Worried about getting your DOT Medical Certificate?
Anxious about the DOT Physical Examination?
Concerned about the appointment? Will you pass or fail?
Will you need to go back for further evaluation?
Stressed about conditions like diabetes, hypertension, sleep apnea, and what this means for your future as a commercial driver?
Not sure where to find a DOT doctor?
(New Federal regulations state that after May 21, 2014, CMV drivers can get medical certificates only from a National Registry Certified Medical Examiner)
Here’s What You Need To Know:
When you know the rules you’ll be able to get your DOT Medical Certificate with as few hassles as possible.
How to be on the “same page” as the doctor, and relate the demands of your job to the physical examination.
Everything you need to bring to your appointment so you can get it done right, first time.
What to expect so there are “no surprises” during the DOT Physical Examination.
What additional information to bring if you have/had a medical condition that has restrictions.
How to go about getting the required information from your primary care physician, if necessary.
Understand the Medical Certificate qualification periods, and where you fit in.
What about waivers and exemptions.
Where to go if you still need more answers.
Find a Certified Medical Examiner that’s convenient for you.
What Drivers Are Saying…
Allen & Rita, OTR drivers, WA.
As a team driving for Landstar we found this booklet a great help to prepare for our DOT physicals.
We definitely recommend this booklet to any driver, especially new drivers who have not had a DOT physical yet!
It helped to know what to expect and what we needed to bring with us.
•••
Know Before You Go!
Eliminate The Hassles!
Don’t go to your DOT Physical Exam before you’ve read this guidebook. Prepare for everything we’ve outlined! Then it’ll just be a matter of you and a Certified Medical Examiner getting together at the appointment and checking through each item on the Medical Examination Report (Long Form).
Get It Done Right, First Time!
Have everything you need for the appointment! When you and the Medical Examiner are “on the same page”, and you have everything you need to meet all the standards and requirements, you should be done with the DOT Physical Examination and set with your Medical Certificate in about 30 to 45 minutes.
Grab a Complimentary Copy (A $15 value, free)
Know Before You Go!
my dot medical expire january 16 2021, i plan to have cataract surgery the first part of january. that might take it past the 16th of the month. is there a grace period to obtaining my new medical exam?
@ randy h
The best thing would be to wait unless fully released to return to work and then go for your new medical certification examination. Your state should have a slight grace period, given your circumstances. Check with your local DLD to confirm.
MY HUSBAND HAS A DEFIBRILLATOR UPDATED LAST SEPTEMBER HAS BEEN DOING GREAT. TIME FOR HIS MEDICAL CARD TO BE DONE. BY MARCH BUT CURRENT COMPANY WON’T LET HIM DRIVE UNTIL IT’S DONE NOW.. HIS CARDIOLOGIST KEEPS SAYING BECAUSE HE HAS IT THAT HE ISN’T A LOUD TO BE DRIVING SEMI’S. WHEN WAS THE LAW UPDATED LAST ON THIS IN OHIO. CAN’T FIND ANYTHING.
@ debbie p
DOT/FMCSA has had this in effect for years. If your husband is driving class A interstate, then the medical examiner will have questions. He will also request supporting medical documentation.
hello,
I have a couple of questions with renewing my medical card this October. I’ve been on anxiety medication for the past year being diagnosed with severe anxiety. Then the Pandemic hits and I’m out of work and having severe Anxiety. Will this stop me from getting my medical card renewed? 2nd, My Psych suggested getting a Marijuana Medical card. Well, stupid me gets the card and I’ve read nothing but horror after horror. I haven’t used the card, have no plans on using it.. I’m wondering, Will the Examiner know I have the medical card without disclosing this to him?
@ kennykay
Your meds and your are going to be questioned and it sounds like your condition is not responding as expected. Be prepared to provide medical documentation from your Psych along with a medical release form. If you have not consumed any cannabis then the likelihood of him/her knowing of the card is irrelevant.
Do they need to check your private area, can you refuse ?
@ Matt
It is a part of the DOT/FMCSA medical examination for cdl holders. It should be same sex evaluation for hernias.
Does Pa. still allow you to keep your CDL active without getting the physical if you are not currently driving? If so how do i go about that?
Can a type 1 diabetic obtain a DOT card
@ Jared
It is possible with proper medical documentation supporting your condition is well under control..
Do you know what the ejection fraction needs to be in order to meet the DOT guidelines after a heart attack? I know that normal is 50-75; however, is there a standard? Thank you!
@ Sona H
FMCSA wants greater than or equal to 40% LVEF.
I recently completed my NC D.O.T. Physical Examination but I do not know the address to send the exam to in order to obtain my D.O.T. Medical Card. I am in the State of NC Any assistance would be greatly appreciated.
@ Michael
The DOT examiner should have given you the medical card at the completion of the examination.
I had my CDL but I let it go a couple of years ago. I’ve been diabetic for some years now and now I’m taking Trulicity shots to help with my A1C levels. Does this hurt me in any way to not get my CDL back?
@ Lucien T
With the proper documentation you should be able to get your cdl back.
My A1C was 7.8 and now it is 6.0 and I have no logs indicating my sugar levels by the day. My endocrain is normal, vision and hearing. If my doctor writes a letter stating I’m fit to obtain my cdl DOT card. Dose the help with the medical examiner?
@ Meka
The letter will be helpful and still the CME may request additional information to help in his decision making process.
Yes, diabetes is no longer disqualifies you for a DOT. As long as you have records to prove your in compliance and your glucose monitoring is stable then you can be certified. Also just so you know if you go to your doctor and have one out of range value that will not disqualify you.
Tammy G, APRN, NRCME
I was wondering if seizures that are completely controlled with medication and have been for 6+ years would keep me from being able to pass a DOT physical, I am considering getting my CDL class A to drive truck but want to know this information before hand so that I don`t go through this process to find out in the end that I can`t pass the physical. I am wanting to do this as a career change to better provide for my family, thanks for any information you can provide.
@ Bryel J
You will not pass the DOT medical certification examination while taking, or have taken in the past, seizure medications. Check with your local DLD and inquire about intra-state only commercial driving. That way you fall under the states variances and not the feds regulations.
I take terazosin for bph will I be denied from driving
@ Gregory M
Your medications are going to raise questions. If you have a medical release form from your prescribing doctor and you have been on this medication for some time, then you may be OK. Your medication has some side effects that will cause questions, so be prepared to supply supporting documentation.
You can be certified but I need more information to answer your question. Did you have one seizure? What is your diagnosis and how long have you had seizures. When was your last seizure? All these things affect our decision to certify or not and we don’t make up the rules they are federally regulated but I do have some discretionary control as long as I document why I may go outside a specific guideline and that would be based on your history.
Tammy G, APRN, NRCME
I’ve been recently diagnosed with Pollycethemia Vera, it’s a blood born cancer. Will this disqualify me for my physical?
@ Kevin
Only if it effects your ability to safely operate a cmv.
Can you pass dot exam having narcolepsy?
@ Lee
Narcolepsy posses a serious safety risk to a driver and the public at large. FMCSA guidelines do not allow for this condition and you would not pass the DOT medical certification process.
You cannot pass a DOT with narcolepsy. You can take medications for this and I can make a determination based on outcomes and having you wear a monitor to show that you are not at a high risk. But this one is a touchy one and I would need more medical information to properly state yes or no.
Thanks,
Tammy G, APRN, NRCME
I have an employee who was denied his medical card because he recently passed a kidney stone and still has one stone remaining. The doctor said that passing a kidney stone could be incapacitating and that he will not be medically cleared until he passes the stone or has a procedure to remove it. Can my employee be denied a healthcard because of kidney stones?
I don’t know but this sounds ridiculous. There are so many people willing to work and it seems they are being blocked. Good Luck with this. I would look into it. There has to be some way to pass the test and the stone.
G
This one is discretionary and I understand why the doctor stated that. I might give you 30 days of not driving and let you pass the stone as they can make you incapable of driving should it start passing while you’re driving. I would need more information.
Thanks,
Tammy G, APRN, NRCME
I was deny recertification on my dot physical because I have major depression. And for me to get recertify they told me I had to get a therapist to obtain me for 60 days or release me. The doctor only mark me with depression that happen two years ago and I’m on medication. But I do not take the medication at all cause I don’t need it. I been driving for 2 years and never been deny!!! What can I do? I need answers
If you are compliant with medication and it has been 2-years ago, based on the limited information you have given then I would probably pass you for a year. If there are factors you have not stated that could alter my decision.
Thanks,
Tammy G, APRN, NRCME
I’m 41 wanting to obtain my CDL for career change. I take paxil for mild anxiety Driving is something I’ve wanted to do for years. Are there alternatives for that medication and will it not allow me to obtain.
@ William H
You will need medical documentation to provide to the DOT medical examiner. A signed medical release form from your prescribing physician.
Has anyone gone to the DOT drs and been asked to summit to a sleep apnea screening after being given a clean bill of health?
I have a slight deformity in my left leg and my right. I do not have any chronic pain from it but I do have trouble standing longer than 30 minutes. I am concerned I will not pass the DOT tests just from the way my legs look. I am concerned there might be a protocol to leg deformities and I have done as much Internet research that I can. Any feedback would be much appreciated.
Thank You.
In your case I would have you go out to your truck and show me you have the capability of using all actions required. If you have no deficiencies then I would pass you. It would be dependent on more information from your medical history.
Thanks,
Tammy G, APRN, NRCME
Received my medical card and the office said I can’t laminate it or it is considered invalid. Is this correct
@Michael
Not exactly. But some states are picky about not laminating cards. Also, the new Medical Certificate cannot be changed in any way or reduced to a size where any print is not legible. Some examiners still provide a tri-fold laminated card.
My friend has worked for a company for several years, they now want him to obtain a CDL. The company does not drug test and he feels that there will be no drug screening in going through the steps to obtain a CDL. I argue that I cant believe that there wouldn’t be a drug screening. does anyone know for sure if there is a drug screening or if it varies from state to state? we are in Wisconsin.
@Bob
It varies state to state, and company to company.
They don’t drug screen for a DOT Physical. They do random drug screenings.
Not true they did me and just got denied
Dang really? was it a DOT Drug Testing or from the Employer?
State of Massachusetts drug test on DOT physical . Also they do random drug testing as well
easiest answer is DON’T DO DRUGS DAMN IT!
I have been legally blind in my right eye since birth, when I was hired for my job I had no issue obtaining a DOT medical card, the 2 years passed and I was able to renew it. Another 2 years have came up but this time I am unable to get a certified medical examiner to even look at me once I mention my right eyes vision before the screening.
I have been cleared to drive from my optometrist for the last 16 years and have been cleared from my optometrist to operate my work vehicle.
For work I drive a sprinter van that is just over 10000# Monday through Friday from 5:30am to 3:30pm on city streets.
What can I do to renew my card so I can retain my job and won’t have any issues in the future.
@Jason
The medical examiner needs to understand that you are not a class A driver and you fall under state variance, not under FMCSA regulations. You should be evaluated for the type of driving you do.
Our company requires all employees to have a DOT card regardless if they have a CDL or not. I know that the CDL employees have to have the Medical Certificate on the Motor Vehicle Report (MVR). Do the NON CDL employees with DOT cards have to be submitted for the MVR?
