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Q&A
Who can I go to, to get my DOT medical card?
Can I go to my own doctor to get my DOT physical or do I have to use my company doctor?
What’s the difference between a DOT Doctor and a Medical Examiner?
How long does it take to get my medical certificate?
What’s involved in a DOT physical?
What would cause me to fail a DOT physical?
When I do my DOT physical do I have to get completely naked?
Who pays for the DOT Physical Examination? Me. Company. Insurance?
If I don’t have medical insurance can I still get a DOT physical?
How much does a DOT physical exam cost without insurance?
Why do I have to have a urine test for a DOT physical?
Can I get a copy of my DOT physical form?
How long is the DOT medical card good for?
How many 3-month DOT medical cards can you have?
Is there a difference between a DOT physical card and a DOT medical certificate?
How do overweight truck drivers pass the DOT physical?
What if I’m disqualified – may I request another DOT physical?
What if I don’t disclose a medical condition when I go through the DOT physical exam?
Who can I go to, to get my DOT medical card?
Interstate drivers: CMV drivers who drive interstate, must get Federal medical certificates from a medical examiner who is FMCSA National Registry Certified. (Find a registered CME)
Intrastate drivers: Each individual State makes the determination as to whether or not intrastate drivers must be examined by a certified ME listed on the National Registry. To avoid hassles it’s our recommendation that you find a registered CME.
Can I go to my own doctor to get my DOT physical or do I have to use my company doctor?
This will depend on the company policy. Your company may require you to use their company doctor for your DOT physical exam. If this is not a requirement, you may go to any medical examiner who is certified on the FMCSA National Registry.
What’s the difference between a DOT Doctor and a Medical Examiner?
There is no difference, these terms are used interchangeably. The terms Medical Examiner, Certified Medical Examiner, and CME are now being used since the federal regulation came into force on May 21, 2014. Drivers will not be able to go to just any healthcare provider for your DOT physical. You must go to a Certified Medical Examiner on the FMCSA National Registry.
How long does it take to get my medical certificate?
It should take 30-45 minutes to go through the physical examination. Provided there are no medical concerns the medical examiner will be able to certify you and issue your medical certificate.
If the medical examiner has concerns about a potential, current or past medical condition you may be required to see a specialist for additional medical tests or get documentation from your treating physician. In this case the medical examiner will not be able to complete the DOT physical exam until these requirements have been fully met.
Be Prepared! Find out what you should know before you get to your DOT physical appointment.
What’s involved in a DOT physical?
The DOT physical exam is considered a “Medical Fitness for Duty” exam for the demands of the job required of any commercial driver, not just the driver’s current job duties. The medical examiner’s role is to determine if a CMV driver’s health meets FMCSA standards.
The examining doctor has these two questions foremost in mind when conducting the physical exam:
- Can the driver safely meet the physical and mental demands of the job today, and for the period for which the medical card will be issued?
- Does the driver have any past or current medical conditions, which may impact the ability to meet the demands of the job now or in the future?
The DOT physical is an extensive medical examination to determine if you are qualified to safely operate a commercial vehicle. The best way to understand the DOT Physical Examination is to relate the medical requirements to the demands of your job as a commercial driver. The full extent of these are explained in Trucker Docs™ special guidebook to getting your medical certificate.
What would cause me to fail a DOT physical?
Any condition that would cause a loss of ability to control, operate, or drive a commercial vehicle safely – loss or impairment of limbs, poor visual or auditory acuity, insulin-controlled diabetes, high blood pressure, heart disease, respiratory disfunction, epilepsy, mental disorder, use of certain drugs, alcoholism.
The DOT physical is an extensive examination. The full extent is explained in Trucker Docs’ special guidebook. Any disease, disorder, injury, or medication could cause you to fail if they present a risk to public safety.
When I do my DOT physical do I have to get completely naked?
No. There is no reason to get naked. Loose clothing will suffice for the examining physician to be able to complete all aspects of the DOT physical exam.
Who pays for the DOT Physical Examination? Me, my employer, my insurance?
There is no set answer here.
Sometimes the driver pays.
Some companies will pay for it, some will not. So check with your company because some require that you use their company doctor.
Some insurance companies treat this exam as preventative health care and will not reimburse for it. Sometimes the driver will pay, and may submit the receipt to their insurance for reimbursement, if the insurance will pay.
If I don’t have medical insurance can I still get a DOT physical?
Yes. You do not need medical insurance to get a DOT Physical.
