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Please read through the Q&A before posting a question. This will help everyone to not have duplicate questions. Thank you!
If you still can’t find a related answer, then you are welcome to ask your question in the comments section below.
Q&A
Who can I go to, to get my DOT medical card?
Can I go to my own doctor to get my DOT physical or do I have to use my company doctor?
What’s the difference between a DOT Doctor and a Medical Examiner?
How long does it take to get my medical certificate?
What’s involved in a DOT physical?
What would cause me to fail a DOT physical?
When I do my DOT physical do I have to get completely naked?
Who pays for the DOT Physical Examination? Me. Company. Insurance?
If I don’t have medical insurance can I still get a DOT physical?
How much does a DOT physical exam cost without insurance?
Why do I have to have a urine test for a DOT physical?
Can I get a copy of my DOT physical form?
How long is the DOT medical card good for?
How many 3-month DOT medical cards can you have?
Is there a difference between a DOT physical card and a DOT medical certificate?
How do overweight truck drivers pass the DOT physical?
What if I’m disqualified – may I request another DOT physical?
What if I don’t disclose a medical condition when I go through the DOT physical exam?
Who can I go to, to get my DOT medical card?
Interstate drivers: CMV drivers who drive interstate, must get Federal medical certificates from a medical examiner who is FMCSA National Registry Certified. (Find a registered CME)
Intrastate drivers: Each individual State makes the determination as to whether or not intrastate drivers must be examined by a certified ME listed on the National Registry. To avoid hassles it’s our recommendation that you find a registered CME.
Can I go to my own doctor to get my DOT physical or do I have to use my company doctor?
This will depend on the company policy. Your company may require you to use their company doctor for your DOT physical exam. If this is not a requirement, you may go to any medical examiner who is certified on the FMCSA National Registry.
What’s the difference between a DOT Doctor and a Medical Examiner?
There is no difference, these terms are used interchangeably. The terms Medical Examiner, Certified Medical Examiner, and CME are now being used since the federal regulation came into force on May 21, 2014. Drivers will not be able to go to just any healthcare provider for your DOT physical. You must go to a Certified Medical Examiner on the FMCSA National Registry.
How long does it take to get my medical certificate?
It should take 30-45 minutes to go through the physical examination. Provided there are no medical concerns the medical examiner will be able to certify you and issue your medical certificate.
If the medical examiner has concerns about a potential, current or past medical condition you may be required to see a specialist for additional medical tests or get documentation from your treating physician. In this case the medical examiner will not be able to complete the DOT physical exam until these requirements have been fully met.
Be Prepared! Find out what you should know before you get to your DOT physical appointment.
What’s involved in a DOT physical?
The DOT physical exam is considered a “Medical Fitness for Duty” exam for the demands of the job required of any commercial driver, not just the driver’s current job duties. The medical examiner’s role is to determine if a CMV driver’s health meets FMCSA standards.
The examining doctor has these two questions foremost in mind when conducting the physical exam:
- Can the driver safely meet the physical and mental demands of the job today, and for the period for which the medical card will be issued?
- Does the driver have any past or current medical conditions, which may impact the ability to meet the demands of the job now or in the future?
The DOT physical is an extensive medical examination to determine if you are qualified to safely operate a commercial vehicle. The best way to understand the DOT Physical Examination is to relate the medical requirements to the demands of your job as a commercial driver. The full extent of these are explained in Trucker Docs™ special guidebook to getting your medical certificate.
What would cause me to fail a DOT physical?
Any condition that would cause a loss of ability to control, operate, or drive a commercial vehicle safely – loss or impairment of limbs, poor visual or auditory acuity, insulin-controlled diabetes, high blood pressure, heart disease, respiratory disfunction, epilepsy, mental disorder, use of certain drugs, alcoholism.
The DOT physical is an extensive examination. The full extent is explained in Trucker Docs’ special guidebook. Any disease, disorder, injury, or medication could cause you to fail if they present a risk to public safety.
When I do my DOT physical do I have to get completely naked?
No. There is no reason to get naked. Loose clothing will suffice for the examining physician to be able to complete all aspects of the DOT physical exam.
Who pays for the DOT Physical Examination? Me, my employer, my insurance?
There is no set answer here.
Sometimes the driver pays.
