week, 7.5 the rest of the week. The INR needs to be at 3.5. He also take 81mg baby asprin everyday. Would he be disqualified for driving? Should he go to try to take the Exam? What is considered a high dose of coumadin? Please any help would be appreciated.
Thanks
@ Deb
If your hubby had a stroke, he is now in a one year or more waiting period before he can be cleared to drive. So you might want to check with your state drivers license department and see what the rules might be in your state for intra-state only. Once the neurologist clears him, he may be able to operate within the state, but be aware he may not also. FMCSA, one year or more based on the level of the stroke. Intra-state maybe a little different.
When do you need to get the DOT physical? before or after you pass the CDL test. I’m in the state of Michigan
@ Preston
Most states want a valid medical card before you can sit the CDL examination. Check with your state to confirm the facts.
My medical card was valid until July of 2017.I was notified that Dr. La Rhonda Farmer, D.C.did not conduct a proper medical exam,and that her National Registry Number had been removed(1399013345) from the National Registry.
The letter indicated that I must get another DOT medical certification within 60 days which I have complied with and submitted another medical examiners certificate to my employer. My employer assured me that the certificate would be registered and submitted to the companies’ insurance carrier.
Today, the CEO of the company again asked me to submit my medical papers which had been completed and returned to me several days ago. Due to the company’s incompetence regarding this matter,I tried to re-register on-line myself.This seems to be impossible since the registry has me registered on the old medical card until 2017!.
I have been unable to get any further explanation regarding this requirement through email and phone messages,and would like to know why I had to pay an additional $107 for another medical exam in the first place!!!
@James
Sorry to hear than you have been through the wringer on this one.
We are a private website that does as much as we can, for free, to help drivers.
The CME you mentioned is not, and has never been a part of our private DOT doctors network. We know how challenging the medical certification process can be for drivers. That’s why our motto is “Choose your DOT Doctor wisely!”
Any time you get a new medical certificate, it’s the driver’s responsibility to get a copy to your state driver’s license department. That will override the previous medical card, attached to the records of your drivers license. So get that new information to your state DLD, and you should be okay.
My husband is disqualified until he gets glasses. How long does he have to get the glasses before he has to do the whole exam over?
@Angela
Each examiner is different, some will just test for the vision portion, if they did the test originally, some want to redo the whole test. Check with your last examiner and see what they have to say.
I have a driver that is out on FMLA and his card is expired. What can he do to get a temporary hold so his qualifications will not be removed?
@Ronda
Contact the driver’s state/local drivers license department about a temporary hold.
Can you keep your cdl without a current medical card.?
@Daryl
Most likely not. Some states may allow you to change your self-certification status to ‘Excepted’ while you are not driving. Or if you have a medical condition that has not yet resolved and your medical card has expired you may be able to arrange a temporary hold on your medical card.
Each state treats this process differently so you will need to contact your local drivers license department.
My husband recently was required to do a DOT physical at a specific Concentra Lab in Dallas , Texas. He has diabetes type 2 under good control with non insulin medication and diet. Due to a series of unfortunate in june 2015 ployer choices in the last 6 months he has had 2 DOT physicals the 1st carrier did not require A1-C or BMI neck measurement or Sleep Apnea Questionairre. And 1 year card was issued. He had a Concentra Physical including BMI and Sleep questionaire on 11/415 – He answered No to all questions and BMI was 35.35. They ordered a sleep study.
He had a scheduled internal medicine appointment with his doctor at Baylor Medical on 11/5 and his BMI was 33.5 , weight 242 and Bllod Glucose was 134 on 11/5/2015.
The MD sent the Concentra request back stating that the Sleep study was not needed.
the first day at concentra his FSBG was 242 because he did not fast – 2nd day he did fast and FSBG was 129. on 11/4 15 concentra wrote his BMI as 37 and on 11/5/15 his internal medicine doctor recorded it as 35.35. On 11/5 at his doctor appt (baylor) his FSBG was 134 at noon after that appointment he went back to Concentra for a true fasting FSBG which was recorded there 1.5 hours later as 129. He was disqualified for needing a sleep study given a 3 month card.
Obviously they recorded his BMI incorrectly to have a 1.7 difference in his BMI. Proven by the 3rd medical card on 11/6 which showed his BMI as 35.35 again and the Dr. told him to loss-e 3 lbs in the next year and issued him a one year card. We know the 3 mo card stands but, we were trying to prove this discrepancy and refute the sleep study. Do we have any legal recourse. The stress and weight gain are due to not having a job. He lost 40 lbs last year!!
@Laurie
Don’t spend too much time worrying about stupidity. Your hubby gat a one year card which is correct for a driver who is diabetic and on medications, so you are good to go. If you want to file a complaint, do it with the FMCSA. They should be monitoring the CME’s performance. Since there were no new rules or regulations regarding BMI or neck measurements, you were taken advantage of by some facility. Don’t go back there again.
Is there a way to keep your medical card if you have to go on insulin?
@Derek
Yes, but you need to get an insulin waiver from the FMCSA to be able to do so.
How old must you be to obtain a DOT Medical Certification Card for Alabama?
@Jennifer
You can get a medical certificate at age 18, but you would need to be 21 for a CDL, I believe. Best bet is to check with your local drivers license department since each state is different on the medical card.
i am blind in one eye i wear glasses and car drive my car and want to get my cdl can i still get it being blind in one eye
@Steven
You will need a vision waiver from the FMCSA and will have to go through a skills performance evaluations before you will be given a valid medical certificate. Good Luck
Is there any restriction in DOT Certificate for an 18 year old?
@Gloria
Cannot drive interstate commerce until 21 years of age.
Intra-state only. Check with your local drivers license department for further information.
This question is in reference to my husband. Last November my husband woke up on the truck with severe hip pain. He was able to work until March and then lost his job. His physical was due in April. He didn’t do it because we knew that he wouldn’t pass. He couldn’t even drive anymore. We later found out that he had to have a complete hip replacement, which he did in September. Now he is trying to get back in work after being released from his ortho doctor’s care. His license does not expire until 2018, but the BMV here in Indiana says that he is disqualified. Will getting the physical re-qualify him? We are trying to find out because with him being out of work for so long and me being disabled, we don’t have the funds to waste. Thank you for your help.
@Rachel
If he can qualify as medically fit for duty with the new hip, then he should be good to go. Your local drivers license department should take into consideration that your hubby has had a major surgery and was unable to pass the DOT examination until he was released from the care of the surgeon. A new medical card should do the trick. Make sure you take a medical release form from the doctor with you to the DOT examination. That will help answer most of the CME’s question right up front.
I had surgery on my left elbow and was off work for a month.I am released to work 11/11/15 my DOT medical card don’t expire until February 2016.Do i need to have my medical card renewed before I go back to work or can I wait until it expires.
@Larry
Any condition that takes you from behind the wheel for any period of time needs a new medical card to determine medical fitness for duty. Yes, you need a new medical certification.
can you please tell me where in the regulations it says you need a new medical certificate if you miss work? and how long do you have to be off work?
@Nancy
In the FMCSA guidelines for medical examiners, it states that if a driver is out for any period of time, then he would need a medical examination to determine his fit for duty status. There isn’t a time frame, like a day or two. FMCSA wants to make sure that all drivers coming back from an illness or injury are medically fit for the duties of a CMV operator.
Thank you for your response. Would you be able to tell me where in the regulations this is stated?
my dot medical card expires nov.13,2015 my dot physical is not till November.17 is there a grace period
@James
No grace period for driving on an expired medical card.
Drivers license department may have a grace period for submitting the new medical card to update your drivers license record.
had my cdl exam 10/2015 the dr told me I had to have a stress test done because I check heart attack on the form. Told him the heart attack which was mild was 15years ago and haven’t had any problems since. my physician said that I didn’t need one. but the dot dr. if i didn’t get it he wouldn’t pass me.Had the test done passed with no problem but he would only give me 1 year card. when I ask why he wouldn’t give me an answer just said if I go back to him next year he will want another one every year. Is this right if not where can you go to complain about these type of dr. I have no health problems except that heart attack
@Jack
Stress test needs to be done every two years and because you have had a heart attack your medical certificate will be good for one year at the time. Thanks to the FMCSA, it’s a reg not a guideline now. If you want to file a complaint with someone, do it with the FMCSA. Your last examiner is overreading the guidelines, stress test every two years will be sufficient.
Are municipalities exempt from this if they don’t cross state lines? or do they need them regardless?
@Bill
In most states the medical card is still required by law, unless your state specifically has rules and regulations that make you exempt. Check with your local DLD for further information.
I am about to attend a CDL course. I have (no) physical ailments that are currently being treated, other than neuropathy. The neuropathy is in my feet, but I have full control of both. I take gabapentin to ease the pins and needles, but it is not disabling. Problem?
A past ailment I had in on February 9, 2015, was a massive saddle pulmonary embolism. I have a venous filter installed, and am taking blood thinners along with bp medication. The VA doctor says I am doing fine. Is this a problem?
Thank you.
@Charlie
Both conditions are going to pose a ton of questions from the CME. Make sure you bring as much information regarding your conditions and treatments as you can to the DOT examination. It will help the CME make the most informed decisions he can.
I’ve been looking for answers for over 4 days about Florida’s requirements. I have to update my medical I.d. card. I’ve been wanting to find out if I hate to submit a urinalysis in order to get my new I.d. card? I have seen several websites say that I don’t and a few saying I do. I have less than two weeks to take my exam before my cdl is revoked. I need to know if I go to someone who does one or both. The other reason is because I’m on a limited income so I have to figure out how much money I’m going to need to get together for it.
@Bill
So the drivers license department that issues you a new ID card can’t answer this question for you?
This is a state related question, so you would need to check with your local DLD for the best answer.
I have been dealing with CPAP compliance for a year. I am required to do annual physicals due to being on high blood pressure medication. Last year I was tested, could NOT get used to the CPAP machine, and went to another DOT doctor and got a new card before I lost my CDL. I’ve been hired at a new job and the carrier sent me back to the original doctor for my exam. I passed the physical but was not issued a medical card because I am not CPAP compliant.
While trying to make an appointment with the CPAP issuing doctor the administrator in his office told me I needed CPAP because I have moderate sleep apnea. I asked where I stood and she said mild sleep apnea ends at 15 AHI (episodes and hour) and my average was 15.4 which put me in the moderate category. I looked up the federal guidelines and they state I do NOT need to be treated with CPAP as long as I am below 20 AHI. I went and got a copy of my sleep study results and sure enough it is 15.4. I went back to the doctor (Concentra) and was told the doctor who had withheld my card was not going to be in the office for a week. I requested another physical and was told they will not give me one, I have to wait until this doctor comes back in a week. I was also told to continue using my machine so I would be compliant when she returns. I told them according to DOT regulations I AM compliant….I do not meet the criteria for needing CPAP. Don’t know what to do. I can not drive for my current job because my medical certification is no longer good with the new physical and I am running the risk of losing the new job I was offered over this issue….they have been waiting two weeks already for me to get my medical card….not sure where to turn…..
@Bill
It sounds like a catch 22 here. You need information so that the testing can be completed and at the same time you fall into an odd position with the CPAP numbers. Sounds like you need to find somebody at the testing office who can move on with the examination. Or at least grant you a 90 day card until you can get this worked out. No simple answer in this one. Especially if you must have your examination done where the company is sending you. Is it a company policy that you have to have your examination done there?
I am required to go to this doctor, no other option if I want this job…..and it is a VERY good job, they understand what I am going through and are willing to work with me so far at this point.
I went to the doctor who gave me the original sleep study and put me on CPAP. He reevaluated me and filled out the form for the DOT doctor and said I don’t need CPAP to be compliant. Went back to the DOT doctor today and she said that he can’t just say that I don’t need it even though I fall below the AHI number required for DOT. She wants a written letter from him saying I am not able to tolerate CPAP AND do a MWT sleep test….over 8 hours at the sleep study center. Sitting in a dark room for 40 minutes wired to a machine checking brain waves to see if I am falling asleep, a two hour break, then back in the dark room for 40 minutes…a total of four 40 minute tests in the dark room to see if I fall asleep….waiting now to see when they can schedule me in for that…all while I wait with no medical card for my CDL and unable to work for over 3 weeks now. And since I have not worked enough hours at my present job my medical insurance is no good so this will all be out of pocket with no income as it is. And the DOT doctor refuses to give me a temporary medical card so I can start the new job or at least work at my old one for the time being. All VERY frustrating….
FINALLY have a medical card…..took the MWT (test to see if I can stay awake during the day!!) and passed…my CPAP nightmare is OVER!!! FIND OUT WHAT YOUR AHI NUMBER IS!! IF IT IS 20 OR LESS YOU DO NOT NEED CPAP ACCORDING TOFMCSR!!
For what conditions or circumstances may a 3 moth card be issued. I just had a DOT physical and was told I had trace blood and protein in urine – but they told me I have to get that fixed to get a new card. I said without work I can not pay for care and the examiner remarked Sorry, Catch 22″!
Thank You.
@Jack
Catch 22, you may need to borrow some bucks to find out what the issue is, but the examiner is not going to provide you with a valid medical card if the situation is not looked into. At least he gave you a three month card to get it checked out. It is a catch 22 situation.
My medical examiner temporarily disqualified me from obtaining my fed med card due to my admission that I have smoked marijuana in the past. I went to another examiner and obtained one the same day. Will this work for me or will the disqualification trump the second qualification?
@John
It should raise a question as to how you managed to have two examinations in one day, fail one and pass another. The FMCSA may question you about why you went ‘doc shopping’. Your second examination should over-ride the original examination, but there may be questions from the FMCSA. If examiner number 1 ask a broad question and there was no level of suspicion regarding your use of cannabis, and you passed the second examination with out lying to the examiner, then the number 1 examiner should have to answer for why he failed you and based on what findings. Right now you are most likely listed as a valid medical card holder.
Hello,
I sustained injuries to my hips and shoulders due to a malfunctioning step on my work truck. It has turned into a workmen’s comp. issue. The doctor clearly recognizes the physical injuries and wrote light duty specific instructions. My company is now having me drive a 10 ton vehicle as light duty.
My DOT med. card was signed off 7 months before the accident. My current WC doctor is not on the approved medical examiners list. Can they make me drive under the current DOT card even though my physical injuries exist? Does the DOT card stay active?
@DOT concerned
Your medical card was invalid the moment it turned into an injury, so you do not have a valid medical card to drive on. And until you are released from your doctor and can pass a new medical examination you should not be driving any commercial vehicles or it’s a big ticket if you are caught.
what action do I need take if I choose to let my card expire & only drive my personal vehicle
@Harry
You should notify your local drivers license department.
I HAVE A CDL IN CALIFONIA, I HAD A DR THAT WAS FMCSA CERTIFIED IN WASHINGTON. I RECENTLY WENT TO THE DMV TO RENEW MY CDL AND THEY TOLD ME I HAD TO COME TO A DR IN CALIFORNIA FOR THE MEDICAL CARD, I KEEP HEARING DIFFERENT STORIES, SO WHY WASNT THIS MEDICAL CARD VALID, AND IF IT IS WHERE CAN I FAX IT TO? IV CALLED SEVERAL TIMES TO CALIFORNIA AND I STILL DONE GET STRAIGHT ANSWERS. I WORK OUR OF WASHINGTON AND I DONT WANT TO HAVE TO MAKE A EXTRA TRIP TO CALIFORNIA IF I DONT NEED TOO…PLZ HELP
@Terry
You don’t need to go to California to have your medical examination done, BUT, you do have to have the examination done on a California form (DL-51). If the CME in Washington didn’t use the correct form, then California won’t accept it. You could have the doctor in Washington fill in the DL-51 and then take it back to the California DLD. That will fix the problem.
When you get a DOT physical does the information of your health of that physical go on a data base for other doctors to see ?
@Rhonda
It goes on the central FMCSA data base as qualified or medically disqualified.
My husband broke his back several years ago and is still on Narcotic pain meds.
He feels he is finally able to go back to driving. I have not seen the meds cause any sleepiness or disorientation that should keep him from driving. He will still be taking them because of the pain. We asked his pain management doctor to sign a medical release form and she said there was no way. It wasn’t that she didn’t feel he couldn’t drive. It was she felt the form was a liability for her. She said absolutely in no way would she fill it out.
So now what? Any ideas?
Do we have to have the prescribing dr. fill out the form. We have a primary dr that might fill it out but I’m not sure.
We really need help with this. He really wants to get back to work.
@Lynn
If you are going to try to return to driving and still continue taking a medication that potentially could cause a safety issue, then any CME is going to require a medical release form be signed. The prescribing doctor is the one who needs to sign the medical release. If your primary doctor is very aware of the medications and can give you a medical release, then the CME may accept it. The pain doctor is over reading the “risk factor” on the release. What the CME is looking for is an explanation of the medication usage and possible safety issues. Try your PCP and see where that goes.
I recently moved back to California, looking at items I need to provide..it says a completed commercial driver license application…..signing this form means I agree to submit to a chemical test….does this mean I have to submit to a test before they give me a cdl even though I am not currently working as a cdl driver? This is a renewal btw
@John
Hey, it’s californiation. You need to check with them on this issue.
My step father has been driving trucks since 1940’s. He is 87 years old and still does 15 push ups every morning. He is still very clear minded but had to renew his medical card in California for interstate driving. He passed the written test with 0 wrong answers. He passed every part of the medical test accept walking heel to toe on a line over 10 ft long. His primary care physician wrote a letter to the DOT medical examiner explaining the the physical injuries he had at age 45 and that he was not impaired . The DOT medical examiner demanded a neurological doctor needed to also write a letter. He saw a neurologist and got the letter and bought to the DOT medical examiner he has been jumping trough hoop’s and has not been able to work {He is an owner operator } for 60 days now. Please how can he bypass all the Bull….. and get his medical paper back to drive again. He has furnished all the paper and test for the dot doc. They have to be a way to complain about the unprofessional way he has been treated. Thank you L Ron
@ L Ron
The CME you are dealing with is being very cautious. He is reading & following the guidelines and because of your step-father’s age, he is not willing to risk a safety issue. Some CMEs read the guidelines as saying that once he signs a medical certificate, then he assumes all the risk involved. Not sure how that could be, but it does read similarly.
If you have provided all of the information requested and you are still having issues, you can enter into conflict on the FMCSA website or you could go somewhere else and have a new examination done. Just make sure you take all of the available information and a medical release form from your Primary Care Physician with you. You may be limited to a one year card due to the driver’s age. Any good CME is going to want to keep an eye on this driver, simply due to his age.
My wife has very recently been diagnosed with ITP but her platelet count is 65,000 right now, so she has not been started on any treatment yet. However, the doctor plans to put her on prednisone once her platelets drop below 20,000. She is very worried whether ITP or prednisone will cause her to lose her medical card, and therefore her job since it is a chronic condition. I’m a RN, but I know absolutely nothing about DOT regulations. Any advice/ insight would be greatly appreciated!
@AJ
Unless this condition progresses, she will be fine. If it reaches a point that the driver is no longer safe behind the wheel, then the medical card and certification become an issue. Be aware that once she starts with the medications, she will need to be out from behind the wheel for at least thirty days, to make sure she is not going to have any ab reactions to the medication. And then she will need to get a new medical certificate to determine medical fitness for duty.
My question is about my husband; he recently quit his job of 1.5 years. While collecting items my husband needed to return for work, the supervisor told him he also needed his DOT physical card since the company paid for it. Are they allowed to take a current physical card for any reason?
@Lynn
A lot of companies want a recent medical card. So if his card has at least a year still on it, then it should fly, but it is up to the company and their company policies.
Can a medical examiner refuse a 3 month dot cardWithout Giving you a chance to bring in your Heart doctors opinionTo drive a school busOr has the law changed in the state of Ohio
@Melvin
Yes, the CME can do such a thing. Your best bet is to have all of the information in your hands when you walk in the examiners office.
If a certified Doctor qualifies you, can a DMV employee override the Dr. and not renew your medical certificate?
If I’m medically disqualified for a DOT card at clinic A, and I get a card from clinic B. Is the disqualification reported?
@Roger
All information goes into the FMCSA data base.
If you are disqualified for some reason at clinic A, then how does one get cleared at clinic B? A lot will depend on why you were disqualified at clinic A.
What if 1 clinic fails an employee and another clinic passes him?
@Flores1
All depends on why the first CME failed the driver and why the second one passed him. One CME may be over-reading the FMCSA guides and the other may be going by the guidelines as they are written.
Clinic A I thought had bad equipment for blood pressure test but clinic B passed me on blood pressure test. I passed the 140/90 test at clinic B the same day I was unable to pass at clinic A. Clinic A told me “I’ll give you 2 weeks to get under 140/90”. Will DMV hear from clinic A? Since I already gave DMV the clinic B info to prove I passed
@Mike
Clinic B reports you as ready to drive. Clinic A must have had uncalibrated equipment and should have their blood pressure machines re-calibrated. Clinic A would not have reported your findings, in most cases and clinic B over-rides clinic A.
Hi, I recently received my CDL. I took a pre-employment drug screen for a local company, in which I haven’t started driving physically on the road.( which tested positive for marijuana). What are my choices of future employment, since the trucking industry seems to have black-listed me on obtaining a career? Or what steps can I take to have the test erased from my background history?
@Speed
Don’t know how they would black list you. Each test is confidential and information is not shared.
Get clean, stay clean and re-test for another company.
I went to get a DOT for a company that has made an employment offer to me. When I was at their doctor’s office they checked my weight, my height, my blood pressure, respiration and eyesight. When the doctor came in to see me he checked my lungs made me open my mouth and checked my eyes again. He then said that my BMI was 33 and that he was issuing my medical card for three months because I need to get a sleep apnea test. My blood pressure, urinalysis , eyesight and all other testing was normal. I have never had an issue renewing my card before they have always issued a two year card for me. He just looked at me and said that the issue was my body mass. I feel discriminated, he did not even check anything else . I asked him if a hearing test had been performed and he said yes, that the box was checked. They did not perform a hearing test, so how can I believe that this doctor is restricting me based only on my weight. What can I do? Can I go to my own doctor, the one that has certified me for years?
@Xochitl
You can go to your own doctor, as long as he is FMCSA certified.
If not then go somewhere else when your 3 month card is up. FMCSA has no new rules or regulations regarding sleep apnea and if the examiner is deciding this on weight, bmi, or neck measurements alone, then get up and walk out.
For more information on this contentious issue read our articles on Sleep Apnea Screening.
I just had the same thing happen to me today. BMI is 34 and I got the same line, that I needed a sleep test to determine if I had sleep apnea or not. The kicker?, he was sure that I didn’t have it. But he only gave me a 3 month card and because of that can only extend it to a year even if my test comes back clean.
Seemed like total BS at the time, but with the new regulations I thought maybe this was just the way it works. Looking back, I think he just has an issue with people that are overweight. After he told me this he commented, “If I were you, I would lose the weight” in one of the most condescending tones I have ever had the displeasure of hearing.
Well, I am glad that I came here and looked through these questions.
Hi, can any one answer this question for me why does New York State take so much time to update there medical certification on there computer system? thank you all.
Can any one answer how long does it take New York State to file medical certification card into there system ?
New York state takes 10-15 days make sure you fax your medical in if you want to keep DMV happy.
New York state takes 10-15 days from the day you fax you medical card in to the medical unit, other wise day after medical expires your disqualified from driving commercial vehicle trust I know.
I had my DOT physical back in June of this year. The company paid for it. I wanted to see a copy of my results like what my blood pressure was and weight things like that. But the clinic won’t release that information to me because the company paid for my physical. Can they do that? I also want my primary doctor to have a copy also and they won’t let him have the results. What can I do. Really would like to know my results of my physical test. Please e-mail with an answer. Thanks RS
does multiple myeloma or oral chemotherapy disqualify me as a CDL driver
@Willie
It isn’t that it disqualifies you, it’s a question of medically fit for duty.