How much does a DOT physical exam cost without insurance?
Currently we’ve seen DOT physicals charged anywhere between $50 and $300. The new FMCSA Medical Examination Forms (2016) and reporting system have increased administrative work and time for medical examiners, and costs for the DOT physical exam are rising accordingly.
Why do I have to have a urine test for a DOT physical?
The urine test is just a kidney screen to test for sugar and protein. It’s done to determine that there is no early onset of conditions like high blood pressure breaking down the kidneys, or early signs of diabetes, or kidney infection.
Can I get a copy of my DOT physical form?
Yes. As well as receiving your medical certificate you should also get a copy of the long form (Medical Examination Report). The medical examiner is required to keep a copy of these documents for three years. If you need a copy you should contact the medical examiner. Contact information is on your medical card.
How long is the DOT medical card good for?
A DOT medical card is valid for two years if you have no restrictions. A history of high blood pressure, taking high blood pressure medications, a sleep disorder, and taking oral medications for diabetes can restrict the medical card to one year or less, depending on how frequently the condition needs monitoring.
How many 3-month DOT medical cards can you have?
One only. You should have the condition, which caused the restriction, under control by the end of the 3-month window.
With the typical 3-month medical card, you needed to do something to bring some physical condition under control. If you did that, and you go back to see your last DOT examiner, he can issue you a new medical card for typically one year. If you didn’t fix the issue, he can choose not to extend the card. So get the condition taken care of and don’t have to worry about short term medical cards.
Is there a difference between a DOT physical card and a DOT medical certificate?
No. These terms are used interchangeably. They are most often referred to as a DOT medical certificate when referring to the medical card, and DOT physical when referring to the DOT physical exam.
I lost my medical card. How do I go about getting another one? Do I have to do the DOT physical again?
No you do not have to do the physical exam again. The medical examiner is required to keep a copy of the exam documents for three years. If you need a replacement medical card you should contact the medical examiner.
How do overweight truck drivers pass the DOT physical?
Being overweight is not a restriction to passing the DOT physical exam. It is the medical conditions that being overweight eventually leads to, such as high blood pressure, heart disease and kidney disease, that may affect your ability to safely drive a commercial vehicle. That is what the DOT Physical exam will determine – whether you have any of these restrictive medical conditions. Getting healthy and staying healthy is your best guarantee for your life and your livelihood.
Does the DOT physical require a driver to be completely healthy… does that include sexually transmitted diseases?
No. An STD will not affect a DOT examination.
What if I’m disqualified – may I request another DOT physical?
This really depends on why you were disqualified.
Doc shopping used to be what folks did, but that is changing with DOT and FMCSA. If all medical examiners are following the guidelines and regulations, then it would not matter where you go, you would still be disqualified if the same situation exists.
If the disqualification seems unreasonable, and you feel you are truly fit enough to safely drive a CMV, then discuss the concerning condition with the medical examiner, and ask for options that may help you to be reconsidered for certification.
Second opinion: A driver always has the option of getting a second opinion. If the qualification restrictions or disqualification seems unreasonable, and you feel you are truly fit enough to safely drive a CMV, you should find a different clinic to get a second opinion. The new examination decision supersedes the previous examination.
What if I don’t disclose a medical condition when I go through the DOT physical exam?
When you complete the health history section on the long form you must certify that your responses are complete and true. Making a false statement for concealing a disqualifying condition may invalidate the examination and any medical certificate issued, based on it.
What about “shopping” for a DOT doctor who will be “lenient” on the qualifiers for DOT medical certification?
Some drivers used to do “shopping around”. Starting 2016, the FMCSA reporting system with the National Registry will have the capability to flag multiple exams, identify missing or false information reported by the driver in the Driver Health History section of the MER Form, MCSA-5875, and make a determination to void the driver’s MEC, Form MCSA-5876, if appropriate.
It isn’t an issue of lenience. It’s an issue of whether you, as a driver, are safe and medically fit to operate a commercial motor vehicle. It’s about safety for you and the public at large. Do what you need to do to be medically fit to pass the DOT examination and don’t worry about finding a lenient DOT doctor.
Second opinion: A driver always has the option of getting a second opinion. If the qualification restrictions or disqualification seems unreasonable, and you feel you are truly fit enough to safely drive a CMV, you should find a different clinic to get a second opinion. The new examination decision supersedes the previous examination.