Some companies will pay for it, some will not. So check with your company because some require that you use their company doctor.
Some insurance companies treat this exam as preventative health care and will not reimburse for it. Sometimes the driver will pay, and may submit the receipt to their insurance for reimbursement, if the insurance will pay.
If I don’t have medical insurance can I still get a DOT physical?
Yes. You do not need medical insurance to get a DOT Physical.
How much does a DOT physical exam cost without insurance?
Currently we’ve seen DOT physicals charged anywhere between $50 and $300. The new FMCSA Medical Examination Forms (2016) and reporting system have increased administrative work and time for medical examiners, and costs for the DOT physical exam are rising accordingly.
Why do I have to have a urine test for a DOT physical?
The urine test is just a kidney screen to test for sugar and protein. It’s done to determine that there is no early onset of conditions like high blood pressure breaking down the kidneys, or early signs of diabetes, or kidney infection.
Can I get a copy of my DOT physical form?
Yes. As well as receiving your medical certificate you should also get a copy of the long form (Medical Examination Report). The medical examiner is required to keep a copy of these documents for three years. If you need a copy you should contact the medical examiner. Contact information is on your medical card.
How long is the DOT medical card good for?
A DOT medical card is valid for two years if you have no restrictions. A history of high blood pressure, taking high blood pressure medications, a sleep disorder, and taking oral medications for diabetes can restrict the medical card to one year or less, depending on how frequently the condition needs monitoring.
How many 3-month DOT medical cards can you have?
One only. You should have the condition, which caused the restriction, under control by the end of the 3-month window.
With the typical 3-month medical card, you needed to do something to bring some physical condition under control. If you did that, and you go back to see your last DOT examiner, he can issue you a new medical card for typically one year. If you didn’t fix the issue, he can choose not to extend the card. So get the condition taken care of and don’t have to worry about short term medical cards.
Is there a difference between a DOT physical card and a DOT medical certificate?
No. These terms are used interchangeably. They are most often referred to as a DOT medical certificate when referring to the medical card, and DOT physical when referring to the DOT physical exam.
I lost my medical card. How do I go about getting another one? Do I have to do the DOT physical again?
No you do not have to do the physical exam again. The medical examiner is required to keep a copy of the exam documents for three years. If you need a replacement medical card you should contact the medical examiner.
How do overweight truck drivers pass the DOT physical?
Being overweight is not a restriction to passing the DOT physical exam. It is the medical conditions that being overweight eventually leads to, such as high blood pressure, heart disease and kidney disease, that may affect your ability to safely drive a commercial vehicle. That is what the DOT Physical exam will determine – whether you have any of these restrictive medical conditions. Getting healthy and staying healthy is your best guarantee for your life and your livelihood.
Does the DOT physical require a driver to be completely healthy… does that include sexually transmitted diseases?
No. An STD will not affect a DOT examination.
What if I’m disqualified – may I request another DOT physical?
This really depends on why you were disqualified.
Doc shopping used to be what folks did, but that is changing with DOT and FMCSA. If all medical examiners are following the guidelines and regulations, then it would not matter where you go, you would still be disqualified if the same situation exists.
If the disqualification seems unreasonable, and you feel you are truly fit enough to safely drive a CMV, then discuss the concerning condition with the medical examiner, and ask for options that may help you to be reconsidered for certification.
Second opinion: A driver always has the option of getting a second opinion. If the qualification restrictions or disqualification seems unreasonable, and you feel you are truly fit enough to safely drive a CMV, you should find a different clinic to get a second opinion. The new examination decision supersedes the previous examination.
What if I don’t disclose a medical condition when I go through the DOT physical exam?
When you complete the health history section on the long form you must certify that your responses are complete and true. Making a false statement for concealing a disqualifying condition may invalidate the examination and any medical certificate issued, based on it.
What about “shopping” for a DOT doctor who will be “lenient” on the qualifiers for DOT medical certification?
Some drivers used to do “shopping around”. Starting 2016, the FMCSA reporting system with the National Registry will have the capability to flag multiple exams, identify missing or false information reported by the driver in the Driver Health History section of the MER Form, MCSA-5875, and make a determination to void the driver’s MEC, Form MCSA-5876, if appropriate.