@Pamela
Each state treats this process differently, so you’ll need to check with your state local drivers license department as to their requirement.
I just had a physical and I put down that I had a meniscus removed. The medical examiner said I had to get documents proving I was cleared. I called the doctor I went to and I had restrictions not to lift 20 pounds and can’t squat for long periods of time. Plus it said I can’t drive for more than 8 hours. Will I fail. I’ve even worked for this company before. I’ve had 5 dot physicals since my surgery and passed. I also was cleared by a vocational specialist to get funding for my license. Thanks
@Eric
The CME is posing questions because you would not fall into a class A interstate driver overall qualifications without supporting documentation. With supporting documentation you may be okay.
I can’t do a normal comment so I am trying to do it this way maybe I can get help. I passed my dot phy. I got paperwork and passed the permit test. I have to wait 3weeks for permit paperwork. I never got a card ppl talk about. How do I get this dot card? Yes I have papers but thats it. (Kentucky)
@ Trey
Just go back and ask the examiner for a copy of your card.
Will recurrent thunderclap headaches disqualify me for a DOT medical card?
@TP
As a class A driver, Yes.
Hello. I’m 42 and in the midst of a possible career change to OTR driving. I’ve never had a cdl before. I’ve been a type2 diabetic for several years using metformin and diet to keep my A1c in check. I also was prescribed a low dose blood pressure pill to protect my kidneys. What I need to know is simply, will this cause me to fail the DOT physical or is their hope for me?
@Thomas
If all else is fine and you have a medical release form from your doctor regarding your controlled diabetes, you should be good for a one year medical card.
I was on suboxone for 2 years and stopped taking it three weeks ago. I did take clonidine to help with the taper and sleep meds also for my taper. I have a document from my doctor stating that I have stopped all meds and there is no chance of any being left in my system and am in perfect fitness for duty. I am also well past the 7 half lives rule and take 0 medications. According to Fmcsa I should be good to get my CDL?
@Tom
Lots will depend on the reasoning for being on Suboxone. Make sure you have a recent medical release form from your doctor when you go for your DOT examination. He will need as much supporting documentation as possible before he can make his final decision.
Has sleep apnea testing been added to the dot physical requirements based on BMI and neck circumference?
@Mike
Neck and BMI measurements can be used, but there are additional health issues that should be looked at. Neck and BMI measurements are the laziest way to go. The CME should be looking for more information on health issues before recommending sleep apnea screening.
For more information on this contentious issue see our articles on Sleep Apnea Screening http://dotphysicaldoctor.com/category/sleep-apnea/.
1. Can a dot ( urgent health care ) doctor make you get Psychological test through a drug rehab center requesting a doctors letter stating ” your ” not a alcoholic ? I have had no prior violations till said accident in personal vehicle NOT commercial.
The law states I Can I get a second opinion as I feel I was discriminated against from said doctor.
2. Would this be considered doctor shopping ?
I had pass all requirements in doctors office and yet my accident is what she said was the issue of not passing me.
I’ve never had any issues with my Cdl in a commercial vehicle.
I was involved in a motorcycle accident that was not my fault and was not arrested for any violations but the hospital had taken a drug/alcohol blood test at time of surgery for my broken leg and had reported my bac in my medical chart that I was over the legal limit in my state. Missouri. Again I passed all requirements at day of test but she would not sign off giving me my card but marked the box for Determination Pending. Due to the 90 day prior accident that was not commercially involved.
@Joe
Go get a second opinion, you have the right and someone is over-reading the FMCSA guidelines.
I just had one beer before mine to settle my nerves I don’t even drive yet and she said the same thing
Can you be a city bus driver if you had a heart valve replacement?
@LeeAnn
You want to check with your local drivers license department. You fall under your states variances and not FMCSA.
Will a non- disqualify disease not mentioned in previous DOT physicals get me disqualified when I mention it on the next one.
You mean disqualify. Not necessarily. But when you lie and get caught, which you will, you will lose your license and get fines and imprisonment. Be honest, jump through the hoops for the waiver process. Lie and lose license and maybe go to jail.
Let’s say I take a medication that is on record through my GP. Will the DOT physical include a call to my GP to confirm the answers I wrote down are true?
Sorry if this comes off as dishonest – I know it is, I just really need this job. My family depends on me and I don’t want to let them down.
@Steve
You should be asked to provide a medical release form from your prescribing doctor. So it will fall to the GP to tell the CME what you are taking and what, if any, side effects the medications could induce. But in most cases it is up to you to tell the truth and since you sign the federal form stating that the above information is correct, then you have to weigh it all out.
Am currently on a 3 month medical card for BP issues, on medication to deal with it. Assuming the worst and I fail the next exam on BP I assume I will be disqualified, if so for how long, or is that basically the end of my commercial driving. Thanks in advance.
@Rodney
If you fail on blood pressure next time, you are disqualified until you get it under control. Not a career ender.
I am on morphine and have been for several years. The doctor has passed me with a one year card for the past three years. Now he says he won’t sign it and nothing has changed from the years prior. Can he do this?
@Dan
Yes, it appears that the FMCSA is overseeing everybody/CME. Just get a medical release form from your prescribing doctor and have him explain the need and the length of time that you have been on the medication. The CME simply needs a medical release form with this explanation and you should be back in business.
If a driver uses a drug identified in 21 CFR 1308.11 (391.42(b)(12)) or any other substance such as amphetamine, a narcotic, or any other habit forming drug, The driver is medically unqualified.
I have been clean for 6 months cold Turkey. Why am I required for a SAP program
I had a DoT physical done in Maryland and was given a 1 year card on the condition I have a sleep test done within that year. 2 weeks later I went to Iowa for a job and they redid the physical. In Iowa the company told me they refused my card and want the sleep test done before they will pass me.
My question is, is the MD pass still valid? Or does taking another physical in another state negate the previous test?
@Ed
The last physical exam done and reported to the FMCSA database overrides the previous test.
Read these articles for more information on issues related to Sleep Apnea Screening.
That’s a downer, but thanks for the answer. Follow up question.
I have my suspicions that I passed and was given a 1 year acceptance in Iowa as well. The Dr. told me that is what she was going to do. However the company then said I needed to get the test and claimed I failed. But I’m not convinced I failed the DoT, but instead the companies requirement. In which case I believe I have a valid DoT physical.
Aside from calling the Dr directly is there anywhere I can find this out? I asked at the company and they pawned it off on the Dr. Which may be true, I just want to verify.
@Ed
Did the last examiner give you a new DOT medical card (MCSA-5876)?
If yes, then you have a valid card until it expires, or until you take another DOT physical exam.
If no, then you’ll need to find out from the examiner if: 1. They just brushed you off (which means your previous medical card is still valid); or 2. They completed the exam and failed you, which would be updated in the FMCSA database and override your previous card.
In either case they should have given you a copy of the Medical Examination Report (MCSA-5875) if they completed the exam.
That is the issue I’m dealing with at the moment. They gave the results to the potential employer since I signed the form to do so. No problem there. But they are trying to refuse to give me the results which I believe violates HIPAA rules since no matter who paid for the test, the medical records are still mine.
I’m awaiting a phone call.
Is there any way I can access the FMCSA database to verify if my MD pass was overwritten?
@Ed
No access to the database, other than the medical examiners office that input the data through their online account.
If you are not going to work for that company, then go to another examiner and have another medical examination done, which will then become your current results. Tell them the truth about what is going on. Get a second opinion on the sleep apnea screening, and move on from there.
If I recently took my DOT Physical and was told that I need to take a sleep apnea test. I never was told this on any of my prior test in the past. Immediately after I went to another DOT doctor and I passed and was given a two-year medical certificate. My question is will the first one be reported to DMV? And if so will my second test over ride the first one?
@ Ray A
The first test results may have been input to the national registry, but the second examination findings over ride the first.
Can a nurse fail you on your dot physical. My blood pressure was 170/100 she said I failed and she was going to throw my file away. I just passed all my test to be a bus driver also have my cdl.
@Paula
If the nurse is on the national registry then she can fail you. As far as throwing your file away, she would be breaking the law to do so.
I have no medical issues at all, and need to know if there’s anything that would prevent me from just making an appointment and going to get the physical. My current job doesn’t require cdl, but I want to keep it active in case I get an offer for such a position.
I had my right ankle fused and I’m on oxycodone and morphine sulfate for pain. I have been taken them for 5 years and have no problem with getting drousy or any other side affects. Does this disqualify me for a medical card?
@Dave
You will need a medical release from your prescribing doctor explaining your situation and condition. With that information in hand, you may be able to get a medical certificate, but it will require good documentation.
I am a type 1 diabetic with an insulin pump. I am very well regulated. It’s been 15 years since diagnosis and I have never passed out or needed another person’s assistance with my diabetes. I am young and in shape. I have been told 100 different things from doctor’s offices while going through this process. Anyone have first hand experience passing a DOT physical as a Type 1 diabetic?
@Andrew
FMCSA / DOT will need to issue you a diabetes / insulin waiver, before you would be qualified to operate a commercial motor vehicle inter-state.
Or check with your local drivers license department regarding an intra-state only CDL.
I applied for a Federal Vision Waiver on 06/12/2016 the process is similar… I was granted a waiver for interstate license on 10/11/2016, it has to post for thirty days for public comment {whatever that is } on 11/11/2016 I should get in the mail my waiver which I take to the DMV and self certify.
In your case the process is lengthy and drawn-out , mine four months .. It sux but Ive been driving a commercial vehicle for 34 years. My pay has suffered because I cant drive out of the state of Georgia till I self certify. You have to do everything they require to the letter, or ya don’t get one……. Then after two years I have to go through the same process again…..
How dis this work out for you. I’m a fellow diabetic and I am trying to get my medical card and just don’t know what to do.
Had a heart attack 11 years ago and since then my injection Factor has gone down from 45 to 30 in the past 11 years I take a stress test every year I would like to know that being my injection factor is 30 will I be able to get a physical done this year
@Mike
FMCSA wants a LVEF of 40% or better. Less will not pass the FMCSA guideline requirements.
I am a 58 years old, 3.5 years ago I had a massive heart attack and triple bypass surgery. I was already a diabetic taking oral meds. After the surgery my Dr. put me on insulin which I am at a hundred units a day. Now I have been tagged with CAD, Diabetes, Depression, Insomnia and Animic. I drove OTR for over 30 years. Would it do me any good to try and get a Health Card?
@Mike
Very highly unlikely!
I have chronic hepatitis B. Will it disqualify me from getting a dot card?
@David
As long as you are able to perform the duties of a CMV operator and you have a medical release form from your primary doctor, you should be in good shape, if all else is within normal limits.
I have 4 bulging discs in my back and have light ptsd (i am able to keep it under control) i don’t take any medications for the pain in my back or for my ptsd. I have passed every DOT physical no problem and have told each and every doctor my passed(all happened in the military)I just recently took a partial physical and they wouldn’t let me to finish it because of my pass.is this considered discrimination and if so who and where do i need to go or is she able to do this with no repercussions. I found out she’s been sued before and when i checked her on the ama website she doesn’t come up and she doesn’t come up on the registered nurses registry I’m trying to see if i could get a second opinion or not or am i going too run into the sane problems?…my current medical card doesn’t expire till next April 2017 Can i still drive with that one?or will i have to get another physical? I’ve been driving since i got out of the army in 2012 and I’m va disabled at 60%.she asked for proof from my primary care saying i don’t have road rage due to my ptsd is she allowed to ask for this and is this An automatic disqualifier for my med card?