If you have any condition that takes you from behind the wheel then you need a new medical certificate to determine fit for duty status.
If your situation is stable and the CME feel that you can do your job and be safe doing it, then you have a new medical certificate. If he feels differently then he should explain his position and look for any other options that may be available.
I received my CDL and my medical card, which expired in 2 years, when I attended driving school. Everything was fine. I go to the company (in another state) that I am to work for, but they decided to do physicals on all new hires. The physician there told me I was overweight and my neck was such and such size and I had all the criteria for sleep apnea. I do not have ANY symptoms for sleep apnea (my mother has so I know). Anyway, the physician would only issue my medical card for 6 months and took my 2 year form/medical card. That job did not work out and I am not working for that company any longer and back in my home state. My question is can I go to the physician that issued my original medical card for 2 years and use that one instead of one from the bozo that says I must have a sleep apnea test. Thanks !
@Teresa
You can’t just go and ask for your old medical card, so what you want to do is wait for the 6 month card to be near its expiration date and then go have a new medical card done whereever you like. The newest card has already been put into the system and it over-rides your last medical card, so a new DOT examination must be done to now over-ride the latest card.
My husband had the pre-employment DOT done, the doctor told him he was ok, then he contacted the employer and he was told he fail.He call the doctor office and they said they couldn’t give him any information, he went to another DOT at another doctor and he said that clinic always try to find something wrong that way they can charge you more. What can he do to get his records? Is it legal for them to decline it?
@Claudia
You have every right to have a copy of your medical records and all you need to do is contact an attorney to ask for them, if they will not provide them for you. There may be a small fee for copies and the time it takes to provide the records, but you have every right to have them.
I HAVE BEEN TAKING PLAVIX SINCE 2011. I HAVE PASSED MY YEARLY PHYSICALS SINCE THEN, EXCEPT FOR MY LAST WHEN THE CO DR STATED THAT PLAVIX DISQUALIFIES ME AND I SHOULD HAVE BEEN DISQUALIFIED IN PREVIOUS YEARS. IS THIS DR CORRECT?
@Don
It all depends on what the reasoning was for being prescribed this medication. So without further information, there is no set answer.
See also info about the medical release form.
I just found out that my DOT physical card expired august 19th, so does that mean i drop down to a class C license now? because I havent received any notice from the DMV that my class has dropped? I My CDL is in Texas if that helps.
@Cody
You cannot drive commercial on an expired medical card.
As far as you CDL is concerned, Texas is really strict so you should take care of this asap if you want to keep your CDL.
If a Driver is required to use a company doctor, or a company approved doctor, what medical information can the doctor share with the company other than “qualified” or “not qualified” ?
@Dave
That’s all. Unless there is an expressed consent on your part to divulge further information to the company.
I went to get my dot physical and the doctor wanted me to get an echocardiogram because of a heart murmur that I’ve had since birth. I’ve never been asked to get this before is this a new regulation, or is it just the doctor, because I did go to a new clinic this time. I’m thinking about going to the clinic I used to go to, to try and pass for a two year card , because it would be cheaper than going to get an echocardiogram but if all doctors will make me get this I don’t want to waste time or money. Also, the doctor gave me a 3 month card to get this done, will it matter if I go to the new clinic with a 3 month card, do they feel like your trying to pull a fast one on someone, or can you go anywhere.
@Fooddriver
If you have had a heart murmur since childhood and you and your doctor are aware of it, then just get a note from your primary doctor stating the facts. There were no new rulings regarding excessive testing. The patient and the doctor are aware of the condition.
I have a form of muscular distrophy (FSH). It is not crippling. can I still get a DOT certificate?
@Kirk
This is a condition that would have to be evaluated by your doctor, with a medical release from him stating your prognosis. If the condition demonstrates a progressive prognosis, then you would not be able to pass the FMCSA examination.
If your condition is stable and your doctor can support his findings then it would fall to the CME to make his/her evaluation and the final decision.
its about sleep apnea the company I’m with has a new owner so he wants dot physicals done at there doctor but I am no longer a company driver I have started my own LLC an registered with my home state as a independent contractor I am leased on to the company an also doing a lease purchase on a new truck through them so I went to there doctor to renew my dot the doctor before even examining me had her mind made up I have sleep apnea so I went to do the sleep test the place they sent me is also affiliated with the company in a way they said oh you need cpap I am 6 foot weigh 270 been this big since I was 15 so I get there machine now keep in mind I have always slept fine no problems I mean I can knock the walls down with my snoring but always wake feeling rested an ready to go
They asked if I had a list of symptoms have none but since I have started using the machine have them all wake up choking headaches dizzy spells soars in my nose I drive at night my wife days I get 2-3 hours into my shift I start nodding of fight to stay awake have had 2 times almost blacked out have to drink as many as 3 5hour energy to stay awake I never had these problems before now for the last 3 days I have not used the machine I wake up rested I can drive all night no problems
No headaches no dizzy spells nothing I’m fine I don’t have high blood pressure no signs of diabetes no kidney problems the tech at the doctor did my urinalysis came back an said cleanest sample he ever seen spotless so what should I do call Osha because this machine is put me my wife an the public in danger where there was never a problem before have always received a 2 year card no problem till now it’s killing me what are my recourse
@Chris
Have a real long heart to heart conversation with the doctor that made the recommendations for the unit. He should see the logic in your discussion. If he is stuck on the cpap then get in touch with the Osha and have a conversation with them about your situation.
It’s your body and you know it better then anyone else, so treat it to what it truly needs.
I had knee surgery and am off of work until I get checked out by surgeon. While I was off work I had a TIA, and had my corartid artery opened up but I still get dizzy spells and my BP is not straightened out. I’ve heard that no commercial driving for 1 year following TIA. So I was wandering if it is my responsibility to tell my employer about this or should my doctors should have pulled my card?
@Tony
Your medical card was invalidated when you went in for the knee surgery.
So at this point you don’t have a valid card and you are going to be restricted from driving until you are cleared by the doctors and further testing.
It is first your responsibility and then your employer’s responsibility to have you bring in a new medical card when you return to work.
Thanks for the answer. I did not know that about the knee surgery being a disqualifier. I had my TIA a few weeks before the surgery. One would think you would get a letter stating disqualification on either of these issues but I have not heard anything. TIA in June and knee surgery in July. How is one supposed to know?
If an employee fails the physical required every 2 years, How long will it take for employee to get his/her endorsement back? Should his/her employment continue? The biggest question is whether or not an employee can lose employment when the CDL is lost.
Just yesterday I failed my DOT physical for my prospective employer for high blood pressure. It has been under control for over 3 years with my PCP and medication. My issue is this, this “clinic” took my blood pressure 4 different times. The first was a passing 129/85. The next 2 times (by a different individual) they used what could only have been a child’s cuff, as it popped off my arm both times. The final time with the correct cuff on the opposite arm was 142/110. And he failed me. What recourse if any do I have? I am having my PCP fill out that he has been treating me. But it seems a lot of jumping through hoops that shouldn’t have been. Thank you for your time.
@Chris
If the first blood pressure was within normal limits and you are on blood pressure medication, then what was the purpose for taking so many other readings? You should have received a one year certificate for a driver on blood pressure medication and you would need to provide a medical release form from your primary doctor.
im a non-CDL driver.i drive a light service pickup for AAA. a doctor at concentra requested i do a sleep study.. the sleep study said i needed a cpap.. i used the machine for 1 week and the doc gave me a DOT card for 1 month. then i was supposed to use the machine for 30 days to get a 3 month card, the after that i am to use the machine for 3 months to get a 1 year card. i went back to concentra after only 28 days because my card would have expired on a sunday and i wouldnt have been able to get the study printout until the following monday. The concentra doctor turned me away for non-compliance for not having enough days and then called my employer to tell them he was revoking my 30 card which still had 2 days left. then concentra refused to see me the following week after i produced a full 30 compliance with <70%. Is this standard procedure and how long do i have to wait to take another Physical?. my employer just put me on medical leave for now.
@Thomas
If you have valid medical support showing proper compliance, then you can go somewhere else and get a new physical done.
what if you use injectable pen insulin in your stomach do you still loose your cdl
@Terry
You would be disqualified as an interstate driver until you have a valid waiver from the state or the FMCSA.
You might look into intra-state and see what that process is in your home state.
Any type of insulin dependent diabetes requires a medical release and a waiver. Meaning it effects your medical card, not your cdl per say.
If I had sugery,and wentertainment under anesthesia, am I required to get a new dot physical?
@Michael
Yes. Any medical condition that takes you from behind the wheel, requires a new physical exam to determine fitness for duty.
i told a dot medical examiner i was on adderall he said i needed a letter from my dr saying i can safely drive a commercial motor vehicle but when the mro called me about my urine and i provided them with the pharmacy proof i was cleared on my urine do i still need that drs note to obtain a health card
@Justin
Yes, you still need the note from your doctor. The DOT physical exam and the drug screen are two different processes.
The CME is looking for more information and the MRO is just looking at the drugs in your system.
Get the medical release from your prescribing doctor to help the CME make a better informed decision about your driving.
Hi I’m asking for my brother he currently has his class a in California and he has to renew his medical green card card at the clinic next week he is curious if they will drug test him at all with the urine test? He works for a water district and will be testing at a medical center
@Hector
Drug testing is not a part of the DOT examination, but you will need to give a urine sample to determine proper kidney function.
Drug testing is done at the request of the employer.
hi im asking this on behalf of my dad. my dad just found out that he has to get a stress test along with his dot physical and its do at the end of the month and he said that the test can take awhile to come back in will he loose his cdl license or once that comes in can he get the physical and go back to work
@Bryan
He should not lose his license, but the drivers license department may put a hold on it until he has a valid medical card. The medical card supports the cdl, but does not over-ride the cdl.
IS THERE A “GRACE” PERIOD FOR PHYSCALS IN ARKANSAS AND HOW LONG WOULD THAT BE?
@Sonny
You’ll need to check that directly with your local drivers license department.
The Americans with disability act says I don’t have to disclose a medical condition to an employer. Is it against the law to not disclose that I had a seizure over 10 years ago while filling out the paperwork for my dot med card? I haven’t had one since but I take an anti-convulsant. I have also never lost my regular drivers license or been reported to the state for having a seizure disorder.
Thanks,
Steve
@Steve
You would need to disclose to the CME that you are taking anti-seizure medications. You will also need a medical release form from your prescribing doctor.
If this is found out after the fact you could lose your license and you lied/did not disclose the truth, on the medical form, which is a federal form that you signed stating that all of the information is true and honest.
Hi Doctor.. Thank you very much for this blog!!
1) I am PA-C and I had encountered some problems with patient that will bring a report for their OSA. Those reports had graphics and numbers “a little difficult to interpret”. I can do my best … but should be a responsibility of the sleep apnea technician or MD to sent an interpretation of it??
2) Some patients are having glucosuria due to be on Invokana… when checking on their HbA1C … what value would you consider acceptable??
Thank you so very much!
I had an examination on “8/19/15″ . passed all but the blood pressure . I was running around a lot more than I should have right before it was taken . I told them this and was told don’t worry about it . there was a lot in line after me , I was first .. needless to say my BP was high . I went to another different D.O.T. Dr. on …..” 9/8/15 “…… and had the whole examination done over . My BP was fine .
My question is : Will my newest report over ride the first one ? Do I have to do anything about the two reports from two different D.O.T. Doctors .. ??
It is all the same except “Weight and Blood Pressure”.
(i just want to be sure)
@Berni
Your last examination will override the first one, so you don’t need to do a thing. The examinations are the same for all DOT certificates.
At age70+ is a 2 year physical card still an option
@Pete
There is no regulation limiting a card length regarding age.
The examiner is going to make that decision based on his examination findings.
I also passed the physical.But the doc said because I am 72 could only give me a 6 month card. Called DOT in Washington and they told me age is not a determining factor Where are they getting this. Any suggestions Al G Boston, MA
@Al
Unless the CME can explain why he is limiting your certificate, then next time go elsewhere to get another opinion. There should be some reasoning other than age.
I failed my DOT physical because of a cataract in my right eye. I received the surgery to fix this problem. I went in to retake the eye part of the exam and passed. I was still denied my card because I was not going to be released to go back to work for another two weeks, because the eye doctor didn’t want me to do any heavy lifting, as it may affect the eye. I do not agree that the doctor can keep from giving me my card after passing the test. Not being able to lift over 30 lbs. does not affect my ability to drive safely. As I have looked up on FMCSA, this should not disqualify me from getting my card. Should I just go to another doctor or go back and discuss this little further with the doctor who won’t give me my card. Very frustrated with this doctor.
@Tony
If you read further into the FMCSA guides what you would find is that the CME can only pass you with a new medical card when you are released to return to work and he, the CME, finds you medical fit for duty. The CME should have given you that information prior to testing you. So my questions is, once you have the medical release form from your doctor, is the CME going to give you a medical card? He should if he has already tested you and found you fit for duty minus the release form.
I was told I only needed to come in and get my right eye checked and I would be able to get my card. Had I known I would be denied my card, for two more weeks, I wouldn’t have wasted either one of our time. He is going to issue me my card the day I am released to go back to work. I still do not agree that he should be able to not give me my card after passing the test for DOT physical. Not going back to work because the eye doctor doesn’t want me lift over 30 lbs. does not make me an unsafe driver. To me it’s like going in for DOT physical with a sore throat and you’re going to be out from work for a week with a doctors excuse, but you pass the physical and get denied your card. Having a sore throat doesn’t make you an unsafe driver just means your sick and you should still get your card. What I’ve learned from this, is to go into physical and say nothing, even if extremely sick or injured, pass the test and deal with medical issues with my own doctor. This has been a complete hassle. I do appreciate your response, but still disagree with not being issued my card.
I let my DOT Physical card expire, my cdl is good until April 2017. I haven’t driven since it expired (nearly 3 years ago), so when I take a new dot Physical exam will I be good to go, or is there a time limit on renewing my dot, that would cause me to loose my cdl and have to take my cdl over again? Thank you. P.S. My CDL is ouy of California.
@Robert
First thing you want to know is whether your really do still have a CDL in California. Most of the time, once your medical expires, California suspends your drivers license. If you still have a cdl, then all you would need is a valid medical card done on a dl51 form from the beautiful republic of california, and you should be good to go.
Doctor i was working for stevens but didnt now disclose the medecine i was taking will this revoke or downgrade my license to class c .
@Alejandro
Way to little information to give you any kind of answer here.
If my pressure comes up high (140/90) or a little more how soon about will I be able to get the MED Card if I am prescribed meds and monitored ..
@Barry
FMCSA is requesting a 30 days on the medication to make sure you have the right dosage and no reactions to the medication. Then once the bp is below 140/90 you should be good to go.
I passed a Concentra DOT exam 2 months ago and the examiner gave me a 2 year card. He told me I should lose a little weight but all was good. I am starting a new job so this week had to do another exam, again at Concentra. I have lost 15 pounds since the last exam, and on MOnday was at the docs and my BP was great. 2 days later the doctor failed me on my exam saying my BMI was too high and I had to go get a sleep study done which will cost me $600. I test my BP daily and am 116 over 78, 120/80, etc. I am getting another exam today with CareNow (self pay). How do I contest this so that I don’t ahve to get a sleep study?
@Duane
See where the new examiner goes with this.
You can go through the FMCSA website and enter into conflict with the previous examiner if you need to. FMCSA sort of hides this area, but it is possible to file a complaint with the FMCSA.
Oh, and the second examiner is not quoting any new laws. There are no BMI rules. See our series of articles on Sleep Apnea Screening to better understand this contentious issue.
I’m going through CDL school now and have had two physical examinations two weeks apart . I am going to see a DOT Doctor next week to have another . I am to take my CDL road test in a week or two , but can not practice driving with out my medical card .. I am wondering if the DOT Doctor I am going to see next week will be allowed to prescribe medication if needed (140/90) and still at that time certify my card ?
@Barney
No, the CME is not a diagnostician and can not prescribe you any medications and even if he could you would need to be on these meds for 30 days or more to see how you react to the meds.
You need to get with your primary care physician and have him do the hypertension stuff before you go for the test. Get your blood pressure stable and then go for the examination.
Hi Docs, wonder if you can help me , I went to renew medical card 3 weeks ago and passed , sent it in to DOT which they OK’d . Today the Doctors office where I had my medical done called me and told me that another Doctor in the office was threatening to revoke my card if I don’t go for a sleep apnea test ! How can this be ? One Doctor passes me fit to continue driving then another over rules her without seeing me , any help/advice is welcome . Thanks
@Opie
They cannot do that, so if they try to, get an attorney. Oh, and don’t hesitate to let them know that is what you are willing to do.
See our series of articles on Sleep Apnea Screening to better understand this contentious issue.
I underwent a medical check by a current, federally certified cdl physician, in order to get a cdl learners permit. A week later, I went to a company to take their cdl training, to begin driving for them. They had their own doctor give me a second exam, and he would only certify a 1 month med card. They also never explained the reason, but he said he thought my bp was “a little high”, no details. My question is, do they have to accept my original card as valid, or is they any recourse?
I went to get a medical card he gave me be for 6 mo. To go get tested for sleep apnea but took 3 months for my insurance to kick in I was unable to get in is called the dr an asked for an ext.. He said no 6 months was long enough can I just go to another dr an get a new one??
@Brannon
The CME gave you 180 days to get a sleep study done. And you say it took even longer and you want to know if the CME can extend your card? Not really, otherwise he would have given you a longer card. If he felt that you really needed the sleep study, then he would have expected that 6 months was more then enough time. Most CMEs are requesting that the study be done within 90 days, so it looks like your CME has already gone above and beyond standards.
@indiana
Since you don’t know why one person passes you and the other fails you, leaves too many questions to try to answer here. More information would be needed to answer your question.
To answer the main question right now is that one or both of these examination findings have been reported to the FMCSA data-base and the last one done will over-ride the first one.
What you need is to determine why you passed one and didn’t pass the other.
Okay, apparently the companys dr said he recommended a sleep test, but didnt say anything to me about it. The company then figured that they had more students than trainers, so just told me they were not going to hire me because of the med card 1 month limit. So this doctors “findings” will now be the main diagnosis, and no other doctor can pass me without satisfying that doctors recommended “sleep test”?
@Indiana
A recommendation is not a fact or a diagnosis. So if you feel that you are fit for duty as a driver, then you can go to any other CME and have a DOT medical examination done. The results of the last test done override anything before it.
I HAVE A DRIVER THAT HAS GONE FOR A DOT PHYSICAL AND FOR THE FIRST TIME EVER THE NEW DOCTOR THERE STATED THE DRIVER HAD A HEART MURMUR. THE DRIVER THEN WENT TO SEE HIS PCP AND SHE STATED IN A LETTER OF CLEARANCE THAT SHE DID NOT HEAR A HEART MURMUR. THE DOT DOCTOR WILL NOT RENEW HIS MEDIACL CARD UNTILL HE SEES A CARDIOLIGISTS FOR FURTHER TESTS. CAN THE DRIVER GET A S ECON OPINION FROM ANOTHER DOT DOCTOR.
@Stacy
Yes, he can go to another DOT doctor. Take the letter from the PCP with him.
I was disqualified by a DOT examiner because I was honest and said I drink on the weekends when I’m not working. I do NOT binge drink as she noted. I don’t ALWAYS drink on weekends. I drink occasionally and never when I have to work the next day. I have to see a SAP. My employer doesn’t even know what this is and this is the first time they’ve ever heard of being disqualified for drinking on the weekends. I have NEVER failed a test. How do I go about getting my card renewed? Can I go to a different examiner since this one has obviously lost her mind.
@ G Blair
If all you say is true, then you can go to another CME since you have a difference of opinion with the first examiner.
Having a drink on the weekend is not an alcohol problem. So when you get to the question on the medical history, read it more closely. It says frequent alcohol use, usually meaning daily and often. Most folks don’t mind a drink socially. But if it is a problem, then see about a SAP (Substance Abuse Program).
What happens if i went out to my car (left testing sight) while waiting to take urine test, they say I refused. When can I return to take The DOT physical and drug screen again?
@Rock
This question is unclear. Which part of the test did you walk out on? Since there is no drug test on the DOT examination, was there a request from the employer for a drug screen? More information is needed.
i have been diagnosed with vestibular migrane. is this something that is approved by the DOT to operate a commercial vehicle?
@Wes
It isn’t about approval, it’s about safety. If your headaches are controllable then you will need a medical release form from your primary doctor explaining your specific situation.
Based on the examiners findings and the information that is provided by you from your primary doctor, that is when the final decision will be made.
Does your ME certificate expire at midnight of its expiration date or midnight the day before?
Expires at midnight on the day of its expiration date.
can I pass a dot physical if I fail my color vision test
@Justin
You must able to determine traffic signal colors. If not, then you can’t pass the DOT examination,
If you are color blind but can distinguish traffic signal colors, then you would pass on the color phase of the examination.
Hi Trucker Doc,
I was just wondering how you look at age when certifying drivers? I ask because I have the contrast of school bus drivers who must be re-certified every 6 months once they reach 70 against the CDL drivers who don’t appear to have any restrictions at all.
I know that the only official guideline is that the driver must be older than 21, but have you ever certified an 80 year old trucker? What is your certification philosophy for the older driver?
@NP CME
Nowhere in the guides is there an age restriction.
As a CME who is making the call with age, I look at the overall physical, mental and emotional status of the driver. I have restricted 65 year olds due to mental sluggishness and cleared 75 year olds who were as sharp as a tack.
It’s your call. But don’t hesitate to pull the timeframe down if the driver needs to be monitored more closely.
Also there are companies that make it a company policy to hold their older drivers to a one year card due to age.
Thank you for that insight!
I have a type of MD called fsh had it since I was 25 now 41 been driving for 10 years got denied dot physical doctor was unfriendly during exam an he denied me can I get a second opinion take no medication an ever thing else was perfect
@Bbowman
Clarify for me please. I have no real understanding what you have or what your talking about here.
So can’t tell you if you should go elsewhere or not.
How often do medical card holders have to be drug tested?
@Cindy
50% of all drivers are drug tested every year and 10% of all drivers are tested for alcohol. If you are in a consortium, then they will call and let you know when it’s your turn. If not in a consortium, then I would recommened that you get into one. OOIDA has a great program and lots of drivers work with this company.
If a new employee has a DOT Med card that has not expired, should I still require them to go and get a DOT Physical and new card since they are now working for me OR is it okay for me to accept the current med card until it expires?
@Carolyn
His medical card is still good until it expires. A few companies make it mandatory to have a new card, but they also pay for the DOT examination if it is a company policy for the new card.
Last year I hurt my knee at another job and had surgery. I currently have a 1% permanent disability and restrictions that limit continuous walking and bending. I have been through Truck Driving school and a companies endurance test so I can do the job but the doctor won’t issue a valid DOT certificate because of the restrictions. He says that I need to be cleared to work 100% without restrictions. Is this accurate?
@Lynn
No it is not accurate. If you can perform the duties of a class A driver then you can qualify. Someone is over-reading the guides and not fully understanding what they are reading.
I have been driving a truck for 17 years. For personal reasons I let my cdl go 3 years ago. I am now trying to get it back. I just failed a call physical because I am unable to squat. That has been the case since I was 15. I never before had a problem with the physical. I was told the guidelines changed this year. I am perfectly capable of performing my duties. What can I do?
@Jon
The guidelines did not change and someone is way over-reading the job description for fit for duty.