It isn’t an issue of lenience. It’s an issue of whether you, as a driver, are safe and medically fit to operate a commercial motor vehicle. It’s about safety for you and the public at large. Do what you need to do to be medically fit to pass the DOT examination and don’t worry about finding a lenient DOT doctor.
Second opinion: A driver always has the option of getting a second opinion. If the qualification restrictions or disqualification seems unreasonable, and you feel you are truly fit enough to safely drive a CMV, you should find a different clinic to get a second opinion. The new examination decision supersedes the previous examination.
Certified medical examiners are now required to understand the role of a commercial driver. The doctor who understands the lifestyle and job challenges of a driver, should really want to help you alleviate conditions that could potentially threaten not only your livelihood, but also your life, and possibly the lives of others if a catastrophic event could occur. So if you need a second opinion, look for a medical examiner who considers the big picture of fit for duty rather than one who does a checklist exam.
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Can I get terminated.
For not passing the DOT. FIZ.
It’s not drugs.
It’s a blood pressure related to issue what is the employer’s obligation.
@ Mark w
Termination from a company falls into company policies. You will need to check with the companies HR department for the answer to your questions.
I went to get my first medical examiner card so I could get my clp i went through a company and they sent me instructions and made it really clear that the clp/cdl applicant/holder box needed to say yes but somewhere furring my exam the doctor uncheck it and when I looked at it and tolded them that I was informed that it needed to say yes they told me because I don’t have a cdl they won’t mark it yes what can happen if I try to get my CLP and if I do and drive with it as no instead of yes.
@ Bryan
The CME is following the DOT rules and regulations. When you do go for your CLP, it will be noted on the forms that you have a valid medical certification.
Can you clarify your answer? Are you saying that if I have a DOT Med Card that indicates ‘No’ under CLP/CDL Applicant/Holder prior to getting my CLP, that I can use that Med Card to self-certify my medical status when I get my CLP? Or, are you referring to another process for the driver license agency to note that I have a valid medical certification?
@ Kerrie
Confirm with your local drivers license department. We believe that with a valid medical certification you can self-certify when you get your CLP. Remember that each state is different and you need to confirm with your state DLD.
I had a hip replacement 4 months ago, I am riding a bike 7 miles a day can squat bend twist with no problems. Will the hip replacement cause me to fail a DOT physical?
@ A
You should not have issues with the hip replacement and your medical card.
Does wearing an insulin pump to treat diabetes disqualify a person from getting a DOT Medical card ???
@ Doug
No. It will require supporting medical documentation and a medical release form from your doctors.
I recently had hip replacement surgery 2.5 months ago. I currently do not drive a commercial vehicle but I keep the class B rating, just in case. I need to renew my license this month. Do I need a medical release from my PCP/surgeon for my DOT physical?
I have been fully cleared by my surgeon to return to my desk job, not on meds for the hip surgery and have never felt better (no limitations).
@ Fred
Fantastic.
@ Fred
Class B license will fall under the states guidelines and variances, not DOT/FMCSA. Your state may require a medical release form from your doctors before you pass the medical card examination.
If a new person you want to hire fails his drug test and request the 2nd specimen be tested who has the responsibility to pay for it the prospective employee or the company if we pay for the 1st sample.
@ Angela J
One idea is to have the client pay for the retest, if he passes the second go round then reimburse him. If he knows he is dirty, then he will not pay to retest. Not a question of responsibility, but reasonable.
Where do we submit our Medical examiner’s certificates to in Santa Fe?
Fax number?
Scan?
Address to mail????
The easiest way possible please
Please I need to information to do so so I may comply with the laws of New Mexico.
Thank you,
David
I took my DOT physical last week and passed everything however the medical examiner is asking that my primary care physician fill out the 391.41 CMV DRIVER MEDICATION FORM. I dropped it off to be completed and when I went up the next day the physicians nurse stated that they don’t do anything with CDL or DOT so they refused to sign it. I explained what the form is for and why it is needed but the doctor still won’t sign it because it is for DOT. They asked my why the medical examiner cant fill it out since they are a dr. I stated because they are the medical examiner and arent they one that prescribe my medications. What should I do now? I am not sure how to get it signed or what I should do since I cant get it done?
@ Jason B
You are correct about the role of the prescribing doctor.
Your prescribing doctor is misunderstanding his part in this situation. He is not doing anything for DOT/FMCSA other than answering another doctor’s question.