Certified medical examiners are now required to understand the role of a commercial driver. The doctor who understands the lifestyle and job challenges of a driver, should really want to help you alleviate conditions that could potentially threaten not only your livelihood, but also your life, and possibly the lives of others if a catastrophic event could occur. So if you need a second opinion, look for a medical examiner who considers the big picture of fit for duty rather than one who does a checklist exam.
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Your comments are also welcome.
Where do we submit our Medical examiner’s certificates to in Santa Fe?
Fax number?
Scan?
Address to mail????
The easiest way possible please
Please I need to information to do so so I may comply with the laws of New Mexico.
Thank you,
David
I took my DOT physical last week and passed everything however the medical examiner is asking that my primary care physician fill out the 391.41 CMV DRIVER MEDICATION FORM. I dropped it off to be completed and when I went up the next day the physicians nurse stated that they don’t do anything with CDL or DOT so they refused to sign it. I explained what the form is for and why it is needed but the doctor still won’t sign it because it is for DOT. They asked my why the medical examiner cant fill it out since they are a dr. I stated because they are the medical examiner and arent they one that prescribe my medications. What should I do now? I am not sure how to get it signed or what I should do since I cant get it done?
@ Jason B
You are correct about the role of the prescribing doctor.
Your prescribing doctor is misunderstanding his part in this situation. He is not doing anything for DOT/FMCSA other than answering another doctor’s question.
The CME is the one who is dealing with DOT.
Try to explain this again to your prescribing doctor.
Is there a deadline for reporting DOT exams, once they are complete, on the National Registry?
Federal reporting is required within 24 hours of the examination and this is usually done by the Medical Examiner’s Assistant. It is up to the driver to report a new examination result / Medical Certificate expiration date to his / her individual state Department of Motor Vehicles.
Question: I have type 2 diabetes but it’s controlled with pills but about 3 months ago I had an open wound to flare up on the left inside ankle. It started out as an itch and b4 I knew it had grown to the size of a soft ball. I went to the doctor and he took me off work and I’ve been off now going on 6 weeks. It’s healing but it’s healing really slow and it hurts all the time. I have about 4 more weeks of fmly medical leave left to use but I know it’s not going to be completely healed b4 the rest of my leave is used.
So my question is will dot pass me if the wound is still not healed up all the way even if I can physically pass the dot physical and all the physical parts of it?
@ Terry
If the wound does not interfere with your abilities to perform your duties as a driver, then the only questions will revolve around your diabetes and your present situation. The examiner will, most likely, request a full medical release along with supporting documentation regarding your diabetes.
ive been going to the same clinic for over 15 years to get my D.O.T. physical , do I always have to fill in the same info time after time about the same medical conditions that i ve had for years/?
Our Safety clerk said that i will have to get a new DOT physical after receiving anesthesia for lithotripy. Is that required under the regs?
@ Ken C
Yes, DOT/FMCSA requirements and regulations.
I was new to bus driving (1 year) when I was laid off as a school bus driver in Illinois in mid-March however just before that I went in for my DOT physical. I was given a temporary permit (3 mo) because they were concerned I could have sleep apnea. I made my appointment, however it kept getting pushed back due to Covid19. I finally received the initial consultation last week, and need to schedule a sleep test. However, I no longer have insurance and won’t be able to pay for the sleep test. I believe I need to have everything in order by October of 2020 in order to keep my CDL.
It’s unlikely I will be able to receive the sleep test before October (due to insurance and a huge back order of tests). I’m hoping to re-take the CLD test next year. Is there a waiting period to re-apply for the CDL after failing to meet DOT requirements?
@ Michelle R
Class A drivers are held at a higher physical mental and emotional standard then other drivers. Sleep apnea testing is not mandatory via DOT/FMCSA, so unless there are additional signs and symptoms the sleep apnea test is not needed to pass a DOT physical. If you carry a class B cdl you fall under the states variances and not DOT/FMCSA. Your cdl s state issued and you should check with your state to determine the next steps to be taken.
I’m I aloud a copy of my physical exam results, my company tells the doctor not to discuss the results with the driver , and fax everything to them , and they want me to sign a release of medical records is this legal
@ Andrew M
You should receive a copy of your long form and a new medical card. If a company pays for the examination, then they feel they have a right to your medical records, but still need a medical release form on file to do so. It’s legal only if you sign the medical release. Since you may not have paid for the examination, then the doctor is following the companies request. Check with your company’s HR department for further clarity. It should be part of the companies written policy. Ask to see the policy.