I would just go somewhere else and to get a DOT examination done.
Yes, you need to be able to perform the duties of a driver, but it sounds like you already had a way to perform those duties, so not sure where the issue is.
If i have high blood pressure but take medican to control it can i pass a medical exam
@barndog30
As long as your blood pressure is below 140/90, then you will pass and get a one year medical certificate.
Will elevated blood pressure disqualify you? Also, will having social anxiety disorder disqualify you?
@Daniel
Blood pressures above 140/90 will start rising questions and may require hypertension medications.
If you are taking medications for your social anxiety, then you will need a medical release form from your primary doctor. But that does not mean that you would be disqualified.
Is there a lifting weight limit requirement to get your CDL for Transit Buses?
@Margaret
You would need to check the job description for that answer. Or check with your state drivers license department.
This is not an FMCSA medical certification question.
What can they do if you have a hard time with Ishihara color test but have no issues telling difference between red green and yellow. What could they do if you can’t see their test. The rules just state u need to be able to differentiate between red green and Amber. I have no issues with that
@Jeff
No one should be using the Ishihara for the DOT examination.
You must be able to distinguish traffic signal colors and that is it. 20/40 or better in each eye and together with or without correction.
My examiner uses the Ishihara I pass it but I have a hard time. First time in 11 years I seen examiners use that test. Just hope it’s never an issue. I have no problems at all with red green yellow.
Who is responsible for getting the DOT card to the truck driver? How long does the DOT card take to receive?
@Cindy
Provided the driver qualifies, the driver should get the medical card from the medical examiner on completion of the DOT physical examination.
I obtained my cdl before I turned 21 because of this my doctor marked my medical card as intrastate only. I have since turned 21 and the restriction has been removed from my license. Can I now drive out of state or do I need to have my medical card renewed first?
@Evan
You would want to have your medical card updated to interstate before you start driving out of state.
I just got my DOT physical and the female Dr. did something I’m not quite understanding. She was checking for a hernia and then took her hand from my sac up the shaft of my penis. What was she medically searching for? My girlfriend is not too happy about this and it took me totally by surprise.
@Jeff
Don’t know. It isn’t anything that I would need to do.
So if you’re real curious, call the doctor and ask her what she was looking for.
I recently failed random drug test and my due card needs to be renewed can i still take the dot physical to renew medical card?
@Steven
The physical is different than the drug screening. So taking the DOT examination should not be an issue.
In response to your reply “@Steven
The physical is different than the drug screening. So taking the DOT examination should not be an issue.
The New Dot Physical shows drugs that are Prescribed to the person taking the Dot Physical on the National Registry whether or not they take a drug test.
The wrong class off my license got checked on my long form does this matter I was told to check the right one and scratch the Wong out that it didn’t really matter cause once it went in to systems regestry it would show the right class
Doc, 3 months ago, my husband leased on to a new co, even though he had 8 mths left on his physical, they had him take a new physical at their doctor who also has a large sleep clinic on premises. they didn’t weigh him or height, just measured his neck, 18 inches, and gave him a 3 mth physical and “recommended” a sleep test. He took a home test , twice, and passed , both times . went to our own Doctor who has given him his dot physicals for last 10+ yrs, also lost 20 lbs, and presented the tests, this doc is also dot certified, and he gave hubby 2 yr. cert. Now Co, Greatwide Logistics, is saying this is not valid. We were assured we could select our own Dr. and did not have to go back to the one who railroaded us . Can they pull this from his license and kill the physical ? Hubby is 63.
@Pat
No one can pull anything. If the company has a policy, then it’s their policy and if you have a second opinion about something that was questionable and you have your doctor support the new decision, then you are good to go.
Dear Trucker Doc,
I recently was downgraded to a 3 month medical card. The CME is also my primary doctor. His reason was I drank 6 beers a night. It says on my paper “ethanol compliance/Treatment”. Can I got to another CME after 2 months to get my 2 year card? Can another CME see my previous reason for a 3 month card? Thanks. Steve Kramer
@Steve
6 beers a night? What type of driving are you doing that you can down a six pack and then drive the next day, safely?
Your doctor is looking at a potential safety issue here, and he is not willing to risk his medical license for you. You can go somewhere else for another examination and your information was placed on the FMCSA data-base, so any new examiner is going to ask why you only have a three month card. So I guess you could ask yourself the same question. Is this drinking thing a problem, or am I in denial, or is it OK for the type of work I do?
would having hemochromatosis be grounds for failing a DOT exam?
@tomrocks
This one is going to need a medical release form from your primary doctor, explaining his position on your condition. You will probably get a one year medical card so everyone is keeping up with any progression of the condition. Only because this condition can cause some serious problems, is the CME going to want to keep a very close eye on you.
Thank you so much for your response to my last question. I would also like to know how to find a doctor since the map in this site shows none in Michigan. Also, can I go out of state to a doctor. Because I live on the Ohio border and there are some in Ohio. In fact, one is right on my current route. Thanks again.
@Kathy
A DOT medical card is valid nationwide so you can get certified in any state, no matter which state you have your CDL. Just make sure that the medical examiner is FMCSA certified i.e. on the National Registry.
Be very careful when you get your dot card, meaning if you drive interstate it is clear especially if you are a new cdl driver. There is only one official DMV office here in Palm Beach County the tax collector issues cdl license and is making many mistakes. I am a CDL Consultant/ Instructor Retired CDL Examiner prior 30 years over the road. What can happen, if you tell the dot doctor you are only driving in just the State you live in your card will be marked intrastate. Now, if you drive out of your state with a commercial vehicle and get stopped ” problem ” If you have a intrastate dot card your license must have a #2 restriction on it. Again; if they fail to put this restriction on your license you will have a problem.
I have a valid dot medical card (1 year because I am on bp meds). A new employer wants me to get a new physical. If I fail that physical for bp over the maximum 140/90 will my old card still be valid (it expires in January 2016)??
@Larry
No your old card will not be valid. The new information goes into the FMCSA data-base as a disqualified driver as soon as the CME puts the information into the data-base.
Best bet is have your bp under control, no coffee or smokes before you go in, have a light breakfast and go for a walk before you go for the examination. Your body in motion helps drop your blood pressure and make sure you take your medication just a couple hours before you go for the examination. Good Luck
I have a 3 truck moving company all non cdl trucks. One of my drivers got pulled over and received a ticket for something minor but the officer gave him a warning for not having a medical card. I was under the impression that if it was a non Cdl truck a med card was not needed. We were going from NJ to NY so assuming interstate moves do require a card. Is that correct? we have 2-25k trucks and a small 15ft cube van. Also my drivers all have non cdl licenses. i would be glad to send them if it is required. Hope to hear from you soon the situation is time sensitive.
@Thomas
In most states, any vehicle that exceeds 10,001 pounds or has a company name on the side of the truck that is being used for commerce, requires a medical card to operate. If the vehicles exceed 26,001 pounds, then you may need to have your drivers upgrade their class license to a class B. Mainly any vehicle that is being used for commerce requires a medical card for the driver. Check with your state DLD to confirm.
I have never had a DOT physical and Im wondering if I will pass since I have diabetes that is semi-controlled by diet and pills and mild asthma, both of them have never been that bad to end up in the hospital or anything. Whats the chances of passing a DOT physical and will I need anything from my doctor before the appointment?
My husband has been controlling his diabetes with Metformin and Victoria. Now we are being told he may need insulin, and we said no because he was a truck driver, the endocrinologist informed me it was 2015 and there were healthy options such as Levemer which is constant or an insulin pump. My question will all insulin ban him from driving or are there special circumstances?
@Melanie
Insulin does not ban a driver from operating a CMV. But it does require a federal waiver for him to continue to drive.
There are also other options besides insulin, like Byetta or some other newer medications that bind with the sugar and allow the driver to dispose of the excess sugar through urination. Each choice will require that the driver go through the testing phase to see how it is working for him. Once you find something that works, then make sure that the prescribing doctor fills out a medical release form and take that with you when you go for the DOT examination. Also be aware that if the doctor uses one of the sugar binders, your hubby will need to take a very recent A1C test result for the CME to read and understand.
@April
Well first you want to have things under control not semi-controlled. Once you have these issues under control and you bring a medical release form from your doctor to the DOT examination, you should not have any problems. Your medical card will be good for one year at the time due to your diabetes and you will want to make sure you have an emergency inhaler with you at all times during your driving career.
I went to the doctor to renew my medical card and they wanted all this info from my personal Dr including recent stress test, glucose level and corrected vision
so in the meantime my card expired while im getting all these things
also i had all these done before but they wanted more recent tests
MY Question is could i get an extension on my card until i get the other test results back because i never had to turn these in before
@Vaclav
There is no such thing as an extension on your medical card. You either have a valid medical card, or not.
The examiner can issue a short-term card to allow you time to get all the information, if he wants to, but don’t count on it.
Just try to get the information together as quickly as possible.
I live in Pennsylvania I received a mailing today that my cdl was deleted from my drivers license due to the DMV not receiving my up to date medical card which I have in my possession I was told by my employer that that they would fax it for me they must have forgotten do I have to take my cdl test all over again or can I just go to the DMV center and just show them my up to date medical card and have it reinstated? Plz help I’m sweating this out!!!
@Tim
Every state treats this process differently.
Your best bet is to contact your local PennDOT office directly, and find out where you stand in their process, and what you need to do next.
See our Pennsylvania CDL and DOT Requirements page for contact information.
Two questions:
I am in great health, but I failed the DOT physical because of a small hernia that I have had for over 20 years including 9 years in the Navy, then as a trash truck driver, and magazine delivery driver. The only time it bothers me is when I eat too much. Should I go see another doctor?
Also, without having the means to obtain an updated medical card, am I supposed to surrender my CDL?
@Gershon
You might want to get a second opinion and have the medical release form filled out stating that this issue is a no issue, if it does not interfere with your abilities to do the job of a commercial driver.
Also medical cards are tied to your driver’s license but you don’t need to surrender your CDL unless there is some other reasoning for doing so. Your state Drivers License Department should be able to answer any questions that you might have regarding this issue.
I plan to get B or A CDL But I wonder does DOT physician will not let me pass cuz I’m Deaf since I born. but If you know about NAD say it change DOT physician will pass exam?
@Chris
The FMCSA has established a waiver for individuals that are deaf. You would need to pass the DOT examination and then start the process with the DOT/FMCSA to get the waiver.
My husband passed two months and one day after his dot physical his blood pressure was high twice he’s 50 is there more that should of been tested for him? I have been told because of his age he should of been denied and had heart checked because of his age
@ Anita
During the DOT examination, the CME should be asking lots of questions and listening to everything that the driver is telling him. There are some guidelines that would have triggered another response, but if there was nothing that set off physical alarms or red flags, then the CME did his job as prescribed. With high blood pressure, the CME must require a medical release form from the drivers primary doctor. If there were questions regarding the drivers health, then the primary should also be aware if any potential problems.
Is it possible to take a year or two off from driving, and not take a physical or get a health card, but keep my CDL?
@ Craig
You need to check with your state on this. Each state is different, but in most cases you need to have a valid medical card to maintain your CLD.
If you are not applying for a job & you are doing your dot physical to renew your license….just to kg your cdls …do you have to do a drug screen…
@Zo
There is no drug screen in a DOT examination, only a check for blood, sugar and protein. The examiner is looking for proper kidney function.
I am working as an access driver using a sedan. The new company that I am thinking of going to work for is telling me I have to take a DOT physical in order to work for them. Is this required for a taxi driver? My current job only requires a general physical from a GM.
Thank you for any help you can give me.
@George P
With the FMCSA update in May of last year, any person who is operating a vehicle that is being used for commerce has to have a valid medical certificate. If your GM is on the National Registry of certified examiners, then you are good to go. If not you will need to have your medical certificate done by someone who is on the National Registry.
I passed dot physical in one city,to see if might b able to get cdl back .then went to swift.on first day failed dot physical .with no changes.i had tia 6 years ago then afib.no health issues recently. Im looking into going with schneider.,after training with atds.i just found out that schneider uses the same clinic.do they follow the same protocal at e every clinic. And are you required to test at their facailty.and are the test open to interpretation by docs?thanks
Shnieder is probably more strict than Swift…..and then CR England is about same so companies are scarce anymore healthwise especially the ‘Starting” companies that train you they have more to invest in you
The first question is what caused you to fail with Swift? That is going to be your stumbling block.
All CME’s are on the NRCME and the testing protocols should be the same.
Can a doctor revoke your medical card once youre certified gene5787@gmail.com gene thompson
@ Gene
Not mush data to go on here. Why would a doctor revike a card once you passed?
Doc about 3 months ago I took my dot physical and they said I needed a sleep study done because my neck was over 17 inches and am 2 blood pressure mess so I went my va and they gave me a cpa machine to do a home sleep. Study to make a story short they sent the results to my examiner and I got my card today for a year. But va called and said I was schemed for a in house sleep study and they said if I didn’t do it they would call my ex camper and have my medical card revoked can they do that and should I worry .
Dot doc wanted sleep study done and recent info related to tia and afib,i have since 2006,i do have sleep apnea it turns out, and i have cpap machine. How long do i need to use machine to get 1 year medical card thanks.
@Steve
At least 30 + days with a 70% compliance report.
i live in missouri and was told i needed a dot card from my employer i only have a class e licsense and i only drive a pick up truck everything else we got needs an a or a b licsense according to what see im way under the 26001 weight im not towing anything no hazardous materials and no passengers i cant find anything that states a class e driver needs a dot card
@kyle
In most states any vehicle that has the capability of hauling 10001 pounds and has someone’s name on the side of the truck has to have a valid medical card.
It’s not about cdl, it’s about vehicle capabilities.
OK. I have decided to get my cdl and drive big truck
I’m very over weight though. I weigh 395lbs. But other than the weight only thing wrong with me is hypertension and an average blood sugar rating of 136.. Will the problems I’ve listed dis qualify me to obtain my dot physical card?
@Chance
They don’t disqualify you outright, but they may make it a bit more difficult to pass the DOT examination. Make sure you get a medical release form completed by your primary doctor before you go for the DOT examination. That will answer most of the questions that the CME will have.
So just to be clear; I am just getting a DOT certification in Iowa, from a certified doctor, to drive the company truck I work for. I am only 18 so I do not think it is the same thing as a Semi-truck license, but I just wanted to know for sure if the urine test that I will have to take is for Drugs, or just for checking my kidneys and such?
@Sam
If you are this concerned about the test, then be aware that at some point you are going to be drug tested by your employer. So…???
But the DOT medical requires a urine test to determine proper kidney function, that’s all.
If a driver is temporarily disqualified for any reason, when he comes back for a recheck, and he is qualified for 2 years? What date do you submit? the date of the initial visit or the date of the f/u when he actually passed the certification?
One more question, what happens if a certification is not submitted by the end of the next month? Can it still be submitted afterwards or a new exam needs to be performed?
@Martha
Starting from the date that the driver actually passed the DOT examination.
Thank you for your answer, one more: what happens if a patient, pass the exam and the certification is not submitted by the end of the next month? Can it still be submitted afterwards or a new exam needs to be performed?
@Martha
Not sure if FMCSA is that sticky about getting reports in. I would just enter the information and give the correct examination date when asked on the form.
i take ultram for back pain have been for 15 years but my dr does not want to sign the for for me to get my new physical card so if i just stop taking do they now have to give me my card
@Darryl
If you are no longer taking the medications and you have a note from your PCP that you have been taken off these medications, then you should have no problems. Also your prescribing doctor is over reading what the medical release form is for. It’s not for him to determine your DOT stuff, it’s about the medications, not the DOT.
thanks
I just recently had pancreatitis and took some a month off for tests and Dr. appointments. Do l have to get recertified on my dot physical?
@John
Yes. Any illness or injury that takes you from behind the wheel must be re-certified to return to driving.
If I failed a DOT physical am I allowed to run on my old one until it expires my failed test is linked to my license now my company says I can but I wanted to know for sure
@Steve
Your failed status was reported to the FMCSA. So trying to drive on your old medical card could cost you, if caught, a pretty hefty fine and possibly your driving privileges.
can a person drawing disability still get a dot medical card
@ Vern
What level of disability and what type of driver?
My blood pressure at exam was 156 over 96. I have had a cdl for many years and never had a high blood pressure reading. Dr. gave me a one year certification, but my company says he never should have given me that, but a 3 month one. I am not near home now and they are telling me my card is no good.
@ Jeff
If this was the first time you were found with high blood pressure, then the CME gave you the proper length of card, one year. That’s time enough to get your blood pressure under control. If you have had high blood pressure before and you are on high blood pressure medication, then the company is correct. So which is it? And the company does not determine the validity of a medical card, the CME and the FMCSA do.
If I am on a 25lb lift, pull or push restriction, will I pass a Medical examination.
@ Ryan
If you are able to perform the duties of a CMV operator, then you would pass. But if you are restricted to a specific weight limit, then you had best bring a copy of your job description with you to the examination, along with a medical release form from your doctor. It will help answer any questions that the CME will have. Good Luck.
I recently did a DOT physical and failed due to hypertension. I got a 3 month card and got the blood pressure under control. The DOT examiners office said I would have to pay for a complete exam to get the remainder of my year, is this correct?
@Earl
Not real sure why you would have to pay for a whole examination when all you need is to update your status. Ask and see what their reasoning is. A small fee for office staff time and updating is understandable, but full price???
I didn’t tell the truth on my medical form I didn’t disclose that I’m depressed and taking meds. I also got prescribed oxycodone and norcos and I had a head injury I didn’t disclose either. Now my wife is mad at me and thinks I’m cheating and wants to turn me in? She has all my medical records. Can she get me fired or worse?
@Jp
Well since you lied on a federal medical form and signed it as being the truth, then ‘yes’ she can hang you out to dry.
My primary DR is no longer able to do DOT physicals. I see him yearly for a general health screening but was disappointed that their practice chose not to get certified – at least for now.
Sadly you have no listed DOT DRs in my state but the local Petro/TA has a certified ME on site and I was planning on going there. I figured they of all people should at least know what the rules are and what CDL drivers need.
My question is: Might I need to still need to disclose my Family Doctor and/or give permission to the ME for any and all medical information in my file to still be forwarded, as long as I am not currently being treated for anything nor that have been treated for anything in the past?
I want to be prepared prior to my appointment.
@Gene
All you will need to disclose will be asked of you at the time of the examination. You fill out the driver’s health history portion on the first page and answer each of the questions.
Then the CME will ask any additional questions, if any. Then the CME will complete your medical examination and complete your medical certificate for you. That’s it.
Thanks…I wish your services were here in WI. I’m sure the Petro/TA will suffice though too.
Thanks again! 🙂
My mother recently got fired from a job which required a cdl. She wants to keep her cdl, but doesn’t have the money to go back as often as they want to get another physical to renew it. Would she be able to keep her cdl without going back until she actually needs to drive again, or would they take it away and make her take the classes again?
@Jason
Most states are requiring that an active CDL have a valid medical card.
If she is unable to maintain a valid medical card, then she will lose her CDL. You might check with the state DLD to see what they say. Maybe they have another answer. Each state is different, so check with the state.
Hi my question is. I have my CDL out of Texas. Texas has now passed a law where you have to a good DOT physical on your license. My question is I just had a physical and passed but was only given a yr card cause when I get over stressed my blood pressure goes up. Well I can lower my blood pressure on my own by just relaXing. Well I just got this card 2 weeks ago. I found a new company to drive for and they want me to go for another physical. The company they use is not as giving as this other office. If my blood pressure is up and I can get it down and they say no they won’t pass me can they take my current health card?
excellent website. I drive a 6000lbs forklift now and then, and sometime operate an overhead crane, Do I need a medical certificate for this?
@Mark
First start with what is your driver’s license class and then check with your state drivers license department to determine if you have to have a medical card.
Unless you operate a commercial motor vehicle or you operate a vehicle that is used for commerce there may be no need for the medical certificate, but check with your state to determine if that’s true for you.
In PA does a hernia automatically disqualify you from getting a medical card?
@Jolene
No, unless it interferes with your ability to operate a commercial motor vehicle.
I would like to know if you can get a medical card while being on kidney dialysis?
@Kevin
If you can qualify as medically fit for duty while on dialysis, it may be possible.
You will, more then likely, be an intra-state only driver with restrictions on your drivers license. I would start with your local drivers license department and see what they have to say. Then based on that information you’ll know which way to head from there.
Does anyone have a fax # for submitting the Medical Examiner’s Certificate? This is for New York State.
@S
You can get this information on our NY CDL and DOT Requirements page.
Due you need to take a sleep study test in ca.to have you class A License and when did this law pass
@Martha
There is no FMCSA regulation for sleep study.
To understand more about this issue see our articles starting at Part 1 Sleep Apnea.
I’m 26 years old. I’ve been riding in trucks since I was born, driving them since i was 12 beings my family owns a trucking company. I can honestly say I’m better then most drivers on the road. But I have one problem. I have muscular dystrophy which is a muscle weakening disease. Driving is my life and is in my blood. I Have always been able to pass dot psychicals before but I’ve never told them what I’ve had because I was worried they wouldn’t let me drive. Now with the new dot regulations on psychicals I know there is no way i can pass without telling them about my condition. I would not be able to do some of things that are requested for the psychical. I’m just curious do they make exceptions to some people do they can pass? I pull flatbed, pneumatic trailers, doubles etc, I don’t like my disability stop me and nor do I think I’m a danger to be on the road. I can drive a truck without a problem it’s just doing things like hooking up, chaining down etc that I have problems with. My card isnt up till February but I just wanna figure out what I need to do. I would be devastated if I cannot drive truck anymore. Any info would be appreciated thanks !
@joe
I would start the process of acquiring a skills performance evaluation. This may fall under a physical restriction waiver, but allow you to continue to drive. Check with you local driver license department and then move on to the FMCSA for further directions as to which way to go from here.
My husband was hospitalized due to a heart ailment. It has been resolved, and he received a return to work slip from his cardiologist, weeks ago. However the DOT doctor has requested that he retake tests, supply him with the results of the tests he had when hospitalized, which we have done. Just when we thought we had covered all the bases, now today the DOT doctor says he wants the cardiologist to make a note regarding one of the test results, stating it’s ok for him to return to work, even though we have supplied the return to work slip to him. We are getting a complete run around, we’ve been chasing papers back and forth for weeks, with still no result. What can we do to get this resolved once and for all?
@Sue
Have your cardiologist fill out this medical release form for you. It answers all the questions that your CME is asking and should get you on your way.
The general doctors return to work does not take into account the type of work (physical, mental and emotional) that a driver must contend with. The CME does understand your job description and has to answer questions that FMCSA is holding him responsible for.
I am disabled I have had two back surgeries since October 2012. My question is I don’t plan to go to work anytime soon buy if I ever am able I want to have my cdl. I’ve been cdl driver for 20 years and don’t want to lose them. My license is up for renewal can I go to a Dr who doesn’t know my medical history and get a dot physical?
@Andrew
You won’t be able to pass the DOT examination to determine “fit for duty’.
Try checking with your state DLD and see if you can put your cdl into suspension for a while. Then if you decide to try to go back to driving, you could have your CDL re-instated.
I reacently left a job that paid for my physical to get my medical card and now they are threatening to charge me 200.00 if I dont return the medical card to them, are they allowed to do this by law?
@Aaron
I don’t believe so, unless it is writing in the company policy.
hi my name is Pat I lost my medical insurance because I was fired from my job January 26 my medical card ran out on February the 15th and I did not have no money to get my medical card I have high blood pressure I have no health insurance what can I do with the deal t so I can get my medical card so I can get a job can you please help me
@Marie
Before you go for your medical card you will need to correct your high blood pressure. If you can’t fix that then there is no need for the medical certificate.