The CME is the one who is dealing with DOT.
Try to explain this again to your prescribing doctor.
Is there a deadline for reporting DOT exams, once they are complete, on the National Registry?
Federal reporting is required within 24 hours of the examination and this is usually done by the Medical Examiner’s Assistant. It is up to the driver to report a new examination result / Medical Certificate expiration date to his / her individual state Department of Motor Vehicles.
Question: I have type 2 diabetes but it’s controlled with pills but about 3 months ago I had an open wound to flare up on the left inside ankle. It started out as an itch and b4 I knew it had grown to the size of a soft ball. I went to the doctor and he took me off work and I’ve been off now going on 6 weeks. It’s healing but it’s healing really slow and it hurts all the time. I have about 4 more weeks of fmly medical leave left to use but I know it’s not going to be completely healed b4 the rest of my leave is used.
So my question is will dot pass me if the wound is still not healed up all the way even if I can physically pass the dot physical and all the physical parts of it?
@ Terry
If the wound does not interfere with your abilities to perform your duties as a driver, then the only questions will revolve around your diabetes and your present situation. The examiner will, most likely, request a full medical release along with supporting documentation regarding your diabetes.
ive been going to the same clinic for over 15 years to get my D.O.T. physical , do I always have to fill in the same info time after time about the same medical conditions that i ve had for years/?
Our Safety clerk said that i will have to get a new DOT physical after receiving anesthesia for lithotripy. Is that required under the regs?
@ Ken C
Yes, DOT/FMCSA requirements and regulations.
I was new to bus driving (1 year) when I was laid off as a school bus driver in Illinois in mid-March however just before that I went in for my DOT physical. I was given a temporary permit (3 mo) because they were concerned I could have sleep apnea. I made my appointment, however it kept getting pushed back due to Covid19. I finally received the initial consultation last week, and need to schedule a sleep test. However, I no longer have insurance and won’t be able to pay for the sleep test. I believe I need to have everything in order by October of 2020 in order to keep my CDL.
It’s unlikely I will be able to receive the sleep test before October (due to insurance and a huge back order of tests). I’m hoping to re-take the CLD test next year. Is there a waiting period to re-apply for the CDL after failing to meet DOT requirements?
@ Michelle R
Class A drivers are held at a higher physical mental and emotional standard then other drivers. Sleep apnea testing is not mandatory via DOT/FMCSA, so unless there are additional signs and symptoms the sleep apnea test is not needed to pass a DOT physical. If you carry a class B cdl you fall under the states variances and not DOT/FMCSA. Your cdl s state issued and you should check with your state to determine the next steps to be taken.
I’m I aloud a copy of my physical exam results, my company tells the doctor not to discuss the results with the driver , and fax everything to them , and they want me to sign a release of medical records is this legal
@ Andrew M
You should receive a copy of your long form and a new medical card. If a company pays for the examination, then they feel they have a right to your medical records, but still need a medical release form on file to do so. It’s legal only if you sign the medical release. Since you may not have paid for the examination, then the doctor is following the companies request. Check with your company’s HR department for further clarity. It should be part of the companies written policy. Ask to see the policy.
Question? I live in the State of Mississippi and my company pays for the drivers CDL Medical Examination. Is the company entitled to receive / have access to the Long Form (MCSA-5875) along with my MCSA-5876? I know all that FMCSA requires in a DQF is the Medical Examiners Certificate. Are there HIPPA rules that could apply here?
@ Jerry G
It’s a tricky question, but in most cases that we have seen, if the company pays for the DOT/FMCSA medical certification examination then they have the right to a copy. It should be a question for your companies HR department and should be in their written policy.
What if I answer yes to question 31, regarding controlled substances? I took some cbd oil that that had more thc than federally permitted. I’m concerned because I will not be dishonest on the questionnaire. I’m afraid I may lose my job. My next dot isn’t for another year and a half.. what should I do? Thank you
@ Tbird
If your next physical is not for another 1 1/2 years, the thc will be out of your system. If the cbd oils are routine, then answer yes. If not a routine/prescribed medication, then simply explain your situation.
With the Pandemic have Medical card dates been extended. I live in Pa
@ Greg S
Most states and the fed extended medical card extensions for a few months. That period is over for the fed, but states may have additional extensions. Check with your state drivers license department for further information.