@Andy
Well first things first. Is she actually on the FMCSA national registry. If not you can go somewhere else.
CME’s are supposed to take in all available information and use it to make their final decision. That means they should have requested additional information from your doctors before making a final call on you.
I am on dialises some time it is hard to us the bathroom will this be a problem for my dot card
Trying to renew med card using same facility for several years, new person is sending me for unnecessary testing. Each one is done, then when results are normal, sends me for another more expensive test. Can I leave that facility at this point and go to my PCP without a problem? I have never had a problem before and nothing has changed, in fact in better health now than 2 years ago. I accidently checked the wrong box when filling out papers, she didn’t ask me any questions, just keeps coming up with more hoops to jump thru.
@Dennis
You will need to go to an examiner that is on the national registry. If your doctor is on that list, then use him, if not then go some where else for a second opinion.
I have had a CDL since 1989, and in 2013 I was diagnosed with CHF, and put on 3.125mg Carvedilol and 5mg Lisinopril. I was released to return to work a year later. In the 2 1/2 years since I have improved greatly and would like to return to driving. I have to renew my Med certification, while still on the medicine, am I going to have any problems?
@Stan
With proper documentation, a medical release form from your doctor with an explanation of the medications and a your most recent EKG, you should be in good shape for the CME.
Your medical card will be limited to one year at the time due to your condition medications.
Will suboxone disqualify me from getting a courier ((DOT) job with FedEx?
@Tommy
Make sure you have a medical release form from your doctor explaining the need for the meds you are taking. In general suboxone is a disqualifier, unless the doctor can explain why you take it and for how long you have been on those meds. Also explain to the CME the type of work you will be doing.
Do u need a A1c test in wv or just a urin test?
@Wendell
All depends on what you are looking for.
I currently have digestive issues that require me to cook all my own food. I basically have to cook everything down into a soup in order to be able to digest it, and I have difficulty digesting carbs and fats. Can I pass the physical with this? (Yes, I am aware this sounds like a hassle on the road, but I always just put everything in an ice chest and that works out fine.) It doesn’t affect my energy levels or ability to function in any way.
@Daniel
It sounds like you have everything under control, and should not have any problems passing the examination. Just make sure you have a medical release form from your doctor explaining your situation and medication usage and you should be OK.
I have have been driving commercial vehicles since 2005. I have a class A CDL with tankers, doubles and triples and HAZMAT endorsements. In Feb 2015, I was injured on the job with a herniated disk between L5/S1 and 2 bulging disks between L3/L4 and L4/L5. Due to this injury, I now have degenerative disk disease as well as numbness/weakness in my left leg and 50% or less range of motion. My job requires me to lift 100 lbs from the ground, over my head, so I know that is out of the question but am i able to pass a DOT Physical? I am unable to sit or stand in the same position for any longer then an hour. I realize this may be a dumb question, but my workers comp doctor has released me for work, saying i have reached MMI, leaving me with permanent impairment rating of 7%. Since i haven’t been able to work since Feb of 2015, i cant really afford to take a DOT physical and fail, leaving me where i’m already at.
Thanks for you help…
@Dan
Based on your description of your condition and symptoms, you would not be able to pass an interstate DOT medical examination.
You might check with your local drivers license department and see what your state variances might be and see if you could possibly drive intra-state only.
My husband passed everything on his DOT exam but his blood pressure was over 140 and was given a 3 month card. He’s always passed before and was given a letter to give to his PCP and get checked out and return with comment from PCP with 3 readings. The letter says a medical card would be given if the readings are in good range. My husband has passed with PCP, no meds was given, changed his diet and loss 20 lbs. He’s schedule an appointment with DOT examiner. Does he have to take exam again to get card or the examiner just extend card, since his PCP sign off.
@Trina
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.
Your husband can go back to the original examining office, and you may be able to get them to do the “new examination” without charge or at a reduced charge, but this will still entail extra work for them.
Otherwise your husband may go to any medical examiner for a new physical exam.
But the system now forces it to be a “new examination.”
When a physician asks you to stand on your tip toes during a CDL physical, what is he looking for?
@Christine
Neurological input to the lower extremities. It’s a test for proper nerve conduction into the feet and lower extremities.
Is it stand?or walk on your on your tip toes which one is required ?
@Jim
Walk on heels and toes.
(Driving in TN) I am blind in my left eye, and will be driving a vehicle under 10,000 lbs. I have to get a DOT exam and a F-endorsement on my drivers license. My question is, will I pass the exam?
@Michael
If everything else is considered ‘fit for duty’, then all you will need is a vision waiver after you complete the intra-state only medical certificate examination.
If I have an A1c of 9.1 can I be failed for my medical card renewal for another year?
@Will
If you are spilling sugar into your urine during the DOT examination, you will be given a very short card, maybe, to get your medical condition under control. If it is high on the urine test then you will be disqualified until you have your condition under control.
What if you take glipazide which cause sugar in your urine?
@John
Then bring in your last A1c with you along with your medical release form from your prescribing doctor. The CME needs to have all of the available information to make the best possible decision in your case.
I am looking to get a DOT physical this week for a job delivering box trucks all over the U.S., but had a question first. I have a hernia, prostate infection, and diverticulitis which has turned into a fistula perforating my bladder. My blood pressure typically runs high as well, around 160/95. I am on medication for the prostate and divertic, which is supposed to keep pain at bay. I still get shooting pain a couple times a day in my under carriage if you know what I mean which I take ibuprofen to get rid of, more recently I have been getting really cold and weak once or twice a day. My urologist said I need surgery to repair the hernia, and surgery to take out the infected part of my colon from the divertic. I had a DOT physical in 2014 before all of these medical isssues, and bp was too high. They let me lay down with the lights off for 10 minutes, took it again, and JUST passed with 140. Will any of these medical problems prevent me from passing my DOT physical excluding the high bp?
@Chris
You do not qualify to pass a DOT medical certification. You must be determined as ‘fit for duty’ and right now you don’t qualify.
Go get the things done to get your health back and then go for the examination.
I am working on getting my CDL for the first time. I went to get a DOT physical and the Dr I went to seemed more interested in rushing me out the door and taking my money. He took my blood pressure immediately after I walked in the door while i was standing. My arm raised above my heart. He would not take my blood pressure again and did not even finish the physical. If i decided to got to another examiner for a second opinion and more importantly a complete physical would this be considered Dr shopping.
@Casey.
No, you have the right to a second opinion.
You also have the right to have a properly done examination, and if you have a problem with the first doctor you could file a complaint with the FMCSA / National Registry.
Hello Casey:
I too am planning my DOT physical soon this week as of 5/24/16. I am here in Denver, Co., and curious where you are and if I may, the Doctors name and location so I don’t get sent or see him/her. I think you get my email address, so please let me know soon.
Thanks,
Jim
I have my DOT Physical coming up on April 26, 2016 from my own Dr. I checked the National Registry and he is not on there. Would that make my physical and medical card invalid?
@Jose
Your medical card is not valid unless your physical is done by an examiner certified, and on the National Registry.
Hi, I had an A-Fib issue almost 4 years back at 48yrs.old, my heart function was very low at the time, injection Fraction of 25. I must have been in A-Fib for a while and not known it, as I never had any symptoms other than a cold which I had for over a month. I had a cardio-aversion (shock) and it brought me back into normal rythm, and on Medication Beta Blocker for Heart Rate Control,Blood Thinner and Lisinoprol not for Hypertension (I have never had High Blood pressure) but to make the heart muscle not have to work so hard while I recovered. That lasted about 18 months,until I woke up one morning realized I was back in A-Fib again.After another Aversion it was decided that I would be a good candidate for an Oblation, done 2 years ago in June and since have not had another A-Fib episode. My heart is back functioning at normal capacity and I’m since off all the Meds that I was on previously except for the beta blocker which I still take daily for said Rate control and I am in Good health now. I have gone for multiple DOT exams at the same place in the past 2 years, And I went for my current Exam yesterday. I understood why I was on the 1 year rotation before, but the Physicians Assist. indicated previously that I would be back on a 2 year schedule once I was off the lisinopril which I no Longer take. I passed the Exam but he left me on a 1 year schedule, when I questioned him why he indicated on the long form it was due to Hypertension. I again question this and was told that the Beta Blocker (Metoprolol) I am taking is also used for Blood Pressure issues. I again told him I didn’t have High blood pressure and that if he needed to speak to my Cardiologist I would arrange it. I was told that If I could provide a Letter from my Cardiologist stating that it was not for Blood pressure and if I could come off the meds, he would again put me on a 2 year schedule. I Called my Cardio Dr. and spoke to the Nurse who confirmed eveything I have mentioned above,she indicated to me that she would call the DOT Examiner and explain the situation. She called and explained that it was as above,not for Hypertension. He now changed his reasoning and said that Chronic A-Fib is grounds for an annual exam instead of bi-annual and not the Hypertension as he indicated on the long form. I disagree with this and if I knew where to appeal it I would, it seems like he’s trying to prove point and is changing his story to cover his Ass. I will NOT return to that examiner again,as for all I know it could be to Generate revenue (Thats what it appears to be). I have a Vision problem which requires a Waiver that I need to get an exam for everytime I have to renew my DOT Exam card which costs money @ $50 copay, the DOT exam as well in the neighborhood of $95 alone, Plus I have to go to the RMV to for my Vision Waiver and it cost me time off from work to do that. Its not like it’s a 1 stop and done thing. It costs me close to $400 dollars a year for the DOT Exam card and Waiver (not to mention the cost of the CDL) thus the reasoning for wanting a 2 year rotation. I guess my question is this, is there anywhere that I can appeal this or am I S.O.L.? It does not seem like he’s been truthful… is there Merit to what he’s saying and if so why would he change his reasoning? Sorry for the book I left here… and Thanks for the help.
@Alby
The a-fib is the cause of the one year medical certificate, minus everything else. That is a FMCSA guideline recommendation.
If the condition is now no longer an issue then you need a medical release form stating what your situation is and you need to get that release from your cardiologist and prescribing doctor.
As far appeal, you can try to find the area of the FMCSA website where you can enter into conflict with the examiner. All we can say about this approach is ‘good luck finding it’, but it does exist.
Called for random dot drug test was going thru medical problems could not urination went to doctor same day he examine me an he gave me medication for urinal problem three days later called for another random felt better gave them urine and it came back negative since I coulDon’t urinat on my first time the m.r.o said it was a refusal I showed him doctors note saying that I had medical problems that’s why I could not urination and I showed him the medication I start taking and he still said it was a refusal lost job and I have to waste money on a drug treatment is there an appeal that I can file ? Or a grievances please help
@Raul
You might want to talk with a labor attorney on this one. Not giving a sample when requested is considered a refusal according to the FMCSA, so you would need to set the record straight, but not sure which avenue to point you in other than legal advice.