Once your blood pressure is under control you’ll need a medical release from your primary doctor, to give to the examiner doing the DOT physical.
I’m away from my home state and my card is up in 5 days. I’m not driving right now, but don’t want to surrender my CDL. Two months ago I had an industrial accident and cut the tip of my finger off. In seeing doctors so often for that, I found that my blood pressure has risen to the point of needing meds. I’ve been on meds for 3 weeks and BP is now well within guidelines, my BMI is 36.6 and neck is 17, I only take a mid day nap occasionally but she gave me a 3 month card saying because of the BMI and a short time on the meds I’d have to take a sleep study. I haven’t submitted the 3 month card to my home state yet so my question is this; if I’m not driving Interstate, can I go back and qualify for an Intrastate card without having to take the sleep test? I understand the guidelines aren’t as strict for Intrastate. Another option maybe submitting the 3 month card now, and after 30 days on the meds, take another physical, but I got the feeling that if I submit this 3 month card I was locked in to getting a sleep test.
@Billy
Somebody is over reading the sleep apnea requirements. And if you are driving intra-state only, you most likely don’t need the test either. And last but not least, there are no BMI or neck measurements with the FMCSA guidelines to require a sleep study.
You are on BP meds, that will limit your medical card to one year and you need a medical release form from your prescribing doctor. So you have a few options and you can decide which one is best for you.
Hi Trucker Docs,
I first want to say that I find this website to be an incredible resource and very much appreciate the opportunity to see other perspectives on the different guidelines/regulations.
Second, I can absolutely understand your frustration with examiners who use a small subset of criteria to assess whether or not a screening test is appropriate. Neck circumference and BMI are NOT enough to make a judgment about risk for sleep apnea. I myself use the STOPBANG screening tool as well as the Mallampati class rating and size of the oral structures.
And while it is true that the FMCSA does not use specific criteria to determine the need for an assessment, it is still good medicine to *carefully* evaluate the person in front of you. I have found so many drivers who have truly benefitted from their diagnosis, despite their initial resistance to and irritation with the process.
I did want to check in with you regarding your response indicating that as an intrastate driver, the above gentleman may not need to be assessed for sleep apnea.
My question is this. I have looked around, and at least in my state, there does not seem to be any differences in the overall medical requirements for DOT drivers, with the exception of intra/interstate waivers. Are there other states that especially waive a request for a sleep apnea assessment or have overall different medical requirements? Am I missing something? Would you be able to point me in the direction of that information?
I want to be able to provide the best physical assessment I can and if I am missing something so pertinent, I would like to know.
Thank you,
NP CME
@NP CME
What we have found is that each state has different rules. Some states simply follow the FMCSA guidelines and make no exceptions.
Since most of our answers have to do more with the FMCSA than a state specific, we can only recommend that the driver check with the state DLD to determine if there is a variance from the FMCSA guides.
Also, we take into consideration the type of driver, his basic job description, hours/days away from home, etc. As you know an OTR driver really has a very different lifestyle that a local or intra-state only driver. So we take all aspects of the driver’s lifestyle and driving situations into consideration.
As you stated, as a CME we just take each person and their stuff into consideration, but we still want the driver to take personal responsibility for their livelihood and their health.
We are delighted that you have taken the time and consideration to look further into how you can help the drivers the best and keep everybody as safe as possible. Too many examiners are looking for a cookie-cutter explanations and are not really looking to help the drivers. Each of the CME’s in each state should know their state rules and regs so that they can help the drivers when they have questions. Thank you!
My husband has a CDL License in Florida and is a Bus Transit System Driver. He has had diabetes since 2002 which is under medical supervision and controlled by medications. In his recent, annual, DOT medical exam which he passed and the doctor confirmed that there was no urine detected in his testing. However, the doctor refused to give him his medical card and is now requiring him to provide proof from his doctor of an A1C of less than 8 or a medically certified reading of blood glucose level of 126 or LESS.
Is this a new standard for bus drivers in Florida? The FL DOT Physical Exam requirements states “Blood sugar may not be higher than 200” . Please advise why the doctor is requiring this additional requirement.
@Kathy
All this is dependent on what and where he drives.
Interstate drivers are being held to a much higher standard.
Check with the Florida DLD to make your best decision. It sounds like he is being tested to interstate standards, yet he drives intra-state only. The medical examiner needs to look at the differences and use the states standards for the examination.
I need a liver transplant but have no symtoms, can I become a long distance truck driver?
@William
Symptoms are the last thing to show up, so question yourself as to a driving career.
If you have liver failure while you are driving, you put yourself and everyone around you in danger.
i have a DOT medical card good for 2 years and my company is making me reapply for a new card, WHY?
@Waheed
Ask the company. I have no idea why they would want a new card.
I went out of work with a back spazzum, have been out for one week. do i need a new dot physical before i am allowed to return to work ? my company says it is required by FMCSA and by state DOT regs. I have never heard of this before and have never had to do it before. i need a good solid answer if you can help me. thank you
@Bill
It is a requirement. Any illness or injury that take the driver from behind the wheel must be recertified.
I had stopped taking Chantix and was givin a note from my doctor stating i was cleared to drive. Why is the company doctor i am wanting to drive for still not signing off on form?
@Steven
If you took a medical release form from your prescribing doctor and the CME did not accept it, then I have no idea as to why he would withhold your medical card. Try asking the examiner, he should explain to you what his thinking is and why he is not presenting you with a medical card.
I was diagnosed with a Cerebral Cavernous Malformation. I have been cleared by my neurologist to return to work as a truck driver. I have yet to take my DOT exam. What are the chances of not being recertified due to my condition. I have NOT had any seizures, loss of vision or any other debilitating issues. My CT only showed a small hemmorage deep in my right lobe. Surgery is not an option nor recommended by my doctor.
@Wes
You will have to present proper documentation for this one. The numbers are going to work against you here.
ex:
Approximately 25 percent of individuals with cerebral cavernous malformations never experience any related health problems. Other people with this condition may experience serious signs and symptoms such as headaches, seizures, paralysis, hearing or vision loss, and bleeding in the brain (cerebral hemorrhage). Severe brain hemorrhages can result in death. The location and number of cerebral cavernous malformations determine the severity of this disorder. These malformations can change in size and number over time.
Make sure that your doctor understands the job description of a driver and is willing to complete a medical release form for you before you go for the DOT examination
Will.hearing loss in.one ear.disqualify from gettin.a.cdl class.a.license?
@James
Not as long as you hear OK with the other ear.
For a person with controlled type 2 Diabetes on Insulin needing a Medical Report Form-Metaboli filled out does this have to be filled out by an Endocronologist or can it be filled out by there Family Doctor?
@Whitaker
You will have better results if the endocrinologist completes your medical release form. And depending on the type of driving you plan on doing, you may need a insulin waiver. Check with your state if intra-state only. And FMCSA if you want to drive interstate.
I AM CURRENT ON DIALYSIS AND HAVE BEEN A PROFESSIONAL DRIVER LIVER TEN AND MY KIDNEY ARE NOT WORK BUT I DROVE IN A NON COMMERCIAL PICK UP CAPACITY FOR O’REILLY AUTO PART AS PARTS DRIVER AND NOW I WANT TO RETURN TO MY PROFESSION.WILL I BE ABLE TO GET MY DOT CARD I FEEL STRONG AND ABLE TO COMPLETE A DOT TEST
@Derrick
What’s with the ALL CAPS why are you YELLING at me?
That being said, you are going to need documentation about your condition. Drivers on dialysis are, in most cases, limited to intra-state only and will need to have their primary doctor fill out a medical release form. The CME is going to have lots of questions and the medical release form answers most of them.
I was on methadone program when I applied for dot card when was denied I got off methadone program. Reapplied n doctor wanted paperwork saying I was off program after passing new physical and urine I gave her paperwork from program stating I’m no longer on methadone yet she still won’t approve medical card. Why?
@Richard
You will need to ask the examiner. She has to provide you with a reason and if there is a way to resolve the issue. She may need a medical release form from your primary doctor. But see if you can get an answer from the CME.
Does the company need a copy of the long form?
@Chad
Some companies request it. If they have a HIPPA compliance policy in place to protect your medical records, then you should be in good shape. There are larger companies that only want a copy of the medical certificate. Check with your company and see what the policy is. By law, they have to have a copy of the medical certificate.
I am type 2 diabetic, that is controled with diet and medication. I am not required to test . will my dot card expire in 1 or 2 years? Thank You
@Michael
If you are a diabetic and it is controlled with diet and oral medication and that is the only issue, then your medical card is good for no more than one year.
Thanks Doc, appreciate your time. Mike
If I have blood in my urine will I pass dot physical it is only microscopic
@Mike
Have it checked out by your doctor, and if he finds nothing, then have him complete a medical release explaining your findings. That should answer all of the CME’s questions.
I obtained a DOT physical and card through my previous employer. My new employer needs a copy of the long form for their driver qualification file which i was not given. My previous employer is refusing to give me a copy because they paid for it. I tried to go to the doctor they sent me through and they have been instructed not to give me a copy as well. Can they do this? I understand that the company paid for it but can i legally be denied a copy of my medical records?
@Tim
By law you are supposed to be given a copy of your medical long form for your personal records.
That law is between you and the doctor. The company has no say in this. So deal with the doctor, it’s not worth his time to deal with an attorney for such a small thing that you should have been given at the time of the examination.
I was recently offered two different jobs. They both required separate med cards, oddly enough from the same medical examiner.
On Tuesday, I passed everything with flying colors. My blood pressure was at 130/80 but, on Friday when I took the exam for the 2nd job, my blood pressure was right at 140/90.
The doctor was in a bad mood, and gave me a 3 month card, while threatening that if I don’t take meds and pass in 3 months then I’ll be denied my card.
I’m honestly at a loss at this point on what I should do. It was the same examiner both times, and he didn’t even remember me from two days before. I’ve since read that with a reading of 140/90 I should have been given a year on my card.
Does this bad card void the good one from two days before? I really don’t want to go back to this clinic. I know that no matter what condition I’m in pysically, my blood pressure is gonna be high now if I go back there. I’m stressing out just thinking about it.
By the way, I’m in Texas, have no history of problems, and hold 3 med cards with good dates on them. I’ve already submitted my good card from Tuesday to the state but, not the bad one. Is this one lousy doctor going to be able to ruin me?
@Tomtom
Sounds like a rock and a hard place.
In reality the CME is not to run a diagnosis or to prescribe anything. His job is to determine medical fitness for duty, period.
Your first medical card is good and you should watch your blood pressure, especially if it has a tendency to go high on you at times. At the 140 / 90 range you should have received a one year card, but following a two year card two days before, you should have asked for multiply readings. More than likely your medical card from the first examination is what went into the system, so function with that one for now and watch your blood pressures.
I am currently out of work with vertigo and dizzy spells. It’s the second time I have been put out for vertigo. Doctor has me on meclizine. I am taking Lexapro for depression, ambien for insomnia, plus medication for high blood pressure and thyroid condition. Also, I had cataract surgery and they put in monovision lenses. do you think I can still get a medical card?
I work part time for a small one truck private company. do they need me to give them a copy of my cdl medical report with personal information on it or is the medical card sufficient?
@Lawrence
By law all you need to provide is a copy of your medical certificate (card).
If they ask for the whole long form, then you want to ask for a copy of their HIPPA compliance policy. There must be a policy and privacy policy in place for your medical records.
If you have a Class C Driver License are you required to take the DOT Examination?
@Cathy
In most states if you are driving a vehicle that is used for commerce, then you need a medical card. But check with your state Drivers License Department to make that final determination. Anything over 10,001 pounds requires a medical card to operate, especially if it is being used for commerce.
Can you get an second opinion on a Dot renewal based on disagreement with doctor who was not pleasant?
@Dewayne
Yes, you are welcome to get a second opinion regarding a DOT examination. Just don’t be “doc shopping”.
I did that and there making me do the driving test again all because I fail the dot exam and got a second a opinion what do I need to do to fight it I don’t think that’s fair
My husband had an umbilical hernia repair surgery. This required anesthesia. He took off work 3 weeks and got a return to work form from Dr. I heard that in Il if you go under anesthesia, you’re DOT card automatically becomes invalid and you need a new exam from a DOT certified Dr. Before returning. Is this true? Why would his work not require that info.? Just want to make sure he is not driving illegally.
@Peggy
By FMCSA regulations any condition, injury or surgery that takes a driver from behind the wheel has to have a new DOT medical examination to determine ‘medical fitness for duty.’ That’s fed regs., I can’t answer for employer.
My wife is 37 years old and on peritoneal dialysis her blood pressure is under control and she is not prescribed any narcotics. Is it possible for her to be dot certified.
@Stan
What type of peritoneal dialysis is she on?
The kind that requires treatments at home. So she can do this on the road it’s a saline solution flush of the peritoneal cavity.
@Stan
Make sure you take all the information along with her medical doctors release form with you.
There are going to be lots of questions and the primary doctors release and explanation are really going to be needed here. She should be able to drive as long as there is appropriate information that will support her safe operation of the CMV at all time, while driving. But be aware that it may take a bit of back and forth with the doctors to get there.
She has to do fluid exchanges via her peritoneal cavity daily but that is something she could do while otr.
@Stan
Good deal, then she should be good to go. Good Luck
An individual that I represent recently renewed his DOT Medical card. On the medical questionnaire, it asks about “Regular, frequent alcohol use”. The individual checked the “no” box. It has now been a month or so since the examination and he has just self admitted into detox and rehab to follow. Can the Company he works for terminate him for lying on the 649-F (6045) form? Thank you in advance!!
@Scott
If the company has a policy that lying on the federal form is a terminating factor, then yes they can.
Like most people who have addiction problems, it is not uncommon for them to try to hide the fact that they don’t have the situation under control. By self admitting, it is a good sign. At this moment he is disqualified from driving and must have a new medical certificate issued before he can return to work. He will also be on a short medical card so the examiners can keep an eye on his progress. He will also have to have a medical release form from the facility stating that he is ready to return to work.
I have a cdl that I have not used in 10 years but would still like to keep it,does that mean I no longer have a cdl because no medical card is on file
@John
You’ll need to check with your state drivers license department.
See this article on medical certification requirements.
@John
If you do not have a medical card on file, your state drivers license department has most likely sent you a letter to inform you that your drivers license has been downgraded.
See this article on Medical Certification Requirements.
If you are off work with a job-related injury that causes you discomfort(say a knee injury) and you go in for your DOT physical will you be disqualified? Knowing pain causes high BP will they still give someone a 3 or 6 month card or a year?
@James
If you are not physically fit for duty, then you’re not going to pass the examination. Also, if pain raises your blood pressure and it’s not within the normals, then you won’t pass the examination. Just wait until you are completely healed from the injury and then go for the examination, with your doctors release to return to work in hand.
Does being on dialysis disqualify a Class B CDL CMV driver who has had a CDL license since early 2000’s and has also been on dialysis for just as long, does not have diabetes and passes the DOT physical every time yet all of a sudden his medical certificate is being denied. Driving is intrastate only and not an overnight thing. Driver is able to perform all related job duties as CMV driver. What are the rules for drivers on dialysis?
@Elaine
If he is only driving intra-state and has been driving all this time, then all you need to do is get a medical release form completed by his doctor and take that into the examiner’s office with you.
Make it clear that this driver has been driving intra-state only and is going to continue doing so.
He is not an interstate driver and should only need to comply with the states CDL/ class b regulations.
Thank you so much for taking the time to answer my question. It just so happened that I sent the medical release form to the doctor yesterday so hopefully that’s all it will take. What if they still deny it? Is there a course of action I can take?
@Elaine
Since you are driving intra-state only, you just need to make sure the examiner knows it and if there is a problem, then go to the Drivers License Department and see what they say.
I just had my DOT physical yesterday. He said to me, for a big man, all your numbers are good and you don’t seem to have any restrictions. No medical issues and no past med conditions. “Great” I say. Then he sits back and says, “but” and proceeded to tell me I need a sleep test. So, he gives me a 90 day card and sends me off. Can I go get another exam from a different doctor, and if I pass, can I be given my 2 yr card or am I already in the system as 90 day card? Also, is there any way to fight this sleep apnea test thing? I need to pay out of pocket and the whole thing seems like a scam. I am perfectly fine to continue to drive. Haven’t missed a day of work since 2013 and that was from a 3 day flu. Do I have anything to stand on here legally? If so, how do I challenge this? Thanks.
@Richie
Not worth a fight, because there are no new rules regarding sleep apnea. Just wait a month or so and then go get another physical somewhere else.
To better understand this sleep apnea screening issue see our articles on this subject.
What if its a company doctor and I’m required to use them?
@Tim
Well then, you use them.
If you and the medical examiner have a difference of opinion, then after 30 day, you have the right to use anyone you like. Try to determine what the difference of opinion is first. If it can be worked out with open communication, then all the better, but if not, you have rights too.
I have a cdl and have been driving for 18 years now. I am a transgendered male, taking doctor prescribed estradiol (estrogen) to become a female. Can this disqualify me on my medical examination?
@Alexis
It should not be an issue. You probably want to have your prescribing doctor complete a medical release form for you, so you can take it with you for your next DOT exam.
Thank you for your reply! Much appreciated!
I feel like the DOT is asking a lot for someone that just wants to keep their CDL’s just in case they might want to drive again. My license expire Feb, 28, 2015 and I want to keep them but not drive a CDL class vehicle but would like to keep them if I ever decide to drive again. If I decide to drive again then get my CDL physical. If you drive and do not have a medical card then that is like you don’t have a license. So what is the difference drive a CDL vehicle with a regular license or get your CDL and not drive.
I have to get a letter from my cardiologist, Sleep doctor and the physical. For someone retired on SS that is a lot of money wasted just to keep CDL license that I probably want ever use but would like to keep just in case things go south on me.
I have a Class B CDL and have had seizures in the past. I recently started having epileptic seizures and my doctor said he was going to have to report this information. Who does he report this information to? What is my responsibility to my employer? I live in Alaska and want to know what is my next step.
@Melody
Seizures are going to be a driving disqualifier, so the information will be reported to the drivers license department. They will be the best people to talk to regarding what your next steps should be. Your drivers license may have a waiver attached for intra-state only and a seizure waiver too. Each state is different and your local DLD should be able to answer all your questions.
I started having seizures after using cpap. Sleepwalked out of semi while wife was driving 60mph. I guess I was lucky I didn’t oxygen toxicity. I could of had a coma or died. I also have found billions just in billing fraud. Cpap business maken money worldwide. Why the billions in fraud? With blessing of CONGRESS! I don’t expect an answer. I drove for prime 15 yrs. I liked the sapp bros t/s. I have used herbal remidies, hypnosis, listened to New Testament on cassette, was a driver trainer had 2 million safe miles, read books to improve my attitude. 8 hours on cpap I can’t even get a job.
I have a question, I ha been sick the last few days, I we into a walk in clinic and saw a doctor, this doctor said I ha vertigo and said she was disqualifying me from driving for 2 months, I went and got a second opinion and this doctor did a much thorough exam, things the first doctor didn’t do, including blood work and a cat scan and concluded I had a very bad sinus infection, what is my next move?
@Andrew
Get your doctor to complete a medical release form for you and then go to retake your DOT examination.
Don’t try to take the examination until you are ready to return to work.
My license expire 28 Feb. 2015. I have to get a statement from my cardiologist so as to pass my physical. I do not drive big rigs anymore and at the age of 63, 28 Feb. 2015 but would like to keep my CDL just in case I need to go back to work, then get my medical card before I start driving. Driving a big rig without a medical card is like not having license. so why can’t you renew your CDL without a medical card? It is a shame for a person to have CDL’s might near all his life just to lose them and if he decides he wants to start driving to have to go through all the testing to get them back!
I had a kidney transplant in 2013. Are there guidelines for acceptable Creatine levels?
@Mike
Medical release from your primary will answer most of the questions of the CME. And the DOT medical examination is not looking at anything in your urine other than blood, protein, and sugar. So a brief explanation from your primary on the medical release form should do the job for you.
If a student presents for a DOT physical before completing their course work / testing, is it legal to mark “yes” on the certificate under CDL / yes or no. I was informed by a CDL instructor that I must check yes. I refused to do this as the student does not yet have a CDL. I informed the instructor that the student can simply return after they have met their requirements and I would issue a new certificate, marking an x on yes for CDL.
THANKS
@Opie
We had the same issue. Lots of questions and finally got it down to: Does this driver qualify as a “medically fit for duty to operate a commercial motor vehicle?” If so, and they are in the process of attaining a CDL, then we mark, yes, CDL. Because he must have a CDL class license to operate a commercial motor vehicle.
If I took DOT exam and did not pass how long do I wait to retake .they tell me past medical records show abnormal lab results test was not completed to end they just told me I would pass but blood sugar passed when it was taken
@Raul
If I understand the question correctly, then you can retake the examination as soon as you can pass it. There is no specific waiting period. It all depends on why you failed initially. If it was blood sugar in your urine, then get it under control and get a medical release form from your primary doctor.
Can you received your dot card with a failed drug test
@Jaylen
Medical cards are based on medical fitness to operate a CMV.
Employability is based on your drug usage.
I have a CDL. I just moved to Colorado I do not have a regular physician. I do not require any medications, nor do I have any physical issues. How am I to acquire a release form for my DOT Examination?
@Jody
Well, if you have no conditions that are requiring a medical release form, then you don’t need one.
If you need one for some reason, then just go HERE and download one.
I was recently in the hospital. When I was released, the doctor gave me a release to go back to work with no restrictions. I took the release to my home terminal, they in turn sent it to the head of safety. They are not accepting my release and said I have to supply them with my hospital records then they will send me to get my DOT physical redone. Why is my release and a recertification not enough? Why do they need to see my medical records from the hospital when the attending physician gave me a complete release to return to work? The safety dept. has no knowledge of medical stuff to read my records and understand them.
@Gary
This could be some weird company policy, which should be questioned in great detail. There is no reason for the doctor’s release form not to be acceptable.
Way I see it its all a money thing. The more they can cost you the better it is!
Is a CDL Driver required to redo their DOT Physical if their health status change after their previous physical?
@Marcell
If the change required the driver to take time off from behind the wheel, then yes he must redo an new DOT physical.
We have a sub contractor who drives for us- CMV 26ft box truck (under 10,001 lbs), so no CDL is needed but he does have DOT. He recently went to get another DOT exam since his had expired and we had him do a drug test also. His DOT medical card has in the CDL spot a “yes” when it should say “no”. Do we contact the examining dr. to have this corrected? Since his medical card is for DOT and not with CDL, do the results of his drug test have any baring on this or is it up to the employer since he didn’t have to take the test in the first place?
@AimeeBulldog
Get back with the doctor regarding the CDL box.
And there is no drug testing done at the time of a DOT medical certificate examination, only a screen for blood, sugar and protein.
Have a question, my husband went Away to rehab for 30 days , when he came home he had to renew his dot medical card . Went to his appt paid the fee and pass the exam, he told the dr about rehab and being clean for over 30 days and how he was signed up for out pt care. Dr comes back in the room tells him that he is now not passing him for 6 months bc my Husband told him the truth . The dr said that basically he probaly will relaps . Also after the six months that he will only give him a 3 month card and that is it. This dr never meet my husband before and he has no history of violations. Is this allowed? Is there anything he can do ?
@Tracy
DOT and the FMCSA are going to want to keep a close eye on anyone who has issues that have placed them in to a rehab situation.
Unfortunately that now falls to the Medical Examiner to make that determination. With a medical release form completed by his primary doctors, he may have a quicker response to getting cleared by the examiner.
I am trying to find out the rules for someone diagnosed for prostrate cancer. Have you any advice?