I went to get my physical the lady conducting my exam stated my vision was 20/50 she said I had 45 days to fix the issue with a prescription. I followed up within the 45 days, also bringing her the paper from the eye doctor showing my vision was 20/20 she was in disbelief and had me retake the vision part of the exam. She then demanded more money from me. Is she allowed to do this? Prior to my follow up she never disclosed a second payment would have to be made, she only told me to bring the paper showing I followed her orders and she would approve my exam?
@ Richard
You are saying the examiner did not accept your eye doctors findings and demanded a retake of the eye examination only and wanted additional office fees? WOW, and the examiner has that right, but? FMCSA does require a new physical (complete examination) be performed once a driver leaves the office and fees for the physical are within normal limits. All these things should be explained to the driver so he can make a well informed decision.
Till June 30th
The DOT physician is requiring that I have a sleep study, and see a cardiologist because of an abnormal EKG. My personal physician looked at the EKG and didn’t think the EKG called for a cardiologist and sleep study. What are my options?
@ John M
You could go for a second opinion. You have that right to do so if you disagree with the first CME.
Good question. The one I went to said my BP was high and that I have a fast and irregular heartbeat. Which I find is strange cause I went to see a doctor after and never mentioned anything of the sort. Sleep study based off of that. When my own doctor doesnt think so
@ Sherry M
Get a second opinion from another CME..
Can I bring a test report from an eye doctor stating I have at least 20/40 in each eye and have that satisfy the eye test requirement for a DOT physical? Meaning the eye test would not be done during the exam?
Thanks,
Bob
@ Bob E
It will depend on the CME. Test results from your eye doctor should suffice, but the CME may still choose to do the visual acuity examination to confirm the reports findings.
I took my Delaware DOT physical in April and passed but was given a 3 month extension because if you have had a heart attack they require results of a stress test. Due to COVID-19, I was not able to get the test until June when they starting allowing some tests to be completed. The results were passing. I submitted the results and was told I have to take the physical portion again. Is this true and if so why?
@ Christine
FMCSA requires a new examination each time you go for a medical card. Even though all you needed was the stress test, its been two months since the CME saw you last and DOT/FMCSA require a new physical.
Patient condition is hypertension stage 1 with normal blood pressure at the time of physical exam. The doctor mistakingly recommended a 2 year certification on the card. What can be done to correction this oversight or will the DOT automatically correct the certification to 1 year?
@ Tyrone
DOT / FMCSA will not make any corrections. Is the driver taking HBP medications? If so, then the only way the card will be corrected is if they return to the examiners office and point out the error.
I am 19 years old and drive a truck for a small construction company in Pennsylvania. I’m non CDL but required to carry a medical card. The medical examiner would not sign off on my exam because my license still has “Junior License” even though it technically hasn’t been a junior license since I turned 17. Is there a certain age requirement or non- junior license requirement for a medical card?
@ Ryan M
If the medical card was for a DOT/FMCSA examination for a class A driver, then yes. But you are driving non-cdl, so your examiner needs to understand the differences between federal dot guidelines and your states regulations and guidelines.
I HAVE A CALIFORNIA CDL. MY MEDICAL EXPIRED IN 2018 AS I HAVEN’T BEEN COMMERCIALLY DRIVING.I NEVER GOT ANY TYPE OF NOTICE AND KNOW MY LICENSE IS NOT SUSPENDED AS I JUST RECIENTLY GOT A TICKET. I GOT MY RENEWAL NOTICE FOR MY CDL IN THE MAIL IT EXPIRED END OF MARCH AND EVEN THE EXTENTION I REQUESTED GAVE ME UNTIL JUNE 30 FOR COMMERCIAL DRIVERS. MY QUESTION IS CAN I JUST GO AND GET MY MEDICAL AND SUBMIT IT WHEN I GO IN FOR MY RENEWAL? OR WILL I HAVE TO DO IT ALL OVER AGAIN??
@ Melinda M DH
Confirm with California DLD, we suspect all you need to do is get a new medical certificate. Get it now and turn it in. If there are any further issues it will be with CA. DLD.
I recently had a DOT physical. The Nurse and Doctor had access to prescriptions, and diagnosis from a cardiologist that I visited earlier in the year. I told the Physical Doctor that I didn’t give them permission to access my cardiologist records.