Its up to an emmployer and an MRO if there was one
had a heart attack in dec 2013 had 2 stems put in have under went stress test 2015 may the echo test in dec 2015 ready to renew my medical card the heart doc said no problem the mea clinic said I need another stress test is that correct for the state of Mississippi a test every year ????
@Jerell
Stress test every two years and a medical release form from your doctor should be what you need. Try getting a second opinion from another CME doctor.
A ETT every year for the first five years than every otger year with ckearanxe from your cardiologist
The company I work for has a straight truck under 26,000 gross and no air brakes on it. only 2 axles.
What are the requirements/ I know I can drive it with a regular drivers license. ( this truck would be the same size as a large uhaul truck)
Is a dot medical card required? what other requirements? thank you
@ steven
Check with your state for confirmation, but most states want a valid medical certificate for any vehicle that is being used for commerce.
I am cross-eyed which makes it difficult to pass an eye exam, but I do see really quite well. In fact, being crossed-eyed allows me to multi-task effectively while driving, such as readings signs and sending text messages and emails. Do you think I will have any issues passing a physical?
@ Jay K
Really, WOW.
Hi,
I’m a driver for UPS, I have Kidney Disease and are they are at 20%. Its to the point where I may have to go for dialysis soon. My doctor told me to start getting things in order to start the process of getting on transplant list. My concern is will I loose my CDL license if I start dialysis and can you continue to drive?
I`ve been there for 25 years and hear stories that they can give you the boot at anytime.
Any information is helpful.
@No Name
From a federal position, you will be disqualified. From a state position, you may be able to continue.
Check with your state drivers license department on this for confirmation.
Also check with UPS, because you may be classified as “interstate” for UPS.
It isn’t that you lose your CDL, it’s the loss of your medical certificate that will have the biggest effect.
I have a belly button hernia does it disqualify me for dot physical have had it for three yes and have passed before with it.
@Nick
As long as it does not interfere with your ability to operate a CMV safely, then you are good to go.
I had open heart surgery in October of 2012. At that time I had a defibulater put in. I recently took a dot physical to obtain a medical card. They told me I would not be able to pass with a defibulater. I need this for my job, how do i get an exemption? I will not be driving any vehicle with air brakes.
@Sonny
You only need to explain to the examiner that you are not a class A driver.
Each state has a guideline that may allow you to drive with a defib unit.
But for class A it is a disqualifier.
You’re not a class A and a medical release form should be what you need from your cardiologist. No waiver is needed, unless the state requires it.
I have Dialated Cardiomyopathy with this cause me to fail the DOT physical. I am taking medications prescibed from the doctor for this.
@Kerry
All depends on how far along the condition has progressed. If in the later stages you will not be able to pass the DOT examination. Early phases and you may be good for awhile. Make sure you bring a medical release form from your doctor explaining your condition and its present prognosis. This will help the examiner make the best decision.
Can blood in urine cause you not to get a health card
@Myron
It will raise questions and may require a follow-up after your doctor determines the reasoning behind the blood in the urine.
Yes I just went for my DOT physcial and was giving a 3 month extended license for a 140/93. When I go to my regular physician it’s 130/86 area. Can I get a waiver from my regular doctor and just get a year extension even if I don’t have a blood pressure problem.
Plus too the company I drive for stays within the NY state lines do I still need a DOT card even if I stay with in state. Because I know some people who do same kind of driving and aren’t required a DOT card. Is it a company thing for cheaper insurance?
@Donald
In any state that you drive a vehicle that is used for commerce, you need a medical card, even for intra-state driving. So To make doubly sure I would check with your local drivers license department and ask the same question. There may be some variability from state to state.
@Donald
It’s not the way the FMCSA would have it. So it’s doubtful that this will work for the CME. Make sure that the examiner takes multiple reading during your examination. All you need to do is relax and get a decent reading, maybe even rest a bit before you go in.
Other tips see this article: Blood Pressure Tips During The DOT Physical Exam
No you must pass during the physical….period!
I take metaphormin for diet help will that fail a dot physical
@Dan
No, but it will reduce your physical to one year. If it is being used for diet only, make sure you bring a note from your doctor explaining the medications use and that it is not for diabetes.
My friend was treated for hep c 9years ago and was a dot driver at the time and was always recertified. Now they are gaining new employment and are wondering will this condition disqualify them? And if so is there any recourse?
@TP
This should not be an issue, unless there are other symptoms that limit his ability to perform his duties as a commercial motor vehicle operator.
My former primary care doctor(my old pediatrician) is now doing DOT physicals and I have his wife as a primary care doctor now. When I originally went for my DOT card I was told I needed to have a sleep test done. My card has since then expired. Because they both know my health background will I still need the sleep test done? My doctor and former doctor say I do not have sleep apnea even though I haven’t had the test
@Adam
There were no new rules regarding sleep study and if your old doctors know you, and knows you do not need a sleep study, then go see them to renew your DOT physical.
Via titration I am weaning myself off of zolpidem. Although I do have an MD’s script and can probably get a signed statement from my doctor about my use of zol. for sleep, if I do a urine and/or h-follicle test, is zolpidem a disqualifying medication for med card? Thank you for a reply.
@George
Yes, it is classed as a disqualifier for the DOT interstate drivers. If it is possible to replace this medication with something else that does not have the same negative results as what you are taking, then by all means make the change.
I’m a driver. 5 years ago, Found out I had undiagnosed sleep apnea. one night, my wife told me My body was jerking and I was struggling to breathe in my sleep. She called ambulance. They said it could have been seizure in my sleep due to physical exhaustion but wasn’t sure. I have no history of those. I Went to neuro doc to follow-up. He said its sleep apnea. Lack of oxygen caused body jerking and a fit in my sleep. Got treated for sleep ap and seizure. Neuro doc said he only treated for sezuire to be safe, since I was a driver. Been healthy and using cpap daily and no problems for five years. When time for my physical a few months ago, I checked seizure and sleep ap On DOT physical form like I always did, even though I’m not sure it was a seizure. New DOT doc I never had before, hand wrote a note on form and put I had seizure and I was epileptic, even though i had no history. I gave dot physical form to boss because it was mandatory and then got fired. Did DOT doc violate my hippa rights?
@Tony
CME simply wrote down what he had to to substantiate the physical being done. You giving the employer a complete copy of your medical examination was permission for the company to read and act on any issues. So the answer to your question is No, the CME had to do what he did.
Try this: Make sure you get a medical release form from your neurologist stating that you are being treated for sleep apnea. If he feels that he must continue treating for seizures as a pre-cautionary measure, then you will be very limited in what type of driving you will be able to do. Another option could be to check with the FMCSA and see what the requirements for a seizure waiver would be and then follow up in that direction. You simply need to clarify what you are truly being treated for and how serious the issues are.
I am a diabetic kidney dialysis patient looking for a part time job that requires a CDL license with airbrake and passenger endorsement. Do these conditions disqualify me for medical reasons?
@Tom
Check with your state first.
If you are going to be driving intra-state only, your state will have the paperwork you will need. As an interstate driver, you would not be qualified.
I have just been diagnosed with blood clots in my legs and put on blood thinner for now, will this prevent me from passing a dot physical.
@jim
Once you have the condition completely under control and a medical release form from your doctor in hand you may be OK. Lots will depend on what your doctors have to say about you sitting for extended periods of time as a driver. Also the CME will have a lot of questions too. SO get things under control and go from there.
Back in May of this year I had pulmanary edema and had found out I had a kidney blockage, had a stent put in June. I am now been released to go back to work the end of August. I released my records to the dot Doctor. They say his heart is a little stiff, but is on a heart med. for this . Can I get my dot. card with this.
@John
As long as you can qualify as fit for duty you should be fine. Make sure you take records and a medical release form from your doctor with you. That helps the CME in his decision making process.
My husband went for his DOT exam and the CME requested a Fasting Blood Sugar , HgBA1c test, we went to our primary care dr and he said that he did not have to redo the test that the last one performed on 7/31/15 would be sufficient. The CME will not accept that from the Dr and has said that she will not give him his CDL unless he has the test performed. Is she able to over rule what his primary care dr says. Can he go to another clinic.
@Sheri
If the sugar is under control while doing the urine strip and you can support the facts that you are under care and your condition is under control, then all the CME needs is a medical release form from your primary doctor. Now if there was a sugar spill over in the urine test, then she is looking at a potential safety issue and can request an updated A1c. If the urine test was normal and there were no real questions, then yes you can go elsewhere.
Live in Ohio and drive for a company using 26ft trucks (max load 10,000lbs) and a box truck. Don’t need a CDL. Getting a DOT physical, will I be tested for drugs?
@Matt
Not for the medical card, but maybe from the company. The company is the one that request the drug test and if you are dirty, then why be a risk to others while operating a large truck?
I live in New Jersey. I am currently going to enroll in classes for CDL class a for my job to drive bigger trucks and make more money. I use to smoke a lot of marajuana but now want to better my life so I quit about 2 weeks ago but will be going for the physical next week. Some websites say that the urine sample they take is for drug screen some say it’s not. Do you know if the urine sample will include a drug test or not for dot nj physical? Like I said I’m trying to better my life but it could still be in my system.
Where can I find the list of medications that candidates for dot card cannot be taking?
@Mary
No such list. It’s up to the examiner to make those decisions. If you are taking any medications, then make sure you have a doctor release form ready to go when you go for your medical certificate.
Just diagnosed with Trigeminal Neuralgia. The Doctor wants to put me on anti seizure meds (trileptal,neurontin,baclofen) he says this is the only way to stop the MASSIVE pain. I will not be on these for seizures. Can i continue to drive OTR on these meds? If i choose the surgery can i drive after a Microvascular decompression surgery it involves cutting into my head? My last option ,can i continue to drive with this diagnosis and refuse all treatment and just bear the pain?
@Carl
You’ll need to be on these medications for a while so you know what effects or side effects there are. Once you are cleared from your primary prescribing doctor, you want to have a medical release form completed by your PCP and have him explain why you are taking the meds that you are taking. The CME needs to understand that you are taking a medication for your pain condition and not for seizures. The CME must be able to support his decision regarding the medications and your condition before he can grant a medical certificate.
Do they drug test for medical cards
@keith
Drug testing is not part of the DOT physical exam.
Is that true in florida?
I only ask because i wasjust put on adderall about three weeks ago
@Nick
Drug testing is done for the employer and not the DOT medical certificate. So it will fall under your employers request for a drug screen. If you were prescribed a medication that may result in a positive drug screen, then all you need is a copy of the prescription from the prescribing doctor. The MRO may request a copy to confirm that you are taking your medications as directed.
I am taking a job in a different state as a cdl A driver. I will have to take a physical for the job. My question is if I passed the requirements for a seizure disorder in my original state then will I be held to my original state qualifications for the physical or will it be the state I’m in?
@Chris
Where is your seizure waiver from? The state does one thing and the FMCSA does another.
Also are you going to be driving interstate or intra-state? This will make a difference too.
Question my husband has never had an issue with his DOT he has a chauffeurs licence not a CDL but drives out of state so he gets his DOT but at the clinic he has a neck circumference of 17 they wont pass him because they said he has to be cleared of sleep apnea I thought that only applied to CDL drivers how much have things changed?!