@Lynn
There are no set rules regarding this condition. The guidelines are simply to determine medical fitness for duty to safely operate a commercial motor vehicle.
If the driver’s condition takes him/her from behind the wheel while he/she is undergoing treatment, then he/she will need to heal first, and then get a new DOT physical, once he/she feels ready to return to driving.
I answered all the questions and found out that I had to get a release from every doctor for each issue I had. I asked the CDL physical Doctor if I had lied and answered no on the questions would I have gotten my medical card and she said yes. So if I ever go through this again guess what.
@Billy
Just be aware that all of the information you just gave the examiner is now on the FMCSA database.
So going in and “forgetting” to mark medical conditions will cost you your license when they catch it.
Not real sure that chancing a loss of your livelihood is really worth it. Now you know that, before you go for your next DOT exam you will need to have medical releases completed first.
When a doctor performs my blood pressure for my DOT physicals, can he use a manual blood pressure cuff or an electronic cuff or a battery operated wrist cuff? Is there a rule that says what method to be used to acquire my blood pressure? Or is it up to the practitioner? Thanks for your answer.
@Robin
It is up to the practitioner.
That being said, if they use an electronic cuff and there is any question, ask when the last time the unit was calibrated.
Manuals don’t need calibration, but the electronics do.
I have had heart surgery in december 2008. Had a pacemaker/defibrillator implant in july 2009. My family doctor had always approved me for a dot physical. As of 8 month ago he could no longer do the physical, so I went to an approved dot physician, and was shocked that he could not approve me with a defibrillator. My defibrillator has never gone off. Can I drive intrastate if I get a medical release form? I’m 70 and driving has been my livelihood.
@Simon
You would need to check with your local state DLD regarding driving intrastate. Most states are allowing the intrastate drivers to use a defib unit.
It’s the Federal regulations for interstate drivers that says no to the unit.
I have a Florida class b CDs I was trying to get a job in South Carolina and I faild my dot drug test. Will Florida suspend my listener completely or just my CDs?
@Jerry
You need to check with the state of Florida DLD to make that determination.
Question:
As a TX CDL holder I would like to know how can I verify that TxDot received a copy of my medical certificate and self-certifiaction affidavit once I fax/mail/email a copy to them? Also, will TxDot notify the individual once they receive the above mentioned documents?
@John
Every state handles this process differently. Here is a little more information on Texas CDL and DOT Medical Card Requirements, with contact information.
If you fail a new DOT physical does it void your current medical card?
It was for a new company ….medical card current until 11/15 but failed freestanding squat…
I think I should elaborate the physical is for a new company freestand squats were what caused the fail …been 25 plus years since last done.
@Ryan
If the failure went into the FMCSA data-base, then the answer is yes.
is it true that i have to go for my dot medical exam 21 days before my current card expires or is this something my employer wants
@rui
Sounds like something that your employer wants. Your existing medical card is good until midnight of the date of expiration. And that being said, do it a few days before hand so all the paperwork gets to where it needs to be and into the system.
I currently am prescribed xanax by my doctor,which I only take at night time,off duty. I work as a school bus driver,so on duty,during the day I do not take the medication. I function perfectly without xanax during my am and pm runs..I only take said prescription in the evenings before bed. My doctor was aware of my job,and told me not to worry,as did my employer..My employer told me as long as I am prescribed a medication I have nothing to worry…But I still worry. I am confident,alert and focused while on duty. I have no side effects from the xanax,as I have been on it since early 2009…I rarely needed it,so drug tests and physicals were not an issue…Now with three kids and a new home,my anxiety flares up at night time,so I may take a xanax in the evening,as needed…During the day I will not take xanax no matter what…My worries are that the Doctors who perform my school bus physical and DOT physical exams will look at this prescription and disqualify me,even though I am a safe and considerate driver. I have been on xanax for over five years,only taking them as needed,at bed time only…Usually within those years I rarely,if ever needed the xanax,so physical exams were never an issue,nor were drug screens. Now being I take xanax in the evenings,I worry that the examiner will not pass me,even though the medication does not impact my awareness,my handling of the vehicle,or my safety for all the public on the road. I even asked my diagnosing doctor if they could write me a medical note stating the prescription does not affect my job duties,and they said they would…Yet I am still not satisfied. I love my job and I do not want it taken away from me. My employer said if they don’t ask me what I take,don’t disclose it,unless they ask..I feel uneasy about that..Usually on the paper you fill out,at least in the past,you write down what you take and why,or they just ask you…I am fully functional and fit to drive,I would like someone to put my mind at ease..
@Nicky
All you need is to have your prescribing doctor complete your medical release form for you and you should be good to go. Just have it completed before you go for the medical card examination.
Hello Nicky , this past week has been a nightmare. My first time ever doing a dot physical, I have been taking xanax for several years and got hired as a pca driver which is driving handicapped children. I passed the drug test and every part of the dot up until the p.a. told me that because I am prescribe two a day which is 60 a month she could not clear me unless I went to my primary Dr and have him change it to once a day. So I did that with a letter and she lied and said I had to be off of it for 30 days. Ignorance, you can’t just stop taking it because you can die from that. Anyway, just venting and frustrated.
if I have a CA CDL but my dot expired and I get a my DOT done in North Dakota, is it valid ? or do I have to go to CALIFORNIA and get my DOT there ?
@Julio
If your license is from California and you have your medical examination done somewhere else, they must use the California medical examination forms. Otherwise California will not accept it. That’s California for you. You can find the California forms on the web at California DLD dot gov, I believe
Just took dot physical did nt pass do to high blood pressure they refused to use large cuff my arm measure 12.5 to 13 lnchs got 3 month card what can I do
@Bruce
If an examiners office is not willing to use the correct equipment, then go somewhere else.
Hello,
I have a 24 year old son who had a brain tumor removed at age 9. Prior to his surgery he was having focal seizures due to the tumor pressing on the brain. Once the tumor was removed he never had a seizure since. His neurologist had prescribed Neurontin and Depakote due to his past history of headaches. He stopped taking these medications while in college but found that he would have breakthrough migraines. He has been back on them now for about 2 years to control these headaches and he has also never had another focal seizure since 2000. When he went for his medical certificate the doctor failed him saying that he would not qualify because of the medications, however they are not being used for any seizure disorder. Is this correct?
Thank you so much.
@Jackie
Try to get the neurologist to complete a medical release form for you. He will answer most of the questions that the DOT examiner is looking for. The medical release explains the conditions and the need for the present medications being taken. Then, based on new information the DOT examiner may have a change of opinion.
Hi, im trying to figure out where can I get a copy of my DOT PHYSICAL EXAM. I misplaced mine and I have looked everywhere and nothing. I went to the clinic to request a copy (horrible customer service in Concentra Clinic here in chicago). However I was told they don’t keep physicals for more than a year. Thought they were suppose to keep them incase of anything. I paid it out of my pocket. No insurance. I need advice/help. Is there a website or try again at the doc?
@carlos
By law, without exception, medical records for drivers have to be held for three years. So ask again. There is no one other that you and the medical office that will have a copy, unless you gave one to your last employer.
I went to a medical center in August, 2014 to get a cdl physical. I failed it due to high blood pressure. This was a surprise to me as I have always passed the bp test before. I asked them if I could come back a few days or weeks later and retest. The doctor there said no, I would have to go to my primary care doctor and “get my blood pressure under control”, then bring a form back to her signed by my pcp, and then they would resume the other parts of the test. (They refused to test the urine, even though they had my sample, and never got to the hernia check). All I had was the vision test, and color vision test, and then the BP test, which I failed. On the way out, they refunded my $85 cash, which I had paid upfront. (Which surprised me!) I chose not to go to my primary care doctor, since I would get a hefty fee possibly, and maybe be placed on some BP medicine which I don’t want. I chose to go to another medical center after I removed bicarbonate of soda from my diet, which I had been using in large quantities as an antacid, and my BP dropped dramatically over the course of about a week. I passed the physical at the second location, got my new card, faxed it in to DOT, called up and made sure they got it. By the way I paid $89 at the second location for the physical. I never contacted the first place about the second physical.
A few months later I got a bill for $85 from the first place I went to! I have contacted billing there, told them about the partial physical, and the refunded money after the blood pressure fail, but not about going to the second location. They currently have me in some sort of limbo, not giving me a yes or a no on whether they will waive the $85 bill. I even got a letter from their “in house” collections dept, and when I called billing about that, they said it was a mistake, and to ignore it. Who knows what they are waiting for? Perhaps the doctor looked me up in some database and saw that I went to the second place and is upset? Billing is acting like they want to waive the $85 fee, but they say they need permission from the doctor, and that the doctor is not responding to emails from billing about waiving the $85 fee. They were rude to me at the first place which is why I didn’t want to go back there and have them skyrocket my BP all over again.
My questions : Is there anything wrong (illegal) with my going to the second place to pass the physical?
Does the first place have any valid claim to the $85 fee since they refunded my money, and only performed a partial test, and would not allow me return to them until I spent more money at my pcp?
If I do pay them the $85 will they then enter the attempted physical into some database and get me in trouble as being one of those “doctor-shopping truck drivers”, or had they already entered the failed physical into the database the same day I had it done?
Thanks
@Nathan
You have the right to go to any CME on the National Registry. As far the the money issue, that is one you’ll have to take up with the parties involved. A partial examination does not get recorded on the FMCSA data base so make the smartest decision and act on it.
I am trying to find a place to get my DOT physical done to finish putting together everything to get my CDL, however, I have come to find that there are no doctors in the Michigan area. Where can I go to get my DOT physical done? I don’t have a primary care physician and need some help here. Thanks
JOJO
@JoJo
There are presently no doctors in our network in the state of Michigan. But if you will go the FMCSA.gov and look on the National Registry, you should find someone in your area. Good Luck
My husband recently failed for saying he was going to start taking Chantix and failed his DOT Physical. But is on BP meds and Effecor for anxiety and Xanax for stress and sleep apnea and does not take it while at work. His doctor cleared up what and why he’s on the meds. So he then passed. When you are hauling doubles even triples with hazmat materials I don’t understand how Chantix would fail before one of the others. My husband is an alcholic who has been to rehab twice and lies about his drinking. He quits drinking beer two hours before work, but 24/7 off the clock. He has recently admitted he job and problem to the ER. They wanted to detox then put him on that alcohol pill where he couldn’t drink, so he stormed and drinks even more now. He said he said he’d lose his license if the DOT found out and stormed off of the hospital. This bothers me because now he is on psychiatric mind altering drugs and drinking. You just can’t get proper care without losing a career serving the public because you ask help. If they report him admitting to having a drinking problem then stormed out Bc they wanted him to go to detox a few days and he stormed out or will the DOT get a report from ER?
@Michelle
The medication in question has so many negative side effects that influence a driver’s ability to safely operate a CMV, that it was placed on the disqualifying medications list. All the other issues you mention will get him fired and maybe before he seriously hurts someone else.
I was recently diagnosed with MG, Myasthenia Gravis, which just showed itself as fatique until the eye lids closed, then they knew. I am on Mestinon, the generic actually and had the Thymectomy also, but other than a comment, I can’t seem to find anything on whether I can redo my Physical and maintain my CDL. MY muscles are stronger and my eyes are good now. Plus I am retired and I just do emergency pick ups, like when a driver quits in another state I might fly out and Pick up and load the truck and bring it back. So its maybe 2 or 3 trips a year.
@Howell
Best bet is to have your primary doctor complete your medical release form for you before you go for your DOT examination. The release will answer most of the questions that the CME will have. As long as you can perform the duties of a commercial motor operator, then you should not have any major issues. Good Luck.
Hi Doc, on 12-6-2014 I was hospitalized for (DVT) and (PE) was released on 12-10-2014. Was cleared by family Dr on 12-15-2014 to return to work on 12-22-2014. I went to the company Dr on 12-19-2014 to be cleared and have Dot physical renewed. After examination the company Dr wouldn’t release me due to the new fed govt guidelines he claimed I am now considered high risk and was placed out of service for 3 mos. I had a (CT Scan) and a (Ultra Sound) done on 01-05-2015 and the results are still showing a clot in each lung as well as a clot the entire length of my rgt leg with minimal improvement. I am currently on Xarelto 20mg a day, my question is will I be able to return driving or will I have to consider another line of work if not retirement? I am 57 yrs old with 30 yrs driving, thank you for your time.
@ mike
Until you are completely healed and can be classified as “medically fit for duty” as a class A driver, you are going to be held from driving. So you need to check with your primary doctors and get an opinion from them on when that might be. Based on their opinion, you may have to make some new decisions. Good Luck
Are valid CMV Medical Cards transferable to other states?
@Don
If you are an interstate driver, then your medical card is good anywhere in the US.
If you are an intra-state only driver, then you would fall under the rules of the states that you are living in.
how many 6 month physical can a driver get
@Al
You don’t give me enough information to be able to answer this question.
I’m currently in the hospital and might not get out by the time my physical is due ( 12/31/2014 ) the holidays also play a part in this, can I get a week extention?
@James
No, you have to be completely healed and ready to go back to work as a driver before you can even do the DOT examination. If your state needs an explanation, then get a note from your doctor, explaining your situation. The state DLD should be pretty understanding. Good Luck
My dot physical card was renewed but I didn’t take it into the dmv and I got a letter in the mail saying my cell was downgraded how do i get my privileges ‘re instated thanks I’m in Missouri
@Calebr
You need to contact your state DMV as soon as possible. Each state has different rules about grace period, reinstatement fees, and may even require re-testing.
I have been employed for 9 yrs as a Bus-aide for Marion County Florida. We have to go to US Health Works to get a DOT physical every year in our birth month. When I went this November they failed me because in 1993 I had a brain tumor removed and have seizures. I take Dilantin for this and have not had any seizures in 17 yrs. the provider who did my exam said I am disqualified because I take seizure meds. She said this is a new law. Looking it up on the website it seems they passed this law April 1, 2014. We are not even allowed to sit in the drivers seat let alone drive the bus. I have never lost my personal drivers license which is a class E. My question is does DOT have an exemption for this, and if so how do I get it. I have called our DOT office and only get recordings leaving my name, number and why I’m calling nobody has called me back. This has been going on since November 26. Please help I just turned 60 and need my job.
@Pam
Your drivers class is not a class A, so you should not be going through a interstate commercial drivers examination.
You need a medical card to operate a bus, but not an interstate certification.
Check with the state of Florida to make that final determination. Also make sure you have your primary prescribing doctor complete your medical release form for you before you go for the examination. That release answers a lot of the examiner’s questions before he ever gets started. Good Luck
can my doctor write a letter to the dot doctor to extend my dot card because he is working with me to get my blood pressure down , I have had one extention
@Marvin
It’s worth a try, but no guarantees.
Does having pacemaker to help control a-fib a reason for disqualifcation ,I also have a number of cornary stent implants [ 10 or 11] my pacemaker is not a defibulator, it helps control my heart rate.Thanks, Wayne
@Wayne
Just a pacemaker is not an instant disqualifier.
Make sure you have your primary doctor fill out your medical release form be fore you go for your DOT physical. That will answer many of the CME’s question right up front. Good Luck
if you fail your dot medical exam what is the wait time to try for a new card ( A1c) was to high
@Kevin
A1c under control is the main issue. Get it under control and have your medical doctor complete your medical release form for you and go from there.
I have been a commercial driver for many years now recently I have lost the ability to speak can I still drive a commercial vehicle I can’t find anything in the regulations for this situation
@Douglas
Lots of questions here.
So you will need to know what has caused you to be unable to speak.
There is not a specific ruling or regulation, except you need to converse with officers and the public officials.
But the main question here is why can’t you talk. That is of major importance, what’s the underlying cause of this condition?
IS THERE A WEBSITE IN OKLAHOMA WERE I CAN CHECK TO SEE IF MY DRIVERS ARE CURRENT WITH THERE SELF CERTIFICATIONS
@Dwayne
There doesn’t seem to be a way to check self-certs online.
See more info at Oklahoma CDL and DOT Medical Card Requirements.
Oklahoma has announced a temporary extension until December 31, 2014, included phone, email and fax numbers.
I lost my medical card. I do not have my long form nor can I get it as I no longer work for the company where I was when I got my medical card. It is a two year card and I have over a year to go. My medical examiner says my file is in storage and is NOT cooperating on getting it for me. I can not work. Since they are required to keep a copy for 3 years and not force me to pay for another medical test is there anything I can do?
I am in Colorado. Thanks!
@Jerry
Call the office that did your examination and ask for a copy. Everyone involved must maintain a copy for at least three years.
These are your medical records, so you have the right to have a copy.
Had a mini stroke in October 2014. Rated a 2 to a 3 on scale of 30. Was given TPA . I live in Chicago il. What are the rules for me to return to work? Was told wait a year? Can I return back sooner? Can I return back to local work?
@Mark
One year will be the minimum if you are going to drive interstate.
You will want to check with your local Drivers License Department to determine your requirements to drive intra-state. You may be able to return to driving sooner for intra-state only.
Is a blood test a required procedure for a cdl for a school bus driver?
I am on short term disability due to a car wreck my wife and I were in and my dot medical card expires at the end of the month. Is there anything I can do to post pone it? I am not allowed to even drive my own vehicle right now. There is no way I will pass the dot physical. But maybe in a month I will be better. I dont want to loose my cdl’s
@David
Most state DMV’s are pretty good about not punishing you for being late. Just touch base with your DMV and ask them what policy they have for your type of situation.
I HAVE A CLASS A CDL IN IOWA I HAD A LACUNAR STROKE ON OCT 30TH 2014 WAS OKD BACK TO WORK ON NOV 6 2014 MY DOT DOC SAYS I HAVE TO TAKE A YEAR OFF NO IFS ANDS OR BUTS IS THIS TRUE
@Cliff
Yes. Even though your doctor feels that you can return to driving, FMCSA (due to likelihood of another stroke) requires a one year wait. You might check with your state and see if you can drive intra-state only.
I HAVE A CLASS A CDL IN IOWA I HAD A MINY STOKE ON OCT 30TH WAS RELEASD TO GO BACK TO WORK ON NOV 6TH MY DOT DOC SEAS I HAVE TO TAKE ONE YEAR OFF NO IFS ANDS OR BUTS IS THIS TRUE
I have held a Class A CDL for 7 years now always having a current medical card. I renewed my medical card in July of this year. Just a month or so after renewing my card I was diagnosed with Aortic Stenosis which required open heart surgery to replace my Aortic valve. I had a successful surgery in August and my surgeon is releasing me to return to work in December with no limitations. I have checked the status of my license and it is valid and the medical card i renewed in July is valid for 12 mos but being I had this surgery, am I obligated to report this to the DOT? Do I have to re-examine? Any questions or comments would be appreciated
@Tom
Any illness or injury which takes you out from behind the wheel must be re-examined / re-certified before returning to driving.
And you will need to have your doctor complete a medical release form for you too.
I had acl surgery oct 13. Since then I have been released by the doctor but cant pass a dot physical. I have been denied 4 times. This is a wc case. If I can’t pass a dot physical, to return to work, will wc still pay me benefits or make me an offer? The injury after surgery is the same not allowing me full use of my right leg.I still have weaknees as well as muscle loss. What going to happen now? This is in MO.
@Charles
Can’t answer for WC.
Your medical examiner is looking for medical fitness for duty to operate a CMV.
Until you can pass the examination, then unclear as to what WC will do. Check with your WC carrier and ask them.
why do u have to get your dot physical done a couple weeks before the expiration date
Your current medical card is valid until midnight of the date of expiration.
What you want to consider is that you need to submit a copy of your new medical card to your state DMV, and that may take them some time to process. States are different on this process, how long it takes to update your driver’s license record, and how long they give you if you do not have a current medical card on file, before they downgrade a CDL to a non-CDL.
Better to play it safe.
I got a three month certificate the other day so I can have my doctor modify my high blood pressure medication. The DOT examiner said that I will have to take the vision, hearing and urine test again when I come back to have him sign off for the corrected blood pressure. Is this true?
@SoCalJohn
NO, but it may that particular company’s policy, but all you need retested is your blood pressure.
If I had a stent placed in June and had an echo done in August with an EF of 60-70%, can I be cleared for my DOT physical in October?
@Jessica
You should not have any issues, just make sure you take a medical release form, completed by your primary doctor. This will answer most of the questions that a CME will have. Good Luck.
How do I get an extension to the Medical examination report?
How do I extend time to renewing my Medical Card?
@Craig
You don’t!
At midnight on the date of expiration, your card goes invalid. Get a new medical examination beforehand.
What happens if you let it expire before you renew it?
@John
Most likely you’ll get shut down on the road.
I went to Concentra in August of 2014, I was told that my blood pressure was too high (it was 141 over 90) and the DOT physician after making me wait three hours, would not issue my medical card. Stated I needed to see a physician and get a treatment for high blood pressure, and that my blood pressure must be below 140 over 90). I saw a physician, got medication to lower my blood pressure, went back to Concentra (same location) a little over a month late, was made to wait again this time for two hours, was told that blood pressure was 136 over 89 and they still did not issue my DOT medical card. Can I go to another DOT physician and retake my physical or do I have to go back to that same location? I don’t understand why my medical card was not issued when my blood pressure was in the acceptable range. My medical card has since then expired. How long does it take and how can I find out whether or not my license has been downgraded? Due to job loss, I wasn’t able to go in and pay for a physical to keep my certificate up to date with the state, so I had to look for an employer that would pay for the physical.
@ J Woodz
You can go to any certified medical examiner you want – choose wisely!
And you should have been issued a one year medical card. Not sure what the thinking is from this company, but they are wasting a lot of drivers’ time and money.
THEY NEED TO BE REPORTED !! If you ask me, I think some of these doctors are starting to see this is how they generate MORE INCOME…. Think about it…. Most of these places ONLY DO THE DOT PHYSICALS….. I’ve seen some general doctors offices that JAM too many appointments in a normal day, you get just a few minutes in with the doctor, and the place generates AS MUCH AS THEY CAN …..so, with these DOT places,as most are “walk ins” they don’t always know how much business they will have…by downgrading ,and denying , they create MORE business,most return later..I as states before about myself, I went from a limited to one year card over elevated BP, to 6 MONTH CARD FOR BEING OVERWEIGHT! My BP was under the limit,AND, my weight was about the SAME AS IT WAS LAST YEAR…..but, as I suspect, he was content in playing the “BP card” last year, now that he can’t, chose to use the “overweight” card this year, and I think that is BS…..
“TruckerDocs” you say “.
“You can go to any certified medical examiner you want – choose wisely!
And you should have been issued a one year medical card. Not sure what the thinking is from this company, but they are wasting a lot of drivers’ time and money.”
First,how can you choose wisely? There’s no way to know which ones are going to pull this crap, and that leads to the “wasting time and money” part trying to go to another one ATFERWARDS to hope you will be treated fairly by the second one…..and, it’s more than them wasting Time and money………it’s about them being PROFESSIONAL DOCTORS and should be investigated and penalized if they are not acting in accordance of the rules, and holding back some drivers from being certified as they should be…
Sorry for my rant, but this is a serious issue that didn’t exist not that long ago…..It now threatens a lot of hard working people trying to continue making a living in transportation….things have been tough enough–my last renewal of my B CDL was over $350 , forcing us to pay for “back ground checks” ,etc…… I have had my CDL since 1990, when they first came out with the “commercial drivers License”… I only used it sparactically over the years starting out driving school bus, small trucks , and, for the last almost 10 years, I work for a company running a small shop, and a SMALL TRUCK just occasionally bringing material to job sites, and cleaning out the site when finished…This truck has GVWR of only 5400 some odd pounds, is a “high cube Van” literally has a “van” nose on it…even the reg. sticker says “van”on it……I really wonder if I even NEED a CLD to drive it..If I read the CDL requirements on the DMV site, it doesn’t even mention trucks this size..:
You need a CDL to drive a commercial motor vehicle (CMV), which is defined as:
Class A: A gross combination weight rating is 26,001 lbs. or more or a trailer with a GVWR of more than 10,000 lbs.