The Physical Doctor said they shared the same computer-internet system, and she checked my cardiologist records.
This has to be a HIPPAA violation. I did not give my Cardiologist permission to share my info. I do not think my CDL physical Doctor should have access to all of my doctor records!
@ Dan M
You are correct. Your CDL doctor has no right to check records which you have not given permission to obtain and your cardiologist should have, on file, a medical release form from you also.
What is the proper way to handle this? Should I file a complaint with HIPPAA
@ Dan M
We are not legal experts, you would need to speak with someone in this particular field.
Dan M.:
Did you not report ALL medications to the Certified Medical Examiner? If not, why not?
I frequently check files and review the last 1 or 2 examinations for the drivers who utilize our Occupational Medicine Clinic to look for changes in medication or health status.
Does a DOT Physical examiner always check your medical records, even if you have no health issues?
@ Robert B
No. He may ask for further information or testing if he feels there may be an underlying issue.
I HAVE RECEIVED A LETTER FROM NYDMV STATING MY MEDICAL CERTIFICATE FOR MY CDL NEEDS TO BE REWED OR THEY WILL DOWN GRADE MY LICENSE. I CAN NOT GET A DOT PHYSICAL BECAUSE OF THE COVID-19 GOING ON. I FOUND AWAVIER-3.24.20 SENT OUT BY THE FMSCA GIVING AN EXTENTION UNTIL6-30-2020. IS NY STATE ALLOWING THIS WAVIER?
@ Ken G
Check with NYDMV to confirm.
Hi my medical card is due to expire in early April. The place I get my physical renewed is closed due to COVID-19. Is the DOT granting waiver for expired med card for the month of April? At least until the state lockdown is done. I would like to be able to drive in April.
@ Charles
FMCSA has put in place a grace period for expired or expiring medical cards. Check the information at the link to see if you qualify for the grace period.
got a medical renewal notice 11/29/2019 . renewed it 12/27/2019 paid and left. faxed it from my work fax 9722722630 same day too 5124242002
appeared to be no problem. 02/26/2020 downgrade notice received called dps austin said they did not get fax , found transmission report for fax which shows a no response at the bottom of page. d.l.#06364803 does not expire til l03/12/2021. called austin back 3 times no response.. my mediacl was done for the last several years by Concentra Garland tx phone # 2143407555 . P.S. I am a state licensed commercial vehicle inspector for the last 30 years with good repute. I need your help….Richard K (personal details removed by Admin)
I was injured at work and physically unable to renew my cdl medical card. I am not driving or even at work . I sent a statement from my doctor stating to the DMV in my home state of NJ that I am unable to take the medical exam and my time period ran out. Under my circumstances doesn’t this qualify me to have a waver or a delay until I am able to do my exam under better health. NJ DM V seemed to ignore my request when I sent the paper from my doctor . What’s up . I need answers . I’m innocent and I feel like it’s not my fault that I’m not able to renew my medical card . Any answer would be appreciated Thanks Dave
@ Dave S
Your best bet may be to go to the drivers license department and ask to speak with a supervisor. Make sure you take the needed documentation to support your situation. Most states have some policy regarding workers comp injuries and medical cards. They may downgrade your cdl at the moment, until you can pass the DOT/FMCSA medical certification examination, and then re-instate your cdl.
This is not a problem limited to texas, we have had the same issue with the Virginia DMV multiple times. The solution though inconvenient is to go to a DMV office and submit the paperwork in person. Irritating but better than having a driver put out of service on the highway.
I have been disqualified due to a “history of seizures.” I had a few seizures during a 6-week period 15 and 1/2 years ago. The docs never figured out why. I was never on any seizure meds. I have had no seizures since. I put all this info on the application, but the CME said the only thing that mattered was that I have had seizures.
She’s giving me the option of spending several hundred dollars to get an evaluation from a neurologist who can write a letter stating I am safe to drive commercially. Besides that, it takes months to get in to a neuro around here!
Do I have any other options?
@ Al
You could try a second opinion, with a medical release form from your primary indication his awareness of the seizure 15 plus years ago.