@Nikki
Seems like most states grandfathered the old chauffeurs license into their CDL program.
Not sure if any states still have a chauffeurs license.
Anyway, there were no new rules or regulations regarding neck size-sleep apnea testing and passing a DOT medical examination. So unless there is sufficient reasoning for requesting a sleep study, other than it makes more money for somebody, then there is no reason for the test request.
To better understand this contentious issue see our series of articles on Sleep Apnea Screening.
Thnx to everyone at south ontario chiropractic.. Thank u Dr. Rod Melvin..
AM A HEALTHY MALE PASS EVERYTHING ON MY DOT PHYSICLE BESIDES WAX BUILDUP IN MY EAR BUT CAN HEAR NO PROBLEM DOC SAID SHE CANT PASS BECAUSE OF IT I CLEAN MY EARS WITH WAX OIL AND HYDROGEN PEROOXI AND FLUSH MANY TIMES WENT BACK TWICE I STILL HAVE PROBLEM WHAT DO I DO
@Frank
Try having your ears cleaned by a professional. Not real sure why you would be restricted from having a medical certificate if you can hear OK. But there must be some reason for with holding your card until you have your ears cleaned out by a professional.
If a person fails the exam. Does this get reported and if so to who
@Chris
Reported to the FMCSA data-base.
I am legally blind (but have the eye chart memorized), B/P of 175/220, acute Narcolepsy, and have severe anger issues which resulted in a couple of traffic tickets for aggressive driving while chasing some fool that gave me road rage. My question is: Will this affect me getting my CDL or passing the physical? kidding!!!
@Brad
Trying to memorize that eye chart after lack of sleep, probably caused the high BP. And a combination of all that – no wonder you have anger issues. Kidding!!!
If you fail a D.O.T. physical recertification how long do you have to wait before you can take it again
@Anthony
It will depend on the reasoning for the original disqualification.
Hello I currently have my cdl license, but my dot medical card is expired and im trying to see if I card go get certified for another dot physical card, so I can start back driving truck over the road. But I miss one on the eye exam but I can see all the signs on the road n trucks sign what can I do to obtain my dot card ,so I can support my family better
@Samuel
If I read into this, you are saying you are missing one eye? If that’s the case, then you need to apply to the FMCSA for a vision waiver. You will need to pass the FMCSA medical certificate examination and will need to have a skills performance examination to make sure you are OK to drive. So examination first, waiver second and skills test for the waiver.
I got one good eyes do one okay cricket eye the dmv didn’t want to pass me because I only was able to read the letter chart with my left eye and when I cover the left eye my right eye I wasn’t able to read that chart well after explaining that I can’t see perfect the Dmv clerk from my right side she told me she can’t issue me a driver license then I told her I can see perfect I using both my eyes I read the smallest letter column in the chart. Then the clerk ask me to take a different test, had me walk to a vision testing machine were she had me read the lines and dime the lighting of the letters and I pass them all then ask the dmv supervisor that I read them fast and loud then agree to give me my class c but I have a class a that i only need to renew my medical exam and it will be valid if I don’t I will have to down grade but I don’t want to pay a doctor 90$ to fail my vision test unless they do the same test as the dmv using the vision testing machine. Should I try to validate my class a again or forget about it?
@Tony
FMCSA regulations require that be able to see 20/40 or better in both eyes together AND 20/40 or better with each eye individually, with or without correction (glasses or contact lenses). As a class A driver that will be the standard with no exceptions, unless you go for the vision waiver through the FMCSA. Or you might check with your local drivers license department and see what the requirements are for a class A driver intra-state only.
I was diagnosed with depression at age 16 been dealling with it on and off. I neen admitted twice for suicidal ideations, and then diagnosed with bipolar depression about a yr ago. I took meds for while klonopin and latuda, but am currently off of them. Will this disqualify me from passing a DOT physical. I am not getting a CDL just have to pass physical for driving position chauffeurs license.
@ Barbra
Make sure to take a medical release form from your doctor. It will answer the questions that the examiner has. Also make sure you explain what your driving position is and that you are not trying for a class A OTR driving position. Good Luck
Hi there. My husband is trying to get his medical certificate to drive for UPS in the state of CT. In 2011, he had a brain tumor, which was causing partial absence seizures. He has since had it resected, underwent radiation, and chemotherapy. He has been stable with no growth for the last four years. He has also not had any further seizure activity since the removal of the tumor. He is monitored every four months with MRIs and blood tests by a specialist. We have had his treating doctor provide medical records indicating his stability over the last four years and the absence of any further seizure activity. He was recently evaluated by a CME, and told that no matter whether he was stable or not, if the tumor is listed as “malignant” he cannot be approved. Is this true, or should we seek a second opinion? Thank you for any insight you can provide on the matter!
@ Kim
I would put all the available information together and seek a second opinion.
I got my new medical card in March. I broke my right ankle in April, no surgery needed. Will I need to get a new medical card before I can drive a commercial vehicle? My doctor says I can return to work on June 15th.
@Rick
If the accident took you from behind the wheel, you need a new medical examination to determine your ‘fit for duty’ status. You might want to take the medical release from your doctor with you. It answers most of the CME’s questions before it becomes an issue.
I had neck surgery can I pass
@ Milton
If you are released to return to work and can pass the physical requirements of a CMV operator, then you should be good to go.
I recently failed my DOT physical because of blood in my urine, microscopic not visible. The urine analysis was performed using a urine dipstick. The blood level was listed as 50. I have two questions:
1) How is the doctor able to quantify the blood level, in my case 50, from a dipstick test?
2) What level of blood, if any, is considered acceptable under DOT guidelines?
@Jason
Dipsticks have a variable color which determines the amount of blood in the urine.
Fact is there should never be any blood in your urine, so it needs to be checked out by your primary doctor. If he finds that this is somewhat normal for you, then he needs to fill out a medical release form for you stating what his finding were and what his expectations are.
I have been a drive for 25 years and recently I had a acute stroke. It only effected my balance just a little bit. I was able to walk and function completely on my own two weeks later. If I continue to strengthen myself, and my doctor release me back to work, do you think I will have a good chance of receiving a medical card? And is there a certain waiting time period for all stroke patients that drive interstate? #iknowi’mblissed…..
@Silvia
To continue to drive interstate, you are going to have a one year waiting period (based on where the stroke was located in your brain) before you will qualify for an interstate medical certificate.
You may be able, once your doctor clears you to go back to work, to qualify within your state to drive intra-state only, while you go through the waiting period.
I need to get a DOT physical done to obtain my medical examiners certificate to drive Uber, I live in Colorado and smoke marijuana on occasion to sleep at night. But never driving or anything like that of course. Do I need to disclose that information when I go, and will it cause me to fail and not pass the physical exam? Don’t want to waste my time or money.
@Jessica
Cannabis is an instant disqualifier for a driver in all states. You are not going to pass any drug testing, pre-employment or random. And to drive CDL you are going to be drug tested.
You might want to look in another direction, other than driving.
See…the job I am applying for does not do randoms or even a drug test to get the job.. I am not applying to be a truck driver at all. I also have my medical card.
@Jessica, What you need to understand is that a DOT physical is regulated at the federal level and marijuana is still illegal according to the feds.
So in-spite of the fact that Colorado considers cannabis legal for medical and recreational use, you would still be disqualified for using marijuana.
If I didn’t have a CDL class A license and wasn’t subject to drug testing, I might smoke occasionally but, I am so I don’t.
A urine sample is taken for a DOT physical but, I don’t think a drug screen is part of the physical unless a pre-employment or random drug screen has also been requested.
I am fairly certain you will be asked you will be asked if you use any drugs and you will have to sign the form acknowledging that it is all true and correct.
So, your only choice would be to lie, which could have consequences of it’s own. Good luck!
Hello for years I have wanted to get my cdl. I have been diabetic since age 10. It wasn’t controlled at first but I have been doing well the last two months. I wanna know do they run an a1c at the examiners clinic?
@Paria
In most cases no.
That being said, on the medical intake form you will be ask specifically if you are a diabetic and how are you controlling your condition. Your best bet is to have your medical doctor fill out a medical release form for you before you go take the medical certificate examination. That form will answer most of the questions that will arise from the examination and you will have done it in advance.
I have a class A license in Pennsylvania. I had a serious head injury at work in Dec 2013. I had two seziures the day of the accident. I have been in rehabilitation since then including with a neurologist. He did an eeg test on me and found some “abnormalities” due to the injury.I have been seziure free since then but I am on 500mg of dylantin. I would like to return to driving when I am physically able to do so. Is there any possibilty that I will be able to have a valid medical card as long as my seziures are controlled closely monitored?
@Keith
Probably not going to be going back to interstate driving.
You need to check with your state Drivers License Department to see what the requirements are for an intra-state only commercial drivers.
I had a heart attack in 2011. Had surgery. Had a stent put because of a blockage. Had to get a stress test before I could be re certified. And have had stress test every other year since. How long will I have to continue to get a stress test.
Thank You
@Jeffrey
Pretty much once every two years, according to the FMCSA and DOT.
Hi I recently went for a dot physical for a new hire I take suboxone and have been on it about 13 months I currently have a medical card and it’s only 3 months old my dr said due to character judgment and assination of character u do not need to disclose that your on this medication with your employer like I said I have recently passed a dot physical and many dot randoms with out any incidents or it ever coming up so I due the same with the recent physical the examanor somehow pulled my medical records and disqualified me on the spot pretty much calling me a liar and not letting me give explanation he then called the company immediately without asking to call my dr or for me to bring a letter in or form to give explanation I feel discriminated against keeping in mind I work for DOT currently and in the same field (SANITATION) my dr said the examanor was out of line as I do I feel there is no driving warnings or limitations for this medication nor is it listed as a medical condition on the pre exam paper work this is my livelihood can u comment a explanation would really help thanks
@Mike
As a general statement, it sounds like the CME stepped over his boundaries and has opened himself for legal action against himself.
All you need is a note from your primary prescribing doctor explaining your condition and the need for your medications. Your PCP also needs to confirm that your condition is stable and that the medications are safe and effective. After that there isn’t much more to say.
Hi Mike,
I am not a Dr.
I read your statement and it really makes me angry!!!
I don’t understand these idiots who are clueless as to what this medication is for and how much it helps people like you (and myself). First of all, I take Suboxone because the VA had me on 120 Lortabs per month for over 6 years, then I learned they were doing quite allot of liver damage, I found that Suboxone not only eliminated my withdraws after deciding to stop the Lortabs, but it works better at relieving the pain. YOU DON’T GET HIGH ON SUBOXONE!!! These idiots need to do there research before trying to be a DEA hero. SUE HIS A$$!!!
what if you only used for a few days and no longer use– is that still a disqualifier and if it is how long will it disqualify you?
@Marge
Used what????
I am also on suboxone and went in for my dot physical. She asked me if I was still on it, not sure how she knew I was taking it but failed me on the spot! Anything I can do any help would be Appreciated !!! Thanks
@Josh
Suboxone is a very touchy medication. On a case by case situation, if the medication is being used just like methadone, or in place of, then it is a disqualifying narcotic according to the FMCSA. So no real help for your situation.