Class B: A single vehicle with a gross vehicle weight rating (GVWR) of 26,001 lbs. or more
Class C: A vehicle designed to transport 16 passengers or more, including the driver, or a vehicle defined as a bus or any vehicle that requires hazardous materials placards
My little truck falls in where? If I can give this CDL up, I will… I am tired of the hoops you have to jump thru now-a-days, not to mention the sky high cost of the license, physicals, etc. I am NOT an over the road driver, just an occasional tiny truck driver, but since I have the B CDL, am being held to the same criteria as the real truckers….
One more thought…. So, how do these OVERWEIGHT cops get thru their physicals? Seems to me, if an overweight driver is a “risk”, why would we have a cop, who is supposed to “protect the public”, that couldn’t run 50 ft without keeling over, keep his job? Seems to me they should be denied certification ALSO, seeing that would be a “risk” … No offense to you pudgy cops……… Food for thought……… Thx
CDL in Texas.I failed my physical…due to having over 200 in urine…I had 208….my doctor signed off stating this should not hinder my job on the form provided by the examining physician. 1. Do I need to retake the test? 2. How long after I fail a physical do I have to pass the Physical?
@Mark
If your doctor is not a DOT certified medical examiner, then he has no idea what the requirements are for a CMV operator, so his note is helpful, but not all encompassing as to your driving a CMV.
But once you have your condition under control, you can retest. And there is no time frame limit.
Is there any regulation that does not allow a driver to drive a commercial vehicle if he or she has had a hip implant surgery? My orthopedic has cleared me to drive.
@ts
The only restriction would be if you cannot perform the duties of a commercial motor vehicle operator.
With a medical release and the ability to do your job, then there should be no issues. Good Luck.
How long can DOT physical card be expired before it is voided permanently?
@Brian
According to the FMCSA, midnight of the expiration date is when the card becomes invalid.
Some states kill your licenses at that time, some states have a short period before you license is dead.
Best bet is don’t let it happen, otherwise it’ll cost you one way or another.
Do we have to take a copy of our DOT renewal to the DMV
@John
Yes, you must update your DMV with a copy of your new medical certificate.
The process differs from state to state. Some states will accept a faxed copy.
See this link for more information and links to each state.
Hi,
This may have been answered but I realize there seems to be some confusion on interpretation of the reasons for disqualification by some of the examiners. My situation… I was issued a valid medical card in August 2014. I since have applied to two different companies where their examiners had concerns and would not issue a card until I provided further information from my primary doctor. #1 wanted me off of two prescriptions I was taking and a form stating this from my doc (did this). #2 saw I had listed a former diagnosis of sleep apnea and needed to see a release from that doctor that I was no longer suffering from it (in the process of obtaining this). Each time I have listed the same medical issues and prescription information. The question I have is where does all this land in my medical record with the DOT, and is my original medical card still valid?
Thanks!
@Tom
Your original card is still valid.
Get a medical release form completed by your primary, explaining your condition and whether treatment has been shown to be safe and effective.
DOT does not get any of this type of information at this time, so it goes nowhere, just sits in your file. But if there is ever a problem, your records are pulled by the DOT and examined.
I have a question. I take insulin and oral medication for diabetes. I take meds for high blood pressure will I automatically be disqualified for a dot medical card. I have to take one for fedex. Im in Georgia. Thanks
@Susan
If you are a class A driver traveling interstate, then you will need a diabetes waiver from the FMCSA if you take insulin.
Also, check with Fedex. Fedex drivers may have to certify interstate, even if they only drive intrastate.
If you only run local and are NOT a class A driver, then check with your state DLD to get this question answered. Each state has different regs and Georgia is no exception. Good Luck.
We just purchased a company in Arizona. All of the other states we operate in require a medical examiners card for our delivery drivers. They drive pick up trucks (not class C). They are non-dot, but still must pass a physical. Is this required in Arizona as well? The manager of that location has told me that a med ex card is only required for class C drivers in Arizona. Can anyone shed some light on this for me?
@Stacy
See Arizona CDL DOT Medical Requirements.
Seems that any driver who drives for commerce must have a medical certificate.
As states differ on their regulations it’s best to check with AZ DOT.
My physician completed my physical and filled out the renewal paperwork to be sent in for licensing. In the past, you would also have to carry a green physical card in your wallet. My employer is telling me that this card is available at the physician’s office, but my physician is saying that they don’t have this. Is the card still required to be carried on me? If so, where can I get it so I can have my physician can complete this?
@Paul
Sounds like you’re talking about California.
No matter which state, all non-excepted commerce drivers must carry a DOT physical card aka medical card.
Your physician cannot complete this for you unless he/she is certified on the National Registry.
See FAQ – FMCSA Regulations to learn more.
I had surgery for torn rotator cuff. I was released with 20-25 percent disability permanently, left arm. I had a face done. What do you think my chances are, I could pass the dot physical.
@ mike
As long as you can perform the duties of a CMV operator, then you should be good to go.
The permanent rating may not effect your abilities to do your job.
A driver got a foreign substance in his eye. I sent him to a clinic to get looked at and after treatment ( a couple of times) the WC doctor released him to full duty with no restrictions. Since this was a job related accident-it is WC claim. He has been rated as 19% disability by a review board. My company is wanting to have him DOT re-certified. His current Med. card does not expire for another year. Is this the companies right to ask to have him re-certified? Again he has been released to full duty-no restrictions by the WC doctor who is also a DOT certified examiner.
Thanks for the help.
@Malcolm
Any accident or injury or sickness that takes a driver from behind the wheel, the driver must be re-certified by a DOT medical examiner. That is an FMCSA regulation.
Trucker Doc, I have a question.
I just got my CDL and did a DOT Medical Examination and passed. Ii was good for 1 year. But I was applying for a OTR position with the company and they wanted me to do a DOT medical examination through their doctor. I had no problem with this.
I did the medical examination and the doctor disqualified me do to having been diagnosed with ADHD. I haven’t been on Adderall since 2009-2010. My primary care physician sign off saying that I would have no problems driving a CMV and I haven’t been on the medications since high school which would have been 2009. After providing the doctor with the required paperwork, he asked me for my driving record and I had to go to the Clarks office to obtain a copy of my driving history.
On my history, I have four violations and one accident. On two of the citations, I elected to take the driving school to reduce the points and fines. I been told that those technically don’t count on my history since I elected to take a driving school.
Upon showing the DOT doctor my driving history, he determined that I’m not qualified to drive a CMV. I told him that the one accident and the violations where all personal vehicle and not commercial vehicle. He says that because I have seven violations or two many violations, I need to be seen by a psychologist or a psychiatrist for further testing. The testing should be basically be done to show that I’m emotionally fit to drive a CMV. What I don’t understand his how he could get seven mixed up with four.
For the questions, how many violations would place me into being disqualified for my DOT medical card? Do citations w/ elected driving schools count towards the total number of violations or are they not counted. Does my one accident play a role in this also?
Is my current medical card valid or does this examination void my current card?
Does this one disqualified medical exam disable me from being able to pass future DOT medical examinations or can I get a second opinion from another certified Medical Examiner?
If I do have to see a psychologist/psychiatrist to determine if I’ll be safe behind the wheel, is there a set of test that need to be done? I’ve talked to a few psychologist and they not aware of the test that need to be done. I talked to a DOT FAA psychologist and he knows the questions and how the test should be done but that for pilots and the testing procedure for the FAA. He doesn’t know how the DOT would go about in testing someone for a CMV.
Any help and advice would greatly help.
@Robby
In reality, the CME’s job is to determine medical fitness for duty. He is not to determine your needs for treatment or diagnosis or treatment protocols. So you have done exactly what you should have done.
Your medical card that you already have is valid and you don’t need to do anything else. You should not need to see anybody else, except your primary doctor and have the medical release form filled out by him. That’s it.
@Trucker Dock
Thanks. I didn’t know if this new medical system would void my current card. I was worried since I’m new to the whole process. I guess I won’t be able to drive with that company then.
What happens if your dot physical expires while out on workers comp and under a doctors care and you got let go by your job ?
@Ef
In most staes if you are out on a workers comp case, they have some level of forgiveness. Besides you could not pass the DOT examination at this time anyhow. But check with your state drivers license department and make sure they do not fully down grade you to a class other than class A. In some states once your medical card expires, your cdl is invalid. So check with your local DLD for confirmation.
I have cornary heart disease. I have not had a heart attack or do I have any stents or have I had by pass surgery. I see my cardologist every 6 months . My last stress test was 3 years ago. Is it a regulation that I have to have a stress test every 2 years to get my medical certification. According to the regulations it says if I had stents put in or had a heart attack or by pass surgery.
@Philip
If you get your cardiologist to complete your medical release form, that should be able to answer most of the questions that the CME will have regarding your condition. Have the medical release form in hand at the time of your next exam, it will be a huge help to everyone. Good Luck
I have had two shoulder surgeries, and have tendonitus in both hands from football. I was a diesel mechanic, but decided to resign from that career because any physical work bothers my hands. My shoulder a little, but not so much. I’ve been thinking about getting my class A. Do you think I won’t be able to do the job? I’ve read a lot of drivers don’t touch freight very often. I live in Houston, and would like to just be a local driver. Would the DOT Physical cause me not to pass. My hands and shoulder are fine as long as it is not repetitive physical work. Hope to hear from you soon.
@David
You will need to find out about how much freight you will handle. As a local driver, you will handle much more freight than an over the road driver.
You could possibly pass the DOT exam, but look more toward a regional driving job. More driving and less freight handling.
The surgeries are not the main issue, it will be the ability to move, and long periods behind the wheel as a driver. Good Luck
Thank you I really appreciate the quick response. Thank you for all your help as well.
If i haven’t had a medical card record for 3 years but still renewed my cdl drivers licsense would i still be able to get a medical card now and keep my cdl with the down grade policy?
@Matt
I believe so, but check with your state DLD to confirm. Each state is different and some states may have already downgraded a license if no medical card is on file. Good Luck!
So if they downgrade my CDL ? Is it still a class A?? N restricted to the boundary s of that state??
@Willie
If your CDL is downgraded you lose your CDL privileges. Your CDL will be downgraded to a non-CDL class. The commercial class license document in your possession will no longer be valid.
The process to amend your status back to a CDL class differs from state to state. You’ll need to contact your state Drivers License Department for their specific requirements.
2 years ago I had a mini stroke that clouded about 1/4th of my lower left peripheral vision. Three or for days later after seeing an eye specialist and a thorough exam including ultra sound on my heart and arteries etc. by my neurologist, I was given a letter from him saying I was good to go and could safely continue driving commercially.
Today I went in to renew my medical certificate and everything checked out good but the doctor told me because i had a stroke 2 years ago I’m required to go have a neuro opthamology test done and a neuropsych analogy done before he could issue me a card. Is this true or false. I’ve not been able to find anything supporting his claim.
@Joe
Will only assume that the medical examiner is looking to cover his ass(ets) with additional information.
If you have your neurologist complete your medical release form before you return for your DOT examination, then you should have all the questions answered by the neurologist, to satisfy what the medical examiner needs.
Thanks much, appreciate the reply.
When I was 14 years old, I had these laughing attacks and they labeled it “Epilepsy”. After a short time, it was controlled by medication. I was able to obtain a CDL at the age of 36 (no episodes in over 20 years). After having several physicals done (every two years), with different doctors, I have had no problems regarding the “Epilepsy”. I went to have a physical done just recently (different doctor), and all of a sudden it’s an issue. I am now 50 years old, and I’m still on medication, but haven’t had an episode (laughing attack) in 35 years. Am I still eligible to have a CDL?
@Craig
Laughing attacks and epilepsy are two completely different things.
If you have epilepsy, you will need a federal exemption.
If your doctor can complete your medical release form explaining the difference between laughing and a seizure, then you may be good to go. But the verbiage used as epilepsy is where the hang-up is.
Ok, thanks. I do have a letter from my doctor stating that I haven’t have any seizures in over 30 years and that my condition is optimal.
The physical examiner is not accepting the letter, he’s looking at the rules not the big picture. Could I go to a different physician?
@Craig
You would have to wait thirty days before going elsewhere, but you have the right to go elsewhere.
Does your dot pysical have to be done in the same state it was issued
No. A DOT medical card is valid nationwide so you can get certified in any state, no matter which state you have your CDL.
See more details on FAQ – FMCSA.
In 2011 I had a head injury on the job, had surgery a drain was placed return to work 4 months later was clear by 2 Neurological and 1 M.D have released for to work for 2.5 years and than was disqualified by D.O.T , doctor who say I .can’t drive for the next 5year’s he wouldn’t look at my medicine records He just say D.O.T disqualified me so what can I do
@Leslie
As long as all the above information is correct and you have your medical release form completed by your primary doctor, you should be good to go.
Just wait 30 days from your last examination and go somewhere else. You need your medical release form to answer the questions that the CME should have, but unless there are extenuating circumstances, you should have all you need to continue driving. Good Luck
Hi and thanks for your time. my doctor has found me to be disabled due to many medical conditions and my question is what do i need to do. Do i just take my license and medical card to dmv and turn them in or is there some other process to follow.
Best to contact your local DMV and go in, in person.
If I have a current DOT physical and I had a heart catheter but no Stent put in do I have to take another DOT physical to return to work?
@Jerry
According to the FMCSA, if a driver has any condition which takes him / her out from behind the wheel, then they must be re-certified as medically fit to operate a CMV before they can return to driving. So the answer is yes.
Even if nothing was done no Stent was put in?
@Jerry
Yes — “any condition which takes him / her out from behind the wheel…”
It’s hard to understand how the DMV will take away somebody’s license and their livelyhood just because a person does not have the health readings that a teenager or young adult may have…It’s all bullcrap…more people on the unemployed line.
After talking to a doctor, he mentioned that a reasonably healthy person can have pre-diabetes/high blood pressure and not affect his driving in any way…
I NEED HELP!!
I’ll give you my medical background. I’m in really good shape, I’m 6’4 220 lbs. In 2010 I had an on the job back injury which gave me a permanent partial disability rating of 28.5% and permanent restrictions such as no lifting over 40 lbs, stooping or bending repeatedly etc. I’m on pain medication daily (which does not adversely affect me in any way, except mild constipation).
The first year after my injury I went to Concentra here in the Nashville area, they kinda gave me a hard time but eventually they gave me a 1 year DOT medical card. Fast forward to 2013, I went for another DOT physical, drug screen etc, told the Doctor about my medical condition, medication the works and he passed me with a 2 year DOT medical card. Now its August 20, 2014 and I went for another DOT physical etc etc at Concentra as a New-Hire and they temporarily disqualified me because I’m disabled and have to take medication. I passed the physical and drug screen but the “Doctor” didn’t want to listen to me or talk to me, she was VERY RUDE, cut me off mid sentence and said “Your not gonna talk me into giving you a med card, I’m gonna give you a form that your treating physician has to fill out before I pass you.” Now fast forward to today, September 11, 2014 I went back to Concentra with the form that my Doctor signed off on stating that I was perfectly fine to drive and that my medication does not adversely affect me in any way or impair my driving. They temporarily disqualified me AGAIN after doing exactly what they told me to do, saying that now I have to go to my Neuro Surgeon and get him to sign off on the same form they had my doctor sign off on??
I never had any surgery do to my injury, and I was released from his care in January 2011. I haven’t seen that doctor in over 3 years, so my question is, Is what they are doing legal? I have a current DOT medical card with NO RESTRICTIONS through CONCENTRA that’s good through May 2015, so how can they disqualify me now? Why would they tell me to have my treating physician sign off on a form then disqualify me again after doing what they asked?
I’ve contacted my attorney because at this point I feel like they are discriminating against me because of my disability.
I’ve been a Class A driver for over 10 years without a single accident or citation, and I’ve continued to drive since I got injured!
Any help in this matter would be greatly appreciated.
Thank You,
Michael V.
Semper FI
@Michael
Best case is to take the medical release form that was completed by your medical doctor and go somewhere else.
They have the right, but are not fully understanding the new rules and regulations.
After 30 days, you can go to any other DOT authorized doctor and get your medical certificate.
Thank you for your help! Another question I have, I just found out today that the company will not hire me now because I got disqualified. The operations manager said that even if I got the disqualification overturned and they passed me that the company would not hire me.
Isn’t that against the EEOC guidelines, let alone the ADA. I’m not asking for any special accommodations because of my disability, I just want to be able to work.
At this point I feel like I’m going to have to quit truck driving altogether because its hard enough trying to find an employer who will hire me.
Thanks for your help again.
If a CDL expires is there a grace period to renew
@Roblez
Not sure if you mean “CDL” expires, or “medical card” expires.
There is no grace period for your medical card. It expires at midnight on the expiration date.
Best to contact your State Drivers License Agency to get your question answered and take care of any issues with your CDL.
I am about to have rotator cuff surgery. My physical ends on December 16th. I will still be out on medical leave (3 months) after my surgery when my physical is due. Will I receive a downgrade on my license, do I go get my physical (in Texas)? What will happen when I walk in for my physical and they fail me because my arm is in a sling?
@Destiny
Just check with your state Drivers License Department and let them know what your situation is. You should not have any problems.
Once your surgery is healed, go for a new DOT physical, and then update your status with your DLD.
I am a Type 1 (for 56 years) Diabetic (insulin controlled) and retired(after driving commercially for 25 years) School Bus Driver from New York State with no episodes behind the wheel of ANY vehicle in all the years (34 years…I gave up My license voluntarily after retiring) I have driven due to diabetes and it’s effects…What I need to know is: 1)Who wrote this Law and in what year? and 2) “What year” was this “Law” put into effect…?…Your help is greatly appreciated even if the “help” can lead Me to some place in which I can get this information. ….Thank You for Your time…Tom Regan
@Thomas
Do an internet search for “FMCSA diabetes” and you’ll find information.
Here is the link for FMCSA Driver Exemption Programs – includes diabetes. This applies to interstate drivers.
For driving intrastate only, you’ll need to check with your State Drivers License Department.
Hi I recently had surgery for oral cancer and had a tracheostomy placed in my throat because of the swelling so I could breath. They also told me that it may be permanent that I have the tracheostomy . I currently have a class A CDL in the state of Pennsylvania with a valid DOT physical card which expires in February of 2015 will I be able to obtain a new DOT physical card if the tracheostomy is permanent and if so what will I need to do so thank you and any help will be greatly appreciated
I was recently diagnosed with a pulmonary embolism a month before my medical card was due to expire. I went to my company’s D.O.T. certified doctor and was renewed for 2 more years. I did not disclose the embolism to the doctor. What liability do I or my company have?
@HW
So you lied on your federal medical form and now you want to know how that may effect you and the company?
You may get to lose your CDL and driving privileges and the company, especially if they are aware of this fact, are finable with CSA starting to look/dig into their business.
All you needed to do was wait for 90 days and your medical card would be good for one year.
Is an ACL tear reason to fail the physical? Is surgery required in order to go back to work?
@Darrell
If the ACL does not impact your ability to pass the DOT medical examination (medically fit to operate a CMV), then it’s no problem. But if it interferes with your ability to meet the “medically fit” requirements then you will need to do something about it.
I do not have the medical card only my DOT long medical form is this acceptable?
@Amy
Sure, but why don’t you call the doctors office and ask them to get you a proper medical certificate.
My primary physician usually did my DOT physicals, but moved to another state. Went to a physician, acutally a FNP, to get my DOT done. He would just reinstate my DOT card for 3 mos until I sent him the information that he needed. My A1c, a letter from my cardiologist stating it was ok to drive a bus and a copy of my last stress test which was done in 2012. I sent him a copy of my A1c, which was good at 7.3, I saw my cardiologist in June, so he sent him the letter like he ask and they also sent him a copy of my stress test which was good and also normal. Now he still will not extend my card for a year. He states I have to so another stress test, which my cardiologist stated I would not need for a while. So my question is, why would I have to do another stress test if my cardiologist states I am doing fine and am able to drive the bus. He also did PFT testing, which I still have no clue other than maybe a way of getting more money because I was charged 50 more dollars for. Could you explain why maybe I ould have to do a PFT test, which by the way was normal. I do not agree with anything this FNP did and want to know who I can talk to about this. Thank you
@Richard
Looks like you are being jerked around. As long as your last stress test is within the past two years, then it should be acceptable. When you get ready to retake your certificate, go somewhere else, somewhere where they understand the application of the rules and regulations.
Does AFIB prevent you from passing your physical?
@Jerry
Not if you have been treated and you are not using a defib unit.
Make sure you have your medical release form completed by your primary doctor before you go for your examination. It just helps the CME make properly informed decisions.
If a pt has a current DOT and is hospitalized or has surgery for something that prevents them from driving for a week or so, do they have to have another DOT b/f returning to work as a driver
@Shana
FMCSA regulations state that any condition which removes a driver from behind the wheel for any period of time must have a new DOT examination completed to determine if the driver is fit for duty again.
how often do I have to renew a health card for a regular box truck that does not require CDLs
Am I required to remove clothing for the DOT physical?
@Airtanker
Usually only a shirt (remove or loosen it) so the examiner can listen to heart sounds and do a abdominal check.
I recently went for my dot physical renewal and was told that I can’t drive due to a rapid heart beat.all other test were negative. no blood pressure problems. only a rapid heart rate. does that alone disqualify me?
@Jim
Unless your heart rate is like 140 beats a minute, then someone is way out of line on this issue.
Normal ranges between 50 and 90 bpm. If your heart rate is above that then go have it checked out, if not, have your medical doctor fill out a medical release form indicating that your heart rate is within normal limits and take it back to get your medical certificate.
What is the required % of day with usage >4 hours a day on a bi-pap machine?
@Jay
Minimum recommended compliance is 4 hours of CPAP sleep per day, 70% or more days.
For more info see blog article Commercial Drivers, Sleep Apnea, and CDL
I had a 3 month medical card that expired. Am I able to return to the last clinic that performed my medical exam and take a new physical? I am no longer driving, but would like to keep my CDL.
@Sandy
As long as the medical examiner is on the National Registry i.e. a DOT certified medical examiner, and you have corrected the situation that gave you the limited card, then you should have no problems.
Is anyone aware of a new DOT regulation that was supposed to have gone into effect on April 1, 2014 stating if a driver is taken off work for a couple of days due to mildly increased blood pressure, they have to be given a clearance from a CME to return to work?
@Teressa
That is correct. Any condition which pulls a driver from behind the wheel must be recertified by a CME to return to work as a commercial motor vehicle operator. And your best bet is to have a medical release form completed by your primary health care provider.
my blood pressure is 141 over 92 he wouldnd ive my medical card i am under treatment i went backit was 145 oner 92 i am under treatment from my doctor can i get anothher 3 month waiver
@David
Most likely no.
There are a series of steps that FMCSA has set in motion and without all of the information, I can only guess. That is no help to you. But in reality, if you are under treatment and you are taking medications, then your blood pressure must be below 140 / 90, no way around that one. Get with your doctor and get your meds dialed in. That is the only way to get this done.
If you do not agree with your Medical results, can you go get another physical even if the doctor sent in your three month card. For just being over weight. no other questions asked by doctor.
@Richard
As I understand it, after 30 days, you can go for another medical examination, if you didn’t agree with your first examiner.
Disputes – you can check with the FMCSA.