I am temporarily disqualified for having sugar in the urine. They made me do a finger prick because there was sugar in my urine. It came out to be 301. My numbers are always between 115 and 170. I was stressed because my card was to expire today on the 4th and wanted to get it done on the 3rd not thinking I had just ate. I explained to the Dr that I had stopped and ate about an hour or so before coming in and had not taken the other half of my meds yet as I split them by taking half in the am and the other half before dinner in the pm. My Dr said that is fine to do as long as I take the dosage everyday. He gave me a paper to take to my diabetic Dr but when I got home and checked it at night before bed, it was 158. This morning was 125 and this evening it was 140, all in my normal range. Can I go get another second opinion physical as my levels are in my normal range as early as tomorrow morning, or am I flagged because I failed. I cannot get an appointment with my diabetic Dr for 3 more weeks
@ Jimmy F
You can get a second opinion and as long as your numbers fall in the normal ranges, you will get a one year medical certificate.
Thanks for clarifying. I went yesterday and was at the Dr when you responded back and I now have a new card. Numbers were 130 🙂
school bus driver i fell down at work and banged myself pretty bad. is this disqualifying?
@ William B
You are a school bus driver and do not fall under the FMCSA guidelines.
If your blood pressure is 157/75, should I have gotten a 1 year medical card?
@ Anon
FMCSA guidelines for blood pressure is anything below 140/90. Anything above is a one year card.
They told me I failed. Is the one year card by state? I am in Washington state.
@ Anon
A one year medical is good everywhere. If you were given a card then your did not fail. If it is limited to the state only it would indicate intra-state only.
I wasn’t given a card the doctors flat out said I failed and refused to take my blood pressure a second time after the nurse took it first. I do mainly stay in one state, but I do cross state lines sometimes. She didn’t give me a one year.
I do travel across the boarder. The doctor failed me. I do take blood pressure medicine. This is the second time she failed me. Once for not knowing my a1c level(my doctors appointment was the following mont and they would not see me sooner) and said they would sign off for a year if I brought in the level, which I did and they made me do another physical. They took my blood pressure with shirt under cuff and they only took it once, but it was 157/75. I don’t know if the place just sucks and want money, but from what you said I should have gotten at most the one year card after my second physical. I’m going for another physical would a doctors opinion letter help me at this point?
@ Anon
Get the second opinion, and go from there. If you can have your most recent a1C results and a medical release from your doctors, you should be fine from there.
So, Type 2 diabetes will completely disqualify me to get a DOT medical card?
@ Stephen
Not true. It will require some medical documentation snd a signed medical release form from your doctor, but you can drive.
Can I take valtrex and still get my cdl
@ Mikaela m
If the condition does not interfere with your job description, then you should be OK.
I take bp med 10 mg for the past year . Got physical today my bp 123/82,
The nurse practitioner only certified me for one year . Can I get a second opinion from a doctor?
@ Martin J
FMCSA guidelines recommend a one year medical card for drivers on blood pressure medication. A second opinion will still hold you to one year medical cards.
i had prostate cancer and removal surgery, last year. now the doctor only gave me a 1 year card. he says due to any cancer i only qualify for the 1 year card, my surgery was a success and i am now cancer free. i think the doc is trying to increase business
@ Andy K
The CME may simply want you monitored fairly closely for the next year or two and then, if all is well, return you to a two year card.
If a driver is under 21 and passed DOT exam, and received a 2 year card under State variances, what does the driver do if he then turns 21 within the 2 years of that card and needs to have the federal variances for a job.
@ Jessica R
Depending on the class cdl the driver holds. Check with the local drivers license department. He may not have to do anything.
If a driver I has a heart attack and recovers and goes to an approved company dot
Doctor and passes the exam can the company refuse to accept his medical card?
@ John
The question would be, why is the company not accepting a company approved CME’s medical card. You need to find out from the company what the issues are.
I just completed my dot examine today literally right after I passed all 4 of my written exams so I was feeling anxious. As a result my blood pressure was a little high at 147/86. The examiner gave me a 3 month extension and wants me to get an EKG, a diabetes test, blood test, and check for sleep apnea with my medical insurance. I think this is totally unnecessary and a little too much. I’ve never had any problems with high blood pressure nor do I have any symptoms of sleep apnea at all. I sleep just fine. Yes I could lose some weight but it isnt smtg to extreme. What can I do if I dont agree with this dot examiner report. Can I go get another opinion in