If it’s being used for something else, then it’s different situation and needs lots of documentation from your prescribing doctor, along with your medical doctor’s medical release form. And even then it could be a disqualifier.
We have a doctor in our group that has started routinely asking for guys’ blood tests and if they dont bring them or don’t have them is telling them that next time they will either need to get them done or bring in some with them or they will not be certified. A few times now this particular doctor has only given a 3 month certification claiming it was due to the guy being pre-diabetic. In some cases it upset some enough to go to another Doctor who never even mentioned blood tests and went through the physical like usual and gave a 2 year certification. Which doctor is in the wrong here? Are the blood results a new requirement that perhaps the second doctor isn’t following or is the first doctor being extra restrictive? Are there any clear guidelines as to when a blood test needs to be performed or is it totally subjective?
@Chase
The CME’s job is to determine medical fitness for duty, nothing else.
If a CME feels that blood work should be done, he is to request that the patient’s primary doctor perform these test and then supply the CME with the results and treatment plan.
There are NO new guidelines regarding blood work or request for blood work and it’s outside the CME’s guidelines to request such.
Unless the driver/client has a condition which is being treated by the driver’s/client’s primary physician, then the CME is overstepping his guidelines boundaries.
The CME should request a medical release form from the primary doctor, only if the driver is being treated for a condition. If the CME feels that a condition exists that would be an issue regarding the safe operation of a commercial motor vehicle, then he should request that the driver’s primary doctor be involved in the proper diagnosis and treatment of said condition.
That’s what the CME’s job consists of.
I had a Stent put in my heart and have low blood pressure. Will I be able to continue to drive and how soon can i.
@Ray
Once you are completely healed and you have a medical release form completed by your doctor, you should be good to go.
Your medical card will be for one year at a time and you will need to have the medical release form done before you go for your re-certification.
We have a CDL Driver that is currently off work due to a non-work related siezure. His doctor has taken him off work for an extended period of time.
I am concerned about his safety, as well as the safety of others, if he returns to work as a cdl driver. Will he be able to retain his cdl, or will the seizures make him medically inelgible?
@Christi
That will depend on what type and on what medications the neurologist places him on. He will be medically disqualified for some time. And he has an extended waiting period to go through right now, before he could even take another DOT medical examination.
The CME will need documentation from all parties involved before your driver will ever be able to drive interstate again.
does Peripheral Neuropathy keep you from getting a medical card and driving a comercial vehicle
@Bob
If it impedes your ability to operate a commercial motor vehicle safely, then yes.
This condition is usually progressive, so if you do get through the DOT examination, they will most likely limit your medical card to one year so that everyone is keeping an eye on your progression.
With a medical release from your primary doctor in hand when you do your next DOT physical, you will have answered most of the CME’s questions and will have a much better chance at passing the test without a lot of questions.
I’m in the process of getting my Class A CDL permit. is it necessary for me to bring a medical release form from my Dr?my Dr told me i have a slight heart murmur, but that was back before i got my regular driver’s license will this cause me to fail my dot physical?
@Jordain
A medical release from your doctor stating that he is aware of the murmur and that is not an issue will be a huge help to the CME at the time of the examination, but the murmur should not create any issues.
If you fail a DOT medical exam because the doctor says you need a thyroid test first but you’ve never been told such a thing by your primary care doctor, can you just go to another exam center and get your DOT card?
@ C.J.
Best bet is to check with your primary doctor to confirm that you do not need such a test and have him write a note stating that. If you decide to go elsewhere, give it thirty days before going for a second opinion. Otherwise FMCSA sees it as doctor shopping.
My question is concerning completing the Medical Card. The card asks you to mark Intrastate only, yes or no. I say that means, do you have any health restrictions to your license that would require you to only be allowed to drive in-state. Others feel that it means, will the load you are hauling be only in-state. How do you mark this section of the medical card?
@Gaye
It is based on the driver’s class of license and his medical conditions.
If you are medically fit, it makes sense to get an interstate card.
I’m taking the medication Suboxen, for the past two year under Dr’s care. For depression & withdraw. I am doing grate. I want to get my dot card then my C.D.L. License. Can I get my care while I’m taking Suboxen or who to call to find out? Thanks!
@Terrance
Get a medical release form completed by your prescribing doctor explaining your situation. It will answer some of the CME’s questions and allows him to make the best informed decisions.
Also read our Driver Q&A – Medications. You will find recent comments that relate to your situation.
i have a hernia in my groin area have had it for a while it causes no pain I work out and lift at the wearhouse it does not limit me in any shape or form will this cause me to fail my DOT? To get my class A
@Aj
If it is non-problematic, you should be good to go. You might get a medical release form from your doctor. That will be helpful too.
Not passing dot physical exam negate your class b license? I have mild sleep apnea. I didn’t have numbers up to pass my exam. Is my license affected, or still active?
@John
You will need to check with your state drivers license department for that answer.
I have 20/50 vision in my right eye, and it can’t get better than that. 20/20 in left and 20/20 together..can I get cdl?
@Alex
You would need to acquire a visual waiver before you could pass the class A medical examination. Your state DLD should have that information available to you. Also you may consider a intra-state driving license.
I have been diagnosed with fibromyalgia and anxiety. I was prescribed flexiril and .5 my xanax to be taken as needed. My flexiril is only taken before bed to alleviate muscle stiffness and the xanax is only to be taken when in a situation that is anxiety inducing (ie large groups of people, flying, when in enclosed spaces) I have been driving for 7 years, 2 of which have been while on these medications, event free. The med examiner declined to reissue my card stating that I could not be on these meds. I have supporting documentation from my primary stating that these drugs have had no adverse effects and are being taken appropriately. I can’t afford to lose my dot card and I would like to stay on my medications as they are working well for me. Can I go to another ME? Can I dispute her findings? I provided the forms requested and she asked me nothing about my usage, the need or anything.
@ Michael
Try getting a medical release form from your prescribing doctor. The CME needs more information before he will be able to qualify you. The medical release form should provide all the information that the CME needs.
Question; I had been on Suboxone for pain. I got on that because I was on vicodin now and then and everytime I stopped vicodin, I went thru withdrawals. My Dr said Suboxone will help with pain, but also make vicodin withdrawals go away. She was right, but then once I went for my DOT re-cert, the Dr said I have to get off Suboxone.
I went thru a month of hell to get off Suboxone. Dr didn’t tell me that it also has a brutal withdrawal. Now, Im on Extra Strength Tylenol. (Doesn’t help much, but it’s a approved med.)
I got a letter from my Dr stating I am no longer on Suboxone and gave it to the DOT clinic that will be doing my Re-cert. The Dr said the letter is fine.
Now, when I go for my re-cert physical, am I going to be treated like some special case and have to explain my past meds, take special urine tests and all?
A friend that drives said, they may have flagged my DOT file, and I may always have to take the 5 panel DOT test, along with a Suboxone test whenever I have a random or re-cert. Not requested by employers, but as precaution by DOT!
Any truth to this? I really don’t feel it’s fair to be treated like a risk! I did what I have to do, and am now 100% compliant!
Thx for any input!
@Red
Since there is no drug testing during the DOT examination, then there is no real way to flag you for anything other than health related conditions.
Since you have a note from your primary explaining your situation, then there is no need to fear anything.
And as long as you are clean or have a doctor’s prescription for any medications that you are taking, then during a drug screen for randoms or pre-employment, again there is no problem here. Only if there is a positive and unexplained drug test would there be any issues.
I’ve been thinking about trying to get my CDL soon, but I just wanted to see if anyone could give me some advice. I have had kidney stones in the past; would that cause me to fail a DOT Physical? Roughly, how much does a DOT Physical cost? Lastly, is there any way I can get a CDL while I’m only 20 years old? Any information would be helpful and thank you in advance.
@Jeff
You can not get a Class A interstate driver license at the age of 20. Kidney stones are not a an issue which would totally restrict you and check with any of the doctors on the DOTPhysicalDoctor.com web-site for general pricing
I have arthritis in my left knee and it locks up when I walk or after I sit for a while and it is painful for.a few minutes afterwards, does this mean I can’t have a CDL.
@Steve
If you can perform the duties of a CMV operator, then you are good to go.
If you cannot perform the duties, then you may want to downgrade to an intra-state driver.
I am interested in getting my CDL but I donated one of my kidneys to my brother who was in renal failure. Will having only one kidney disqualify me from passing my physical?
@Luke
No, as long as there are no residual issues.
Get a medical release form completed by your primary explaining what the situation is, and you shouldn’t have any major problems.
Hi I have been recently considered permanently disabled do to loosing my ability to speak clearly because of the lose of my tongue to oral cancer I currently have a class a cdl in the state of Pennsylvania and a valid dot physical card that expires in February of 2015 I was an owner operator and would like to keep my cal valid if possible so I can at least drive my truck to shows since I previously put a ton of work in it dressing it up would I be able to take another physical and retain my license if so what do I need to do any info would be greatly appreciated again thank you for any help you can give me
@Jeremy
Get your doctors to complete your medical release form before you go for the examination. This will answer most of the questions that the DOT examiner will have.
You will need to be able to communicate with the examiners. You may take someone to speak for you, but also consider how you will communicate while out on the road. Your issue will cause lots of questions, so be prepared. Good Luck
I have a pacemaker and doctors note says it was used to control neurocardiogenic syncope, will this disqualify my cdl license.
@Gregg
You should not have any issues. Make sure you have your medical doctor complete your medical release form before you go for your DOT examination. Your card should be good for a one year at the time re-certification.
Was told examiner will not sign off on Med card due to migraine headaches I had over 1 years ago. I guess he spoke to my primary care Dr. and was told i lose vision when get a headache which is not true. Can I go to another facility and get another exam? I just won’t mention that i used to get headaches.
@David
Be truthful first, lying or misleading on the DOT form can cost you your commercial medical card.
So, have your primary doctor fill out your medical release form for you before you go for your DOT examination. That should be all you need.
i was wandering how we go about applying for a insulin waiver i have been driving for 25 years and my type 2 diabetes may be requiring me to get on some stronger medication and i have to be able to drive to feed my family thanks
@Brian
Get information directly from FMCSA at this link – Diabetes Exemption Application.
I went to CARENOW in Grapevine Texas. They disqualified me for a DOT Medical Card do to my BMI being “44” saying that I had to have a Sleep Study done. After giving me this information which upset me, they took my blood pressure which was 142/94. I have never been diagnosed by my Primary Care Provider for high blood pressure. I was worked up about the BMI issue. They told me that if I did the study and went back to my Primary Care Provider for the blood pressure, they will give me a 3 month card but not until then. My Card expired on 10/02/2014 and my employer is threatening me with termination if I dont get a card soon.
@Michael
Somebody put you between a rock and a hard place. There is no regulation regarding BMI and sleep apnea.