But weight alone is not a restriction or disqualifier.
if a driver fails dot medical card how long does the md or when will the dr report this to the state(tx)
@Linda
Usually right away. It’s a safety issue.
Since May 21, 2014, when medical certification can be done only by National Registry certified doctors, doctors have to record certain data online – like medical card qualify/disqualify – when they do the examination.
What does the dot physical allow me to drive a 1 ton truck with a enclosed trailer? Or do I need a cheuffers license a well?
if i dont drive anymore but want to keep my cdl do i need a medical card
@David
It depends which category you self-certify, and the regulations of your state.
This article on CDL medical certification requirements should answer most questions on this subject.
Read the TIP at the end of the article – Not driving but want to keep your CDL.
In the state of Georgia are drivers with a CDL required to have a Sleep Apnea test for there Dot physical?
@Kevin
Sleep apnea screening is a much misunderstood issue, not only amongst drivers, but medical examiners have been caught up in the confusion as well.
Here are two resources to better understand sleep apnea screening, testing, and compliance:
FAQ – Sleep Disorders
Articles – Sleep Apnea
My dot card will expire before my doctor can give me the require docs to return to the medical examiner. How long do I have before my CDL is downgraded?
When completing the history portion of the examination report, how far back do you go…5yrs, 10yrs…? Seems like some of medical conditions are fixable but branded for life if it’s reported, even it happened over 10yrs. ago.
There seems to be a lot of confusion with operators about these new medical card laws. Most folks are thinking this is setup for doctors and medical examiners to make bigger profits. It would be great if there is a manual for operator’s that explains these new laws in better detail so we can be better prepared for DOT examinations. A lot of money are being spent and time lost from work due to these new laws. The medical examiners that are re-certified got a nice manual to do their job and understand the laws.
@Brian
1. All your driving records (CDL, DOT medical certificate, self-certification) are recorded and maintained by your State licensing agency. Technically, once your medical card is expired, you cannot drive commercially. When your CDL is downgraded will depend on how your State is managing this. Most likely you’ll get a ‘downgrade’ letter from your DLD. Reinstatement also differs by State.
2. The basic request for information is a 5 year period, and the examiner is required to question anything beyond that. So a life long condition is up for questions, but may have no relevance to the safe operation of a commercial motor vehicle.
3. We have a free DOT Physical Guidebook for commercial drivers that explains everything you need to know (right along the lines that the medical examiners have in their ‘nice’ manual)!
Many thanks for the update. I’ll try again to find how this state manages CDL. I did notice and reviewed the guide book after the first posting and will be a great asset for next year. Getting your DOT medical card in the past was not stressful but this year is different (surprises & now stress). Also liked the Medical Release Opinion info (physical qualifications for drivers) which is more what I was looking for. “Has no current clinical diagnosis” seems to me a grey area and can be wide open to interpretation.
I have a major question concerning a injury at work. My job is physically demanding, more then the company originally disclosed, and in the process ive reaggravated my previous medical conditions. I have patella tendonitis in my right knee and i have pulled muscles in my back in the past. When i started for them about 2-3months ago i renewed my physical card witht the company i work for. I aggravated my back while handling material in the truck and they required me to recertify my physical card about 2 weeks ago, then i aggravated my knee doing the same thing recently. They are claiming its DOT requirements of a recertify if the employee misses more then 3 days. they are wanting me to recertify again.
Im believing its their company policy and not DOT for this, but i cant find anywhere proof of what they are claiming to me. If its DOT rules…someone please show me where in the rules its required
@Brian
Maybe company policy, but the FMCSA requires a recertification following any condition or injury that takes the driver from behind the wheel, period. So your employer is just following the FMCSA guidelines.
When exactly is the dot physical due is it before you get your cdl permit or before you start your
Bus training. Thank you.
@Jenny
In most states the medical card is needed before you start the training.
I am a female, 5’10 220lbs, no medication. Will I pass my physical?
@Edna
Height and weight are not the issues.
Are you medically fit to operate a commercial motor vehicle? If you are then you should pass.
If you are concerned because you’ve heard rumors about screening rules being used because of the sleep apnea issue, then you can learn a lot more by reading our articles on sleep apnea.
Do I have to be currently employed to obtain a Medical Certificate?
@Paul
No, you just have to have a valid medical certificate to maintain your class A drivers license.
recently got my dot physical, gave my employer a copy of my card, but they also want a copy of my long form, do they have the right to ask for it? Do I have to give them a copy. I would think it would be protected under the hippa laws.
@Gayle
The company can request a copy and you have the right to see, in writing, their HIPPA compliance policy. Just ask the safety department for that info.
Are you ok to drive DOT vehicle while having shingles?
@Chuck
Yes.
It is a virus on the nerve endings and is painful. Just make sure that you can stay safe and under control of your CMV. If it’s problematic, and unsafe, then you might consider some time off until you do have the condition under control.
After my medical card expires how long do I have to get a new one. to drive a commercial vehicle
@Linda
Your medical card goes dead at midnight on the date of expiration, no lag time. No medical card, no driving.
My med card expires on Aug 30th, doc said I have a small hernea my doc said I still can pass he does dot cert, to he said as long as it is not sticking out or hurting I’m ok to drive, per my doc.if they fail me because of it and I get the surgury, and I’m out passed Aug 30th, will dot downgrade my license, I live in Texas , thanks
@David
If the hernia is not problematic, you shouldn’t have any problems.
If you opt to have a surgical repair done, I recommend you check with the beautiful state of Texas to see what they want you to do about your CDL medical card.
And you would have to have a new medical card once you heal from the surgery. Any time you are taken out of the truck because of injury or illness, you need a new medical examination.
Aloha, I live in Maui, I have been out of a job for four years relying on my other trade doing tile and stone masonry for a living. Recently my father had a brain aneursym and surgery so Iv lost a lot of work taking care of him. In fact the day his surgery started was the day I got a letter stating that I had 53 days AND Had to find a new Dr which there is only TWO on maui.
So my dad end up having a seizure and can not be left alone or driven out of the home. So I am not a couple of weeks beyond the 52 days so Im sure my CDL has been downgraded to Class C from Class A. Now I am trying to get arranged to get my DOT Physical card but I am Afraid that DMV will require me to ReTest. It cost me 3,000$ to do the training, books , use the truck and use the truck for the driven test as well as the written test.
I would assume since my test is on file I only need to go get my DOT physical card, turn it in and my Licence would be upgraded back to class A but I fear they have some junk where Ill have to retest.. Can anyone clear this up for me and tell me kf this is true?
Will I have to retest or is my Old road test on file still good as well as my old Written test also on file thus all I need do is turn in a valid DOT Medical card and have my CLD back? PLEASE Tell me I do not have to go to scohool and waste 3 grand because I do not have 3 grand after a 150,000$ surgery Id be out of work for the rest of my life!!
Maholo!!!
If I have been disqualified due to blood pressure, and I have seen my personal physician, who has adjusted my medications. I would like to know how long I have to wait before testing again, and if I do and my pressure is still high, What would happen then?
@Pete
Once you have been placed on BP medication, your primary doctor needs to get your pressure and medications dialed in for you. You you shouldn’t be retesting again until your BP is stable and below 140/90.
Once your primary physician feels that all is well, then he will release you to return to work. Have him fill out a medical release form for you too. That helps the DOT examiner out. And at this stage your blood pressure should not be a problem. Just make sure your pressure is below 140/90.
Medicl Examiners/ exames are not to differ but the moeny sure the hell is. all about the dollar
IF my A1C is 10.2 can I legally be behind the wheel. ?
@Jimmy
I don’t think so. How hard are you working at getting these numbers down?
If you hold a cdl but no longer drive commercially do you still have to get a physical in order to renew your license?
@Krista
Whether you need a medical card or not depends on which commercial driving category you self-certify with your state drivers license agency.
If i have medicare as my primary insurance and Blue Cross,Blue Shield as my secondary ins. would i still have to pay the $80.00 DOT fee imposed by Fedex for contract route drivers?
Most insurance companies do not cover the cost of a DOT medical exam. But check with the office you choose for your DOT physical exam, if they take insurance.
Do they mesure your neck
@Vickie
See our FAQ – Sleep Disorders
I had to have emergency major abdominal surgery a few weeks ago and just realized my DOT (TX) physical expired yesterday. I’m still on pain meds, so I cannot get a physical anytime soon. What can I do so that my CDL isn’t downgraded under these circumstances? Thanks.
@Curtis
I would get in touch with the state Drivers License Department and inform them of your situation.
You have to be fully healed from the surgery before you would pass a DOT examination anyway. I believe each state has a form which will allow you to get your medical certificate a little later, once you have recovered.
I work for a place that you have to have a class b CDL in Missouri. Do I have to go get a DOT physical if our employer already made it exempt for us to even have to go get a physical? For instance, a fellow employee had 2 minor accidents within one month and now they want to make everyone go and get a DOT physical, which I won’t pass I am insulin dependent. We don’t ever drive out of state and only have 2 CDL vehicles here. What should I do? If we were already made exempt how could they just say now that we have to have a DOT physical instead of the same one we had when we originally applied here. I don’t understand.
@Tarah
Each state varies, so be aware that a class B, insulin dependent driver, even though he/she won’t pass a class A medical examination, may pass the intra-state only examination. You should check with your state DLD and see how that will work for you. Good Luck
I have a driver that went in to get a surprise monthly drawing they call it drug screen. Well while there he decided to get is medical card renewed. And the doctor asked for permission to run his urine for sugar levels he said no and they did it any way. So while there with the physical she gave him a 3 month card and told him to get it under control or he would lose his medical card. Does he have to go back to this same doctor to renew his medical card since this one is going to expire soon.
@Dean
The fact is that every DOT physical checks for blood, protein and sugar in the urine, no surprises.
It appears that your driver has diabetes and didn’t have the condition under control, thus the short card to get under control.
And yes he can have his medical card done anywhere there is a CME available to do it. He does not have to return to the last examiner.
Are sleep apnea tests a requirement of DOT physicals in California?
@Morgan
No. Lots of bad information flying around with this one. But if they say you have to have it, ask to see the FMCSA rule (for sleep apnea screening) in writing. It ain’t there, so maybe time to go elsewhere.
For more information on this issue see FAQ – Sleep Disorders.
I have a CDL from Florida but I spend 6 months of the year in South Dakota. My medical card expires while I am in S.D. Can I have my physical done in S.D.?
@Barbara
Yes you can have your physical done in S.D.
A DOT medical card is valid nationwide so you can get certified in any state, no matter which state you have your CDL.
Do I need a dot physical to drive a church bus. Class B
@Keith
Check with your state drivers license agency.
Here in Utah the answer would be yes. Most vehicles that require a driver class greater than class D usually require a medical card.
I have been driving trucks for 25 yr, my doctor said that i may have Rheumatoid Arthritis. Will i lose my DOT medical card for this…
Thank you Brian
@Brian
If this situation does not cause any limitations in your ability to perform your duties as a CMV operator, then you won’t have any problems.
I have epilepsy. I take medicine to control my seizures but haven’t had one in 4 years. I see a physician regularly for my requirements to maintain a driver’s license. I work for a oilfield supply company and can’t drive supply trailers interstate because I don’t have a med card. I don’t drive an exorbitant amount of hours or miles per day. I was hoping there was a way to receive an exemption but when I called the department to request steps, the lady was less than helpful. Can you assist?
@David
So, if you are driving intra-state only, then you should be able to get an exemption from your local DMV. Each state has it’s own rules so I am at a loss to help you out. You may be able to go to the FMCSA website and see if they have what you are looking for. Good Luck.
i retired last nov1,2013. my Dot physical expires 7-14-14. would i be in violation just driving my p/u since my cdl is good until 2018?
@Steve
Each state varies. What this is really about is making sure your CDL is not downgraded. In many states if you want to keep your class A, then you must have a valid medical card.
So check with your state DMV and they can answer your question as to what category you can self-certify in order to maintain your CDL.
I went to have a Physical, and the Dr did not even do the physical, just asked if I was on any medications. I being truthful explained that I take medications for my back and neck injuries, which were incurred on the job, but only take them at night to help me sleep. These were also prescribed by the company doctor, and are necessary. This Dr. then disqualified me stating that until I no longer have to take the meds, I will be disqualified. I take Norco or Valium depending on the level of pain, but only take at bedtime and get a full 8-9 hours of sleep, and I take alot of Ibuprofen while working during the day, as directed by the company Doctor. Is there anything that states that I cant take these meds while off-duty as prescribed by my Doctor in the DOT laws? This Dr also is requiring that I take a sleep apnea study, though I have no sleep disorders, and my neck is below the size stating I would require it. I believe he is incorrect in both cases and/or taking orders from the company in order to disqualify me. Not beyond their capacity by any means.
@Shannon
The medications that you take at this time would be disqualifying if you are going to drive interstate.
You may be able to have your primary healthcare provider fill out a medical release form and see if that helps.
Or look into driving intra-state and then you would fall under state rules and not federal rules.
Hello,
I have been working at the same company in IL for 37 years, I’ve been on dialysis for the last 7 years. My kidney condition is under control and my doctor writes a letter every year stating I am able to perform my duties at work. Three days ago when I went for my recertification physical, while I passed the physical, I was told I could not receive my medical card because I am on dialysis, which has never been an issue in the past because I drive locally. I was told there was a change in the federal law. I am trying to get information about this new law to see if there is anything I can do so I am able to work. Thanks for the information.
@Ed
I believe, in this case, that your examiner does not realize that you are an intra-state driver and that the rules he is working with have more to do with interstate drivers.
Get the note and medical release form done by your primary doctor and then explain your situation.
I suspect the medical examiner will have more questions, but there are no new laws regarding your situation. The difference is intra-state vs interstate.
Please advise the hearing requirements. How is tests administered?
I paid for my examine and was told I had 3 months to regulate my blood pressure. I went back to the doctor before the 3 months with my blood pressure under control. Instead of just checking the blood pressure they want me to come back in 3 months and do the complete physical again so they can charge me anther fee. Is this the correct procedure or is this doctor just trying to collect another fee before one year
@Anthony
No. I would have a very short conversation with the examiner and let him know that this activity is BS and then leave if satisfaction is not met.
When you are given a short term certificate the examiner is allowed to modify his findings and extend your certificate for the remainder of the one year, he is not to redo a complete examination and recharge for it.
My medical exam card got soaked in the washer & is unreadable. How much does it cost for a replacement one in the state of MS?
@Dustin
Call the doctors office that did the original DOT exam and find out what the process is to get a duplicate medical card made and sent to you. The medical office has to keep this information on file for at least three years, so they should have it. If you can read it, the medical examiner’s phone number is on your medical card.
I have an enlarged heart which I am taking meds for. Will this disqualify me from passing a dot physical?
@Taurus
With this condition I would recommend that you have your cardiologist complete a medical release form before you go for the DOT examination. It will answer many questions that the DOT examiner will ask.
Also, it tells your cardiologist what you are about to embark on and he can answer a few questions too. Get your medical release form here and take it in to your heart doctor and have him take a look at it and see if he thinks you can perform the duties of a CMV driver.
I have been told city employees are not required to take dot exams. why are they given special rights over anybody else
I have hepatitis C but am not undergoing treatment of any kind for it. I have not seen a doctor for it in about nine years. Will this keep me from passing a dot physical?
@Zena
I don’t believe you will have any problems if this is your only condition.
Will a person be able to pass the physical if they have a extent in their chest, replaced hip and a half of a iron leg? They’re still able to drive and pick up things.
Thanks in advnace
@Shantel
If any of these things create limitation, then there may be reasons to disqualify a driver.
I am assuming that extent is a stint. If so make sure you bring supporting information from your primary doctor regarding the surgery.
Hip replacement requires a full range of motion and good strength.
Half an iron leg??? Not real clear about this one, more information is needed here. If there are limitations, you may be requested to provide more information and there may be a special testing/driving skills test required.
Is it a violation of HIPA rules if the Medical Examiner releases anything other then Pass or Fail to my employer for a DOT Certification Exam? I am not speaking of any random drug or alcohol testing, just the Certification Exam.
@Gerry
The DOT examiner is not the person who would provide anything to the company.
It is up to the driver/employee to provide the company with the requested information. Most companies have a HIIPA compliance policy in place to protect your rights. Just ask to see the policy guidelines.
Some companies only want a copy of your medical certificate, but others are requesting a copy of the long form. All depends on the company policy.
How long does it take once you’ve submitted your new medical card for it to show in the system…I’m from Thx.My cdl is also from Tx.
@devin
Each state DLD is different, so check with your state drivers license department and ask them.
Is my employer entitled to a copy of the Medical Examiners Report (long form) or is certificate proving Passing enough?
What if your disqualified from one doctor for pain meds ..can I go to another doctor and just not tell them about the meds..
@Jason
If your examination was done recently, like since May 21, 2014 or possibly earlier, then you are listed through the NRCME online database as medically disqualified.
Also, lying on the FMCSA forms only gets you deeper in trouble and you could loss your driving rights. So I suggest you reconsider and see about getting off your pain meds.
I am a DPW worker for a municipality in NJ. We all have CDL’s class B mostly and some A.
Are DPW workers exempt from having to take the medical exam if we only drive town owned trucks? Where can I find that in writing. I have been looking all over for a divinitive answer.
Thanks
can rotator cuff surgery disqualify dot medical card. I’ve had two shoulder surgery in the last two years
@Jimmy
The surgery won’t disqualify you from a DOT medical card.
You want to have as much physical range of motion as possible in your shoulders. The DOT examiner is going to be looking for pain-free motion in the shoulder, to determine your medical fitness to operate a commercial motor vehicle.
I have a cdl license in Massachusetts but I don’t work driving trucks i just have it as a backup if I need a job. Do i need to have a dot card to keep my cdl license?
I have to have a stress test done every 2 years. I had a stint put in 10 years ago to hold my CDL in Washington State. I talk to a fellow truck driver from Oregon Said he has 3 stints and has never had to take a stress test to keep his CDL Is it state law or Federal Law for stress test
@Janet
The stress test is a Federal requirement for class A drivers. Can’t answer what another driver says.
If you are not a class A driver traveling interstate, then you need to check with your state regarding heart conditions and your driving class restrictions, if any.
The trucking business my husband worked for has changed its name. He had to get a copy of his driving record for it. It says on there that his CDL medical expiration date is August. 07, 2015. Does he have to retake the physical or is this still good no matter what? I would greatly appreciate anyones info. This is in the state of AL.
@Gaylene
His DOT medical card is good until its stated expiration date.
My hubby had a mild heart attack back in 05 he is not on any meds. Not under doctors care. He hasnt had any problems to wer he needed to be under a doc.care. Except maybe a cold or sumthing small like wer da just gave him meds. Like 5days. Then done with it. When he had his mild attack he was in a differnt state then we live in. Wen he got out we went to a doctor. But he just told him if he starts feeln bad come back. Well he hasnt been back for anything to do with his heart or anything major. With dat being said. Does he have to get sumthing frm frm da hospital or frm da doctor dat he only seen for 1day.
@Missy
FMCSA has requested that any driver who has had a heart attack have a stress test done every two years. And that report, along with his primary healthcare providers medical release form be available at the time of his DOT medical examination.
So he will need to have a stress done within the last two years and have a medical release form filled out so he can take these two things with him when he gets his next DOT examination.
Whats the new requirement that pass in may
@John
Read this blog post on the May 21, 2014 deadline to get all the details.
If you had a current valid DOT med card when the new regs went into effect, and it does not expire for another year, do you have to take it to the Mississippi DPS and file it, or can you wait until it comes up for renewal?
@John
If you’ve already self-certified with DPS and submitted a copy of your current medical card, then that’s all you have to do until your card comes up for renewal. See our blog post on the new regulation May 21, for more information on how it affects medical certification.
If you own your truck, is it legal for you to drive that truck without having a valid DOT medical card?
@Mary
I can only speak for the state I work with most (Utah) on this one. If the truck is in excess of 10,001 pounds and/or used for commerce then a valid medical card is required.
You should check with your local DMV to confirm what the rules are in your state.
I do not have a CDL but sometimes required to pull a trailer which puts me over 10001 but not to exceed 26001. Do I have to speak English to get my medical card
@Abe
One of the basic requirements to get a medical card is that you can understand and communicate in english. You don’t have to speak perfect english, but you need to be able to get your point across and understand what is being said to you. Basic communication skills.
I hear there is a new law for tractor trailer drivers that being over weight or high body mass can cause them not to be able to renew their license. Is this true and if so when does it go into affect. Thank you.
@Arlene
All of the new stuff went into effect May 21, 2014. The changes are that you as a driver must have your DOT examination done by a Certified Medical Examiner.
The medical certification qualifications aren’t new. The DOT physical exam is essentially the same as in the past.
There is no weight, bmi, neck measuring, or major changes in the DOT examination for the drivers.
Being overweight, of itself, does not mean that you should be tested for sleep apnea.
Overweight is an initial indicator for the medical examiner to make sure that other conditions aren’t present which may affect your ability to safely operate a CMV. Remember, it’s about how safe/physically fit for duty you are to operate a commercial motor vehicle.
This question comes up often. For more information see our FAQ – Sleep disorders.
@trucker Docs
One of my drivers had his BMI measured during his DOT physical in June and since it was over 30, was directed to complete a sleep study for sleep apnea. The examiner signed him off for 3 months to give him time to complete the study and if required, use the CPAP for 30 days before the next physical due in Sept. If the 30-day CPAP printout doesn’t show at least 70% usage, the driver will be immediately pulled off the road until the usage is > 70%.
@sinlab
I don’t see a question here. In case you do have questions here are some resources to help:
Articles on Sleep Apnea – a much misunderstood issue as far as screening is concerned.
FAQ – Sleep Disorders
Do you know if the California dmv charges a fee to submit your Dot physical exam form? If so, how much is the fee?
@Angel cat
I do not believe that there is a charge. That being said, you should check with CA DMV to confirm.
More info on CA medical card requirements at this link.
How would you know if your company request a drug test or not?
What things show up on the blood test that I was given? I was tested for drugs in a urine test. Will my blood be tested for drugs also?
@Kristi
I have no idea what anyone is looking for in your blood.
With the DOT examination, there is no blood drawn. So I have no idea what type of test they administered to you.
Trucker Doc,
My last two medical cards have listed Prozac as a med that I took. Not long after my last doctors visit(about 9 months ago), I kept forgetting to take the Prozac for longer periods of time, until i just weaned off of it. I haven’t taken Prozac for around 8 months, and I feel fine. Do I have to go back to my prescribing doctor and get a letter “ok’ing” my new Prozac free life, so I can get the Prozac taken off of my med card? Or, can I just not mention it on my upcoming DOT physical? I just need to know what I need to do to get this medication off my med card.
Thanks
@Steve
My recommendation would be to get a note from your doctor stating the discontinuance of the medication, otherwise it leaves lots of room for discussion and the DOT examiner is going to need a copy of the note to cover his behind.
If the company pays for someone to take a DOT physical exam. Who keeps the original card, the employee or the company? Or does it matter who receives the copy and who keeps the original card?
@Eduardo
The medical certificate is issued to the driver, period.
The company can, and usually does, request a copy for your safety file, but they are not the driver and do not get the original medical certificate.
I have Axonal Neuropathy and take Neurontin can I still obtain a CDL in New Mexico?
@Liz
Your best bet on this one is to take a report from your primary healthcare provider with you at the time of your DOT medical examination.
The DOT examiner needs to see the background and presenting conditions, along with your medications, before he can determine medically fit to operate a commercial motor vehicle.
A little further investigation on your part, along with the report should answer the question more completely.
I have diabetes that is controlled thru meds not insulin what does the new regs say about being medically fit are there any changes
@John
There are no major changes.
The one change you are going to have to do is get a medical release form filled out from your primary healthcare provider and take it with you when you go to get your next DOT medical certificate. Without the release, the DOT examiner is unable to complete the examination until he has that release in hand.
My husband was denied his DOT card because his bp was high and he had a high sugar the first time he went after 3mo to get his card renewed. The doctor at concentra stated he needed to go to our pcp to have medical papers filled regarding his diagnosis he received from the DOT physician. So we went to our pcp and she keep him off work for 2wks to see if his sugar and bp levels would drop so with a strict diet, walking and taking his medications as directed his levels went down and so did his weight. So we went back to the pcp after 2wks and she was really impressed with his new numbers and sugar level that she signed off on the medical release form from the DOT giving him the all clear but when we returned to Concentra same location the doctor said his level was slightly up and wanted him to return the next day for another sugar check which is extremely insane because our pcp had already cleared us on May 1,2019 and we went to the DOT clinic the same day but when we arrived it was told to him that the Dr. he had seen would not be back in the office until Monday May 6th. We arrived at the office a little after 9am but he did not see the same M.D. which had been tracking his case he was seen by a totally different M.D. which sent him home again to come back on May 7th, 2019. This is a very unfair practice that this clinic is doing and I need some answer. Signed a very angry spouse!!!
@ Michelle W G
There are large/corporate facilities that are in business of turn-over and profit.
Hello, I’ve been driving for over 18 years I have crohns disease which I’ve had for 17 years I have been on a medication called remicade for 7 years, recently had a dot physical done at a location I’ve never been to but my company has been using for years. My past physicals were done at another location near my old terminal with no problems issuing me a 2 year card. The current physician only wants to issue a one year card based on them saying that the new regulations has crohns disease as an illness that only allows for a 1 year card. Now I’ve had my condition for over 17 years with no problems and always being issued a 2 year card. So I have 3 questions 1) is crohns disease now an illness that only allows for a 1 year card per new regulations 2) is remicade a medicine that only allows for a 1 year card per new regulations 3) if these are not regulatory issues for issuing a 1 year card am I able to request a second opinion or another examining location since this has never been a problem issuing a 2 year card in the past? Thank – you.
@Frank
I can only assume, (and you know what that means), that your present examiner is taking his new found position to heart.
Your condition is defined as a progressive condition and should be monitored fairly closely. For that he gave you a one year medical card. It isn’t about the drugs or regulations, he’s just being super cautious.
As far as a second opinion – I would just go back to the examiner and take a note from your primary healthcare provider stating the facts. Maybe, with new information from your primary care physician, he may have a change of perspective, but don’t count on it. Good Luck.
I am a CME…Crohn’s does not have a decreased certification period. You should be able to have 2 years if it is well controlled and doesn’t interfere with safe driving.
Is there a BMI restriction on weather or not you have to take the sleep apnea test?
@Valerie
See the FAQ page for sleep disorders.
The Doc said that I don’t sleep long enough on the CPAPmachine. 4 hr 38 mins 63% of the time and 3hr 54 mins 34% of the time below the 4 hr mark . So she will not sign off for me to go get my dot physical. Is this right. Oh and I drive less than 1hr at 5 mins at a time .Thank You…Jason from Ohio
@Jason
The time frame for FMCSA and a CPAP usage is a recommendation not a law.
You could go and have a discussion with your primary doctor and then take a note to the DOT examiner. Or use the machine more and get your numbers up. You should try to explain your situation to the examiner, but in the end the examiner will have the final say in the situation.
I have been out of work 3 mos due to foot surgery. I will be returning in a few wks with a Dr release. My employer says I will need a new dot physical even though I have a 2 yr card. Is this a new rule or am I being discriminated against?
@Valerie
No you are not being discriminated against.
It has been a law since FMCSA started the DOT physical certification back in the 90’s.
Any condition that has interrupted your driving (surgery, sickness, etc.) requires a new medical certificate, not just a doctor’s release.
Take the your release form with you when you go to your new DOT examination. It will help the examiner make an informed decision.
So I had a doctor diagnose me with alcoholism sometime ago. Since then i’ve quit drinking all together. So my question is will i need to get that removed from my medical record or will examiner be able to tell it’s no longer a problem for me to pass?
@Wcart
If you stopped drinking and you did this under some type of supervision, then get a letter from your adviser stating such.
If you quit all by yourself, good for you, then simply explain your situation to the examiner and let him/her decide.
You can’t and don’t need to try (it’s not public record) to get it out of your medical history.
if your unemployed trying to get your cdl but you need a dot physical can you get one and pay for it yourself at medical examiner or do need to be a company cause I cant take the written part with out a dot physical any advise will help thanks
@Chad
In your case, go and get the physical done by yourself and then go sit the written exam.
Good Luck
I had a cerebellum stroke in Jan and was given the go ahead to return to work from my neurologist and reg dr.
I passed the cdl return to work physical and went back to work (I drive a school bus)
4 days later I was called back in and the dr found some recommendation that say any person who had a stroke can’t drive till 1 year stroke free. This is not a law its like I said a recommendation. How is this legal if the specialist (neuro) says you are well to return to work no restrictions? I need help on what to do.
@Cathy
There are different rules for different class of license.
So the first question is – What class are you?
Secondly – There is a ruling regarding strokes (rulings and regulations are law, not a guideline).
So the DOT examiner can override any treating physician, mostly because, as a general statement, treating doctors have no real idea what the job of a driver is.
If you can tell us your CDL class, then we may be able to guide you further.
i have a class b cdl and this was the paper they gave me telling me why i couldn’t work if you look at the introduction page at the bottom you will see where it says all these are are something a dr should do not required for them to do
http://www.fmcsa.dot.gov/rules-regulations/TOPICS/mep/report/StrokeMEPPanelRecommendationsFINAL-508.pdf
@Cathy
I would take the neurologist report back to the examining DOT doctor which should demonstrate proper neurological function, and ask the examiner to reassess.
And be aware, the DOT examiner’s decision can only be based on the information he has and regarding safety for both you and the public. The final decision rests with the DOT examiner and he may hold you to the one year exclusion.
I use Hydroco/acetamin
at nite only this discualify me?
@Sal
A DOT examiner will look at the potential side effects of the medication.
Get a medical release form completed by your primary care physician explaining your usage and if your condition is stable. This will be a huge help to the DOT examiner to make a qualifying decision.
I SHOULD SAY BEFORE I SPEND A LOT OF MONEY GOING TO TRUCK DRIVERS SCHOOL CAN I GET MY DOT MEDICAL CARD.
@Tom
In most cases you must have a medical card before you can go to truck driving school. So go ahead and get your medical card before you get started in school.
Can i get a physical exam and dot card before i go to truck driving school
is metoprolol, pacerone or warfarin na medicines that would disqualify a person from passing a dot physical?
I need another copy of my long form for a new employer. Can I have you FAX it to him? What is the cost? If I stop in to pick up the copy, what is the fee for this service? Thanks!
@ Joseph
All you need to do is call the office where you had your exam. {phone number is on your medical card} They should be glad to help you out. In most cases the fees are next to nothing, just the cost of time and paper.
welcome to the socialist states of america.
@David
Sorry to hear that you ended up with a “non-friendly” medical examiner!
We see no reason why the medical examiner could not re-issue your medical card with the same information as before, and just change the check box for intrastate only, from “yes” to “no”. (unless he really needs the money)
Drivers are a good community, so keep your eyes and ears open and you’ll learn a lot from those who’ve been around the block a bunch of times.
Best wishes for your driving career.
@ Trucker Docs That’s just it, I keep a check on my BP on a regular basis with monitor at home. It amazes me that one doctor that don’t even have a clue about my family history or my medical history has the power to sideline a driver because of one BP reading out of 365 days a year. To me, if I were to get something from my family doctor stating that my BP is under control through medication, that should be good enough. Guess not. Thanks for your response though.
Went for DOT physical and BP was 144/82. Doc gave me a 3 month card. What happens if I go back for my 3 month check-up and my BP is still a little high. Will the doctor issue another 3 month card or disqualify me? Can they issue another 3 month card? I think what is concerning to me is that it states One Time Only 3 month card. What exactly does that mean. I have been on BP medication for many years and keep it under control. I have white coat syndrome when going to doctor. Thanks for your comments.
@ joe
A one time medical card means just that. By the time you return to your DOT examiner, you should have your blood pressure below 140 / 90. At that point the DOT examiner can give you the remaining 9 months on your medical card. You will be responsible for maintaining a blood pressure below 140 / 90 at every DOT exam.
my medical card was extended for 3 months til 2 -11-14. because dot needed results from a sleep study before they could reissue my medical card. well…I went to the sleep doctor and got a machine and went back to the medical doctor to get my med card. but then I found out that they needed a reading off the machine and then they could reissue my card. so they extended it to 3-11-14 til they get the results from the machine. meanwhile, Columbus hasn’t gotten that information, that my card had been extended another month. today… I get ( in the mail), im no longer able to operate a commercial vehicle. so I shot out the house to a check cashing place to fax the info to bmv. because I may be leaving out sunday. all that being said, if I leave out sunday after I faxed bmv the info will I be legal to drive or do I have to wait for some kind of conformation that im legal to drive. keep in mind…(if I leave sunday) I will keep proof of my transmitted fax as well as my extended med card. I just need to no, because some of these weigh stations that do checks that are so strict with no mercy, I just don’t want to be in that situation and possibly making my problem into a bigger problem!
@Scott
1. Sounds like the DMV didn’t receive your updated 3/11/14 medical card information.
2. If it took the DMV from 2/11 until now to send you a letter, that should tell you about how far back they are backlogged, so your only true confirmation, is a confirmation from the DMV that your license has been reinstated. If it has been reinstated.
3. Until you have this confirmation, you will be, more than likely, driving on a revoked license.
So if you leave on Sunday, it’s chancy at best.
Note: This is now a driver’s license issue, not a medical card issue.
last year I went to a Concentra and passed my dot test and got my card…I then went to CDL class at Baltimore county community college which I passed and have all my endorsements ,the Department of rehabilitation payed almost $5000 for me to take this class…last week I had to go back to Concentra(a different location) to have it renewed for a job…long story short they failed me.I had a surgery on my right arm over 15 years ago and it does not impair my driving all .I was furious so was my agent at D.O.R.S…he wants to know why they passed me last year and he sent me to school paying $5000 and now I cant get my DOT card…I am suppose to meet with the director of Concentra …I have gone to 2 board certified orthopedic surgeons and both said my arm does not impair my driving at all and I have minimal loss of movent and cleared me to drive…I talked to the lady I am going to meet and she said it doesnt matter what they say …it matters if she thinks I meet the guideline…I info her I had the paper on guidelines and the doctors signed off on it and said I meet every requirement…she said we will see….I am afraid that this lady who is the director is not going to go against what her doctor at Concentra said no matter what I do….both of the doctors I have clearence from are more qualified than the doctor at Concentra….what do I do if she still fails me after looking at me and the doctors comments,,,,I am so angry…I DONT HAVE A IMPAIRMENT
@Daniel
A few things to consider here:
It is correct that your primary care physician can clear you, but the final decision whether to certify you or not, rests with the DOT medical examiner.
It doesn’t make sense that you qualified for a medical card/certificate last year, and yet a different Concentra examiner won’t pass you this year, when the surgery was done 15 years ago, and you say you don’t have an impairment.
A second opinion would be helpful in this matter. There is no reason why you should not go to another medical examiner (maybe outside of Concentra) to have a DOT physical done.
Take all the orthopedic physician’s documentation to the DOT physical exam appointment. This documentation will be helpful for the medical examiner to make a qualifying decision.
Hope this helps you.
Does motor carrier have the right to ask for Med Ex Report (long Form) ? And as a driver do I have to give it to motor carrier?
@Joanna
The motor carrier can request a copy of the long form as long as they have a HIPPA compliance policy in place, to protect your medical records privacy. You may ask them for a copy of this policy. Otherwise all they need is a copy of your medical certificate.
I sent one of our drivers to our company Doctor to get a recert on his DOT physical. He did not pass. On his own he went to his Doctor and passed. I told him I would not accept that. He went to the CEO of our company and he accepted the physical. So where are we? Is this legal or what do I need to do?
@Gary
Q1: Why did he fail the company doctor physical?
Q2: Does his own doctor routinely do DOT physicals and understand the job description for an OTR driver?
The reason for asking these questions – Your company doctor probably does DOT physicals and is more up to date with the rules and regulations. His primary care doctor may have no idea.
This is one of the reasons why FMCSA is moving towards only certified medical examiners being able to qualify a CMV driver for a medical card. This ruling for CMEs is effective May 21, 2014. Until then, a driver may legally get a medical card from any qualified healthcare professional.
The entire issue is driver and public safety.
How long does the state take to update my medical and self certification? How long will it take and how will it appear on my MVR?
I was going for a private NYS cdl, (out of my pocket for no company) and before my permit even I failed my drug test due to one stupid choice, how long must I wait to take it again?
@Benjamin
This depends – just a one time stupid choice may be out of the body within 10 days – but give it 21 days to be on the safe side. Multiple stupid choices may take longer – give it 45 days to work out of your system. If stupid choices are likely to happen again, you may want to consider something other than commercial driving as a career choice.
I went to have a copy of my DOT med card take at DMV and received a letter that I need more information. How long do I have to submit this info before I’ll need a new card? I received the letter on 01/29/14.
I did all that the cdl medcert. ask for and still got a downgrade letter now what did I do wrong ???
I run a company now and do not drive anymore but would like to be able to just get a physical to reinstate my CDL’s later before they go out. Is that possible in North Carolina can I self certify as excepted interstate until I need my CDLs again? Or will I have to change my status to regular drivers licence and retest if I need CDLs again?
Do both intrastate and interstate drivers need to have a certified Dr. perform the dot physical
Thanks
@Connie
Currently, any doctor of medicine, osteopathy, chiropractic, physician assistant, advanced practice nurse, who is licensed, certified and/or registered in accordance with applicable State laws is allowed to perform DOT physical examinations.
New federal regulations state that starting May 21, 2014, CMV drivers can get medical certificates only from a medical examiner who is FMCSA National Registry Certified.
This applies to all drivers who need a medical card, whether they drive interstate or intrastate.
I live in NC and a friend of mine who has type 2 diabetes(which is controlled by oral medication) passed his physical , he sent all of his paper work in to DMV with a letter from the the doctor stating that he was certified to drive a bus. DMV sent him a letter that stated that he had so many days to change his CDL”s to regular license because he has diabetes.
1. Is this something new because of Obama care?
2. Does this apply to all drivers that has diabetes?
@Melissa
This poses more questions than answers.
1. There is no FMCSA restriction other than a driver, who controls his type 2 diabetes with oral medication, is limited to a maximum of a one year medical certificate.
2. There may be some regulation / restriction within his state (NC) on diabetics driving a bus.
Example: We do know that California has such a restriction on diabetics.
So your friend should check with his state to determine the need for such a change.
This is not a regulation or a limitation from the FMCSA. (Couldn’t tell a damn thing about Obama care.)
My husband went to hosp because he was dizzy they did all kind of test cat scan MRI blood work and everything was ok they said MRI showed white shadows which Dr said he was not having a stoke at that time all he could say it has happen within the last 50 years. He was told he had to have his family dr also release him before he could drive again his Dr cleared him to drive truck . Now his company has suspended his cdl card for 60 days until he goes to a neurologist and heart dr. They told him this was a DOT rule not there’s is this true even though two other Dr have cleared him. We are in NC
@Lor
This is correct. Once there has been an episode of dizziness, then there must be some type of explanation as to why, and he must be dizzy-free for a period of time.
Most family doctors do not conduct DOT physicals, so they don’t know the rules and regulations governing OTR drivers.
Make sure, once your husband is released, that he get a release note from his primary care physician. This note will help the DOT medical examiner make a final determination.
i got a warning ticket on the 6 th i did not have my medical card /officer said to get company to sign and mail back , i am not employed by any company taking truck to get loaded in town just doing a faver for a friend ,what is this going to cause to happen now?
@Mike
1. If you were only driving this one time as a favor, and you won’t be driving a commercial vehicle again, then there is nothing else to do. Just warn your friend that anyone driving for his company, may need a medical card.
2. If you have a valid medical card now, just make a copy and send it to the DMV.
3. If you are not going to get a valid medical card, and you have a CDL, then the DMV will most likely downgrade your driving to a standard auto license.
If you have benn diagnosed with sleep apnea and haven’t been using the Cpap machine and have no problems functioning during any activity can that keep you from passing a dot physical?
@Nick
In and of itself, not really.
What is about to happen is your DOT examiner is going to be inputting some of your information on the FMCSA data base. If your examiner notes that you have sleep apnea, then you will be responsible for providing the correct reports to your DOT examiner or you will be downgraded from your present driver’s class to something else.
Or you will have to bring in reports that indicate that you are using the CPAP machine correctly. Check with your physician to get a note that states you do not have to use the unit, otherwise you may be SOL.
I earned my CDL years ago….and drove a school bus for a year. I like keeping it but dont have a medical card. Also I cant find on here where the Dr’s list is that you have to go to… to get one.
@Victoria
See the first question on this page – “Who can I go to, to get my DOT medical card?”
Until May 2014, you can go to any medical practitioner who does DOT physicals.
After that you must go to a CME. You can find a CME in your state by using the links at the bottom of this website.
what do i need to do to get my dot physical info on my cdl? my cdl has to be renewed by feb 2 2014 but my dot physical card is good till aug. 2014. thx
@Mike
You need to self-certify your CDL with your state DMV, for the type of commercial driving you do – you must do this before January 30, 2104. See more information about this on our blog FMCSA medical requirements.
Go earlier to renew your CDL, and your self-certification will be done at the same time.
Do you have to get your dot physical in the same state as your license issued or can you get them in a different state
@Tammy
No. A DOT medical card is valid nationwide so you can get certified in any state, no matter which state you have your CDL.
For more information see FAQ FMCSA Regulations
My question is does DOT check medial records like how many times you have been to the ER and what you have been there for? My wife wants to get her cdl but my concern is that she has been in and out of the ER with various issues at one point her kidneys were failing.. And for her heart… And that the last trip to the ER.was 4 days ago and they have her a script for nitroglycerin… Will this prevent her from passing her exam?
@concerned
The DOT does not follow-up with hospital ER visitation, but the DOT medical examiner is going to be asking lots of questions about the health of the potential CMV driver.
Considering the number of visits to the ER and for the reasons for these visits, there are questions to be answered. All of this information is vital to the examiner to determine the physical state of fitness of the driver. She may have conditions that are a disqualifier for the DOT examination medical card.
A big help would be to have her primary healthcare provider write a note regarding her present conditions, this way the DOT examiner is not being placed in a position of questions with no answers.
Hope this helps. Thanks for the question.
i self certified last year the dot is for 2 years if i am correct why is my state of RI sending me another self certification request
@Phil
1. The DOT medical certificate and 2.self-certification, are two different documents, even though the information is tied together on your CDL record.
See our information page on RI CDL and medical card requirements.
If you received a self-certification request from RI, you’d better check with RI DMV and be sure they have all your information. Otherwise come February 2014, your CDL may be in jeopardy of becoming ‘not certified’.
Im out of work can i still get a medical dot card my old one expired in august of this year
@Alicia
There should be no reason that you cannot acquire a new medical certificate – provided you meet the DOT physical exam requirements.
Be sure to self-certify your driving category with your local driver’s licensing agency (SDLA) once you have a new medical card, if you haven’t already done so. If you’ve already self-certified then make sure you update your medical certificate with SDLA even if you are not driving.
I had an episode with vertigo, had to have a dot physical per company request. dr will not give me my dot card back said I had to be two months without any symptoms to get card back. Is this so, could you e-mail me back this law. thanks Joel
@Joel
This is correct. You must be two months without incidence. You can find the regulation on FMCSA website, under seizures and metabolic illness sections.
I am on medicare have been found disabled by SSI. Can i get a Dot medical card
@Thomas
??? There is not enough information to make even a possible guess. More information is needed to try to answer this question.
Can I drive with a copy of the Medical Examiner Card or must I carry the original ?
@Joel
Carrying a copy of your medical certificate will usually require some level of explanation to a DOT officer. It works just the same but the way the laws read, you should carry the original medical certificate at all times you are operating a CMV.
what is non excepted interstate, non excepted intrastate and excepted intrastate.
@Tyronne
See an article on our blog about self-certification and the new FMCSA medical requirements.
See FMCSA guide for CDL holders at this link http://www.fmcsa.dot.gov/registration-licensing/cdl/faqs.aspx
A non-occupational injury has put me out of work. I will not be released by my doctors or the company physician before my medical certificate expires. How can I avoid having my CDL downgraded?
@Beau
The information on our blog on New FMCSA Medical Certification Requirements should help to clarify the answer to your question.
If you are not currently driving a CMV, and you want to maintain your CDL but are not currently in a position to certify for a medical certificate, your SDLA may allow you to self-certify in a category that does not require a DOT medical card.
Once you are ready to drive again, get a new medical card, visit your SDLA, and self-certify in the non-excepted category you need to drive a CMV.
What is the difference between a Physical job functions and a Fitness for duty evaluation?
@Jeff
I would assume [and watch out for assumptions] that physical job functions are job specific. e.g. lifting, bending, stooping, running, long periods of standing, etc.
And fitness for duty is the ability to safely operate a commercial motor vehicle by being able to perform the tasks of a driver.
I personally don’t see much difference, but some of the major companies have two standards.
1. Safe operation of a CMV.
2. The ability to do the rest of the job, like unload or switch trailers or tarp loads, etc.
I would ask whomever gave you these different descriptions what is the difference, so you know what they mean to that person.
Hope this helps.
I hold a CDL – Class A drivers license and am considering donating one of my kidneys to a person in need of a kidney transplant. Would I still meet the physical qualifications for this license with only one kidney?
@James
You would be fine to drive.
The only thing you may need to do following the surgery is to have your DOT physical updated in that following any period of time after a time off or sick leave, the company you drive for may request a new DOT examination to confirm that you are ready to return to work as a CMV driver.
Another thing you might do is get the medical release form from your primary healthcare provider to read and then sign for you to return to work as a driver.
Thanks for the question. Trucker Docs
I have been told by the DOT physician that since my neck is 17 and my BMI is 35 that I must have a sleep apnea done. My personal physician says that I have no signs of sleep apnea and a sleep apnea specialist told me that his clinical professional advice is that I show no signs or indication of sleep apnea. Can the DOT physcian still make me have a sleep study done? My weight is 236 and my neck is 17 and I have no medical conditions.
@Lena
The whole sleep apnea thing is still only a guideline, not a regulation.
I also read, just recently, that there is a house bill on the floor for FMCSA, who did not go through proper rule-making protocol, to re-assess their present stand on sleep apnea guidelines.
Some of the DOT examiners are trying to be soooo cautious that they are not looking at the driver’s overall health picture.
So to cut the DOT examiner’s stress factor, I would get in writing from your primary healthcare provider, and if possible the sleep apnea specialist, that you show no signs of sleep apnea. These written notes from primary care physicians will be a big help in resolving this issue.
So get the notes and present them to the DOT examiner, that should help the most.
Thanks for the question. Trucker Docs.
Hello
I was approved for a 3 month medical certificate due to stage 2 hypertension. My question is, I have improved my blood pressure through natural means loosing 20 pounds, Will i be granted a 1 year pass or a 2 year if my blood pressure sits at 128/80. The reason it was so high the first time was i had a lot of stress dealing with the loss of a family member.
@ Chris
If you were never placed on a blood pressure medication and you bp holds below 140/90, you should granted a 2 year card. That being said, it will also fall to the CME’s discretion and decision making process.