So what to do next is go somewhere else to get your medical card. Blood pressures need to be below 140 /90, that’s a regulation.
i had a previous history of sleep apnea . after losing 47 pounds ihad another sleep study which stated ; 1mild sleep apnea overall.2moderate obstructive sleep apnea-mainly supine position related.(even though i never sleep on my back).3 NO osa in left lateral position(which is the side i always sleep on anyway).Am I going to have to wear a cpap device for the rest of my carreer even though I don’t need it.The company doc gave me a 90 day license and said i have to come back with a 90 day cpap proof of compliance(smart card). please help me out. my device is broken and i can’t get an appointment for a new one until nov. 23.
@Stephen
If your primary doctor feels that the CPAP is no longer needed, then get him to complete your medical release form for you and take it with you when you go back for your DOT physical.
If you have a choice, you may consider going someplace else for your DOT exam. Good Luck
Son just had DOT physical last week but injured right knee and company wants him to have another physical. He heard a pop in his knee when injury occurred. ..no swelling. Bruising. Redness but walks with a limp and pain when knee twisted side to side…just lost health insurance on 22nd r/t turning 26. Just called back to work prior to injury. Able to walk and drive can’t afford to be off work now but is it possible to pass physical and continue to work
@Terry
If he can perform the duties of a CMV operator and do them safely, then he should be good to go.
The examination is about medical fitness for duty and safety for both the driver and the public at large.
I have high blood pressure from the year 2000 up to now my doctor has it under control but when I go to do my physical it’s always high. I went took my physical the doctors assistant did all the readings every but my blood erasure was good she droped the thermometer on the floor said that’s funny it already took the reading the blood pressure machine stoped half way thru taking the reading then started again took a bad reading I should of had a heart attack rite there for what it read she did it another time couldn’t figure out what it was so I got my card for 90 days I never seen the so called certified doctor was told come back show 140/90 I’d get it for a year . Well I went back 88 days later after seeing my doctor once a week every thing was good.the doctor assistant took blood pressure 1 reading to high the next good I only revenues my car for 10 mounths .i never seen do called certified doctor . This is wrong .if a assistant can do my physical why can’t my doctor she is better suited to do it than a rookie wanna be doctor. It’s like going over the scale with your truck getting a dot check u better just shut up and take what u get or your screwed all people with a medical problem should get together and sue the dot for trying to take away our jobs most of them can’t even drive a truck and cannot pass a dot physical so let’s get this started.i wonder why their is a shortage of truck drivers??. If they take your job they should automatic give you disability your trying to work after all iv been driving for 23 yrs and I like it.oh by the way I’m still alive.thanks for your time.edward Reeh .
@Edward
If you feel that you have been treated wrongly, then you need to take this up with the FMCSA. They have a site on their website that allows you to enter into conflict and report such strange goings on. Good Luck
My husband is blind in one eye is this going to prevent him from driving his working truck ?
@Lisa
Each state is different. If he has been able to drive within your state, then there are no new changes which would effect him. But ideally, check with your state Drivers License Department to confirm.
I just recently had an eye exam with 20/10 corrected vision in 1 eye and am blind in the other. I have a full field of vision and can see objects 1/2 the size of a normal person with 20/20 vision. I have been blind in my right eye since 1971 and have adapted well over the years. I have passed the DOT physical with flying colors, have a very clean driving record, NO criminal history, and a very clean drug screen. I have had a driver license since 1976. I will be driving OTR delivering new vehicles such as UPS and FED EX trucks, small bucket trucks and such with only a chauffeurs license. Can someone please tell me why I need a vision waiver to get DOT certified? A person 60-70-80 years old can go buy a 35ft. motor home, under 26,000#, hook a tow car up and drive across country on a standard license. This just seems strange to me. Gonna take 60-90 days to get a waiver if at all….
I have class A Hazmat/Tanker in Ohio. I just lost my job and insurance. My medical card was a 3month card. The examiner wanted me to get a sleep apnea test done before he would give me new card. What can I do to get a sleep apnea test without insurance and is it really a required law yet.
@Ohio
The sleep apnea screening issue has caused confusion for many – medical examiners and drivers.
We have extensive information on this subject. Start with our FAQ – Sleep Disorders. Then read blog articles to understand the sleep apnea screening issue and how to know if you have OSA.
We do not have referral resources for sleep apnea testing.
We recommend you continue to investigate this issue and take action if you have reasonable risk of sleep apnea, before it becomes a problem for maintaining your CDL.
I have a herniated disc in L4 and L5 and some deterioration. I am in pain most of the time but it doesn’t stop me it can just slow me down. Will this stop me from passing the DOT physical? I was also told they put you through a stress test having you do pushups and situps . I have never been able to do a push up and not because of my back and sit-ups I can no longer do. Will this stop me from passing as well? Thank you for answering in advance.
@Karole
As long as you can perform the duties of a commercial motor vehicle operator, then you should not have any issues.
Only certain companies are requesting the sit-ups and push-ups. It is not a part of the standard DOT medical examination.
Hi I recently went through surgery for oral cancer and they had to place a tracheostomy tube in my throat because of swelling so I could breath and have been told that it could be there for the rest of my life I currently have a class A CDL in the state of Pennsylvania with a valid DOT physical card which expires by June or July of 2015 would I be able to pass a DOT physical if the tracheostomy was in permanent and if I would what would I need to pass any help would be greatly appreciated
@Jeremy
Once you have healed completely, get your medical release form completed by your primary doctor and you should not have any major problems.
I had surgery for a vascular blockage in one of my legs and have been cleared to return to work by my surgeon, but DOT regulations state I have to wait three months before I am medically certified to drive (Class B). My job basically demands I drive. Is there any way to appeal or rectify this? Can my doctor intercede on my behalf?
@Ken
The main issue here is that the FMCSA has decided that following any surgery that has to do with any vascular system has the potential to be a safety issue. So to protect all parties involved, they require a 3 month waiting period. I don’t think that having your doctor intercede here is going to do much good. This is a regulation (law) not a guideline. Also make sure when you do redo your medical examination that you have your medical release form completed by your primary doctor.
I had hip surgery on May 9 2014. .my orthopedic surgeon release me to go back to full duty as a delivery driver. .I go in on September 5 20 14 for a DOT card.. will I have any problems getting that card? ?
@Kathy
Take a medical release form completed by your doctor and you should not have any problems.
If you are bipolar and take wellburtin , clonazepam and adderall with prescription. Will that disqualify you and not pass dot exam .
@Chris
With proper documentation from your prescribing doctor, as well as a medical release form completed by your primary, you may be able to pass.
A lot will depend on what your doctor says and how well you are going about handling life in general. That will all fall into the realm of the CME examiner’s evaluation. Good Luck.
I am A 27 year old male from Georgia. I have Hypertrophic Cardiomiomathy, High Blood Pressure, And Stage 3 Kidney disease (which is controlled by medicine), I was wondering can I get a cdl license and a dot medical card with these conditions?
@Marquis
The best thing you can do is down load the medical release form and have your doctor read the job description of a CDL driver. If he feels that is something that you can do and will sign the release, with all the needed info, then you know where you stand in this situation.
Another possibility is looking at an intra-state only card. The states are more lenient than the feds. Good Luck.
If my blood pressure is only barely over which would land me in high blood pressure range would this cause me to fail dot physical?
@Ben
No, but it may reduce your medical card to a one year certificate, so you can get your blood pressure under control.
For more information see FAQ – Blood Pressure and Hypertension
I have been on Tramadol for 15 years for arthritis. The has been absolutely no bad side effects. My primary doctor has tried many other pain meds. and we can’t find one that works or doesn’t give me diarrhea other than Tramadol. I have been with this doctor for at least 20 years. Can I continue to take Tramadol? I have a class B CDL in NJ
@Barbara
As a class B driver and having been on this medication for a prolonged period, you shouldn’t have any issues.
Get a medical release form completed by your primary doctor explaining your meds and take that with you when you go for your next medical certificate. Good Luck
I have been a type 1 diabetic for around 30 years and luve in Missouri. My question is, do I need an insulin waiver to drive for hire with only a class e license and do I even need a dot physical exam? Occasionally I will be driving into kansas but not often.
@Jeremy
I am not familiar with a class E license.
I suspect, since you are not driving interstate, that your state has the answer to your question better than I.
Each state has its own rules and regulations regarding your condition. Given that you have been driving and are a diabetic and have done so for years without a waiver, I doubt anything has changed for you.
Check with your state Drivers License Department.
I had a convergent heart surgery (double ablation) July 23, my heart doctor has cleared me after 6 weeks. It has been brought to my attention that there is a standard of 8 weeks after any surgery. My question is do I need another dot physical and what do I need to bring with me other than the standard release form from my heart doctor. I am not symptomatic at this time.
@Jimmy
Yes, you will need a new DOT medical examination to return to driving.
Yes, get a medical release form completed by your doctor before you return to your DOT examination. This completed information helps the examiner with his decision making process.
Be aware that your medical card will be good for one year at the time.
is there any dot medical places that does not require a sleep apnea test for local drivers to a medical card ?
@Lonnie
NO DOT physical exam should ‘require‘ a sleep apnea test in order to get a medical card.
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 a few resources to better understand sleep apnea screening, testing, and compliance:
Can a DOT Medical Examiner Refuse You A Medical Card Unless You Have A Sleep Study Done?
FAQ – Sleep Disorders
Articles – Sleep Apnea
See if you can find DOT physical locations near me. The DOT certified doctors in our network understand the FMCSA rules and the challenges that drivers face.
Hi, My husband has been hauling fuel for 40 years. He has a CDL with hazmat. His last Medical exam last month found a Abdominal Aneurysym. The doc obviously could not sign his certificate at that time. He had it repaired last week and we got a medical release from his vascular surgeon. We went this AM to the DOT doctor get his card signed. And we were informed that there was a 3 month waiting period after surgery before she could sign it. Is there an appeal or anything we can do about having to wait.? By the way we are in Texas.
Thanks,
TN
@Tami
Minimum wait period following surgical repair is 3 months and a medical release form completed by your primary doctor.
This is a FMCSA regulation not a guideline. So really nothing to appeal.
This is a safety issue. Your vascular surgeon does not have any real idea of what a commercial driver does for a living and is not in a position of knowledge to make the claim to return to work as a CMV operator.
This repair needs to heal before you return to work, safely.
What about your Cdl? will you have to renew it as well? I had bariatric surgery and have not been released from my doctor yet, but my medical card expired and the dot doctor will not give me a medical card until I am released. I am worried about losing my Cdl. Please help.
@Ashley
You’ll need to contact your state Drivers License Department to find out the status on your CDL and what you need to do next.
My husband takes celebrex,losartan and norvasc. Also has a small heart murmur. What should he be worried about, if anything, to pass his physical. Great job offer awaits him,we need the job, he is strong and intelligent and does not want to make any mistakes.
@Dian
He shouldn’t have to worry about anything.
Just make sure he has his medical release form completed by his primary doctor in hand when he goes for his DOT medical examination.
Be aware that his card will be good for one year at the time and he will need to keep under routine doctor’s observation. His conditions are considered progressive and should be monitored routinely.
Good Luck
I work at a medical doctors office and from my understanding, in the state of Washington, you cannot laminate the DOT medical card. But we have had patients ask us to shrink and laminate the actual dot medical license. Would you be able to help answer this? thanks.
@Jenleija
Each state may have its own rules and regs.
I have been laminating medical cards for WA for years and never heard of any negative feedback.
Check with your DLD in WA to get the ‘official’ answer.
had shoulder surgery in June…..did dot physical in May before the surgery….July 29 physical card expires…still not all the way healed….will they give me an extension on my physical or will I have to go thru the whole dot Illinois Bus dot again
@royalbp
Well it looks like you got a very short term card to begin with.
In reality you need to be fully healed from the surgery before you can get a new medical card.
I would check with the state about any extension given your present circumstances. Based on that I do not believe you would have to go through the whole process again, just a new medical card.
I’m a type2 diabetic taking only pills to control my blood sugar levels (no insulin). What does my a1c level need to be to pass a DOT physical?
@Greg
Your diabetes has to be under control with no sugar spillover in your urine.
Also bring a medical release from your primary doctor stating you are compliant and have your condition under control and you’re able to performs the duties of a driver. A1C’s need to be in the normal ranges.
Is there a certain amount of time you have to use the cpac machine every night???
@Richard
You need to be on the unit for at least a month before returning to work, (as a driver).
After that, your primary doctor will probably want to see usage of around 80%.
I would check with the prescribing doctor and ask him for sure, but relatively constant usage is needed for the FMCSA.
If my weight is 300 lbs at 5 foot 10 inches does this mean that I will not pass my physical for my cdl?
@Mark
If you can perform the duties and are medically fit to operate a commercial motor vehicle, then, you should pass.
The requirements are covered in the Guidebook.
All the legal requirements are on the FMCSA website.
my husband had been taking celexa for depression for 8 years he stopped before taking his dot physical. Is he able to start taking it again and continue to have a cdl?
@Mary
Your husband needs to have his primary healthcare provider fill out a medical release form and take it to the DOT examiner on his next physical.
With proper documentation and correct answers, he shouldn’t have any problems.
Incomplete or untruthful federal forms can cost him his CDL, if it is found out after the facts.
As of May 2014 did they pass the guideline where no one that has ever had an enlarged heart can never have a CDL license?? My husband has had it all his life and has been driving truck for 15 years and never had a problem performing the requirements of his job…but because of this supposed new law his CDL doc. won’t pass him??
@Jamie
This is straight from FMCSA handbook:
“If you note an enlarged heart in a driver, you should not certify the driver until evaluation by a cardiovascular specialist who understands the functions and demands of commercial driving to confirm or rule out a diagnosis of hypertrophic cardiomyopathy.”
So I would have his cardiologist fill out his medical release form and take it back to your examiner and request the examiner re-evaluate his standing.
I just had 2cervical spine fusions does this disqualify me from driving
@Charles
Not in and of itself, no.
You will need to fully recover and be able to fully return to work before you will be able to get a new medical card though.
Good Luck
I have a torn ACL in my left knee but I can walk fine and it’s not noticeable… will this disqualify me?
@Richard
No, as long as you can perform the duties required of a commercial motor vehicle operator then you shouldn’t have any problems.
I have type 2 diabetes and I was wondering if I can still drive if I would be placed as a type 1 that has to take insulin? My vision test is good and no high blood pressure. I do work out dailing and I try my hardest to stay away from sugar!
@Bradley
Type II is not a problem if your condition is stable.
If they take you to insulin, you would be disqualified until you got an insulin waiver from the FMCSA.
Or if they believe that you have to have an injectable, then ask about using a medication like Bietta.
I went in for dot at end of June and my pulse was 100 bpm iam 450lbs and the doctor wants me to have a skills performance evaluation but they can’t tell me where I can go take it anyone know if they do SPE from what I have read that test is for ppl who have a limb missing thanks
@Mike
I would check with your state DMV, they should be able to point you in the right direction.
I am trying to get a warehouse job. I need a DOT certificate. The doctor told my not to bother even taking the physical because I am a type 2 diabetic. Also as a precaution I take an anti-seizure medicine because I had a seizure once that may have been related to my diabetes a few years ago. I now wear an insulin pump and take my medicine and everything is under control. Do I even have a shot at getting a DOT Certificate for this warehouse job?
@Jerry
What your doctor is using as a guide is for class A long haul commercial drivers.
It sounds like you just need a medical card to operate something less. With proper documentation and knowing what your state requires, you may not have any problems.
Further research on your part will answer your question. Start with your state requirements for a medical cards based on your present license class and go from there.
Good Luck.
I recently accepted an offer from trugreenand will be driving one of their trucks. I passed a pre employment drug screen and now have to take a DOT physical. Why would I have to take two drug tests?
@Jason
There is no drug testing done during a DOT examination.
The urine test done during the DOT 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.
I have been given a 3 month temporary medical card for high blood pressure but on my vison test the lady put down 20/40 in my left eye, 20/30 in both eyes and 20/50 in my right eye. Should I be disqualified or no?
@Brandon
DOT requires 20/40 at the very least – And that is in both eyes together and each eye individually.
If she wrote it down as 20/50 uncorrected and better then 20/40 corrected. No problems.
If corrected and still at 20/50, you would be disqualified as an interstate driver.
See also FAQ – Vision
I recently hired a warehouse worker who was supposed to get a drivers medical card so that he could drive company vehicles and trucks. When he went to take the physical for the card he was told that he could not get it because he was only 19 years old. Is this correct? Is there an age restriction on getting a driver’s medical card. I am in Pennsylvania. I would appreciate any help
@Eric
I do not believe there is an age limit on acquiring a medical card.
I will only assume the examiner was indicating that your driver can not acquire an interstate CDL at the age of 19.
Federal law permits persons between 18 and 21 years of age to obtain a CDL to drive within state boundaries.
I would check with your state on this regulation.
I’ am a Miami Dade County Transit bus operator I had a defibrillator put In 2005 I been driven with It for 8 years with no problem the dade county doctor Dr. Ken Kaplan Of Mount Zion Occupation Health and my Cardiology Dr Hurwit of Adventure hospital did not have no problem as long as I EKG, Stress test ultrasound and be able to perform my job function that was the requirement for Dr. Kaplan and Dr. Hurwit I was clear to work I was clear to work In 2011 Are we DADE COUNT TRANSIT Exemption from the Dot law are I’m able to operator the bus In Miami dade county transit ? This Is Important
@Jeannie
I will begin with an assumption that you are not a class A driver or you only operate within the state of Florida.
By FMCSA rules and regulations, as a interstate (over the road) driver, you would not pass due to the defibrillator.
As an in-state driver, you fall under a different set of rules based on your state and limited to intra-state activity.
You have been cleared and done good follow-up with your care and your doctors have kept you on the road and working with the right documentation.
So unless you are about to change careers, you should check with Florida DMV to confirm that you, as a MTA driver, are still good to operate the bus.
I don’t believe there are any new changes in regards to your circumstances.
Can you get your CDL for driving bus in WI, if you have to use oxygen at night?
@Brian
Your best bet here is to check with your state DMV to answer that question.
CDL drivers can use a CPAP machine, so I’m not real sure of the question, it’s a little vague.
For more information see our FAQ on breathing.
I am starting a new job as a Indiana state certified driver instructor at a licensed truck driving school. Do I require a DOT medical examination anymore and will my self certification status be if I don’t cross state lines.
@Bill
See Indiana CDL and DOT medical card requirements.
Your new employer should also be able to confirm this.
I recently started driving and was required to get a DOT physical in March 2014. Is this physical and physical card going to be accepted after the May 21 deadline?
@TK
Yes, your medical card is valid until the expiration date on the card – even if the card was issued by a medical examiner who is not certified and on the National Registry by the May 21 deadline.
Recently had back fusion surgery at L4/L5. Another driver told me that he read somewhere on a Fmcsa site that that was a disqualifier for cdl. I can’t find anything that states either way.
@Cyril
Your surgery is not a disqualifier.
Once you are cleared to return to work, you will need to have a new medical examination completed by a DOT medical examiner. Make sure you bring any useful information for the examiner regarding your condition and any limitations. Other than that you should be good to go.
I have a rx for Xanax. I have CDL, using this rx and was told I could not use this medication and pass my dot physical? Home office in another state has no problem with me bring in this rx. Not sure if I can use the medication or not?
@Vwel
As long as you have a prescription from your primary healthcare provider and a note from him indicating your need and safe usage of this medication, then there should be no problem.
See also our FAQs on medications.
MO. class E chauffeur license. is the physical the only testing necessary?
sorry …. Is it the only thing necessary to obtain a medical card?
@Joe
I do not know for sure. I have not seen a class E chauffeur licence.
You’ll need to check with your local state DMV for that answer.
I believe that the old E licence was turned into what is now the class A. If that is the case, then all you will need is to do the physical for the medical certificate. But check for sure with your state DMV.
do you have to pass drug test
@ Chuck
At some time in your life, YES. But, during a DOT examination, you are required to pee in a cup to rule out blood, protein and sugar, for proper healthy kidney function.
I had my CDL many years ago, but let my class A license expire to follow another career path.
Now retired and looking to get back into driving again.
Issue is I had L4-L5 vertebrae fused in an operation in 2006. Since the operation I have had no issues.
Does this operation disqualify me from passing the medical screen?
@Mike
No, the surgery was done to allow you to return to work.
The DOT examiner needs to know about the surgery, but it is not a limiting factor. If you have limitations or restrictions, then there may be some limitations via the DOT examiner, but highly unlikely.
Is there a new federal guideline surrounding BMI for CDL drivers when it comes to their annual physical
@Bob
There are currently no set specifics on BMI measurement in the DOT regulations.
See FAQ at this link for similar questions that may shed more light on this often misunderstood issue.
My brother in law, who has cdl, recently had a fall and broke his neck. After surgery he has zero mobility; up, down, side to side, circular, nothing, forever. If he is cleared to drive by his physician to drive, can he pass a DOT physical in his condition?
@Sarah
A CMV driver’s job description would have him with some cervical ranges of motion – it is part of his over-all job. Most primary care physicians have no idea of what is required by the DOT or FMCSA regarding the driver and what his job entails. I do not think he would be able to operate a commercial motor vehicle safely and that puts himself and everyone around him at risk. So, no, he would not pass a DOT physical in his condition.
My fiance is a diabetic and he controls it through pills but they say that his sugar levels are showing up too high in his urine test, what should he do?
@Brandi
There should never be a sugar spill-over into urine. This is showing that his sugar is not being controlled with oral medication and diet.
He should be addressing this with a visit to his primary healthcare provider to see what is the next step and get re-educated as to how to truly control this issue. If he doesn’t, it will cost him everything in the end.
Have Flordia CDL , can I take a dot physical in California ? Would it be good for Flordia CDL?
@Jerry
The answer to your question is “Yes” AND… be careful! Be sure that the long form and medical certificate used for your examination is the standard FMCSA form.
A DOT medical card is valid nationwide so you can get certified in any state, no matter which state you have your CDL.
However, California uses their own form for CA CDLs, which is different from the form all the other states use.
For more information, see our FAQ on FMCSA regulations.
I am looking to help our CDL guys to see the understanding of what the Engery Drinks can do to you plus the understanding that this can cause you to not be able to get a passing physical. If you have anything that would help please provide anything thanks.
@Lori
This question falls outside of our area of focus so we do not have an informed response to provide.
Thank you for checking in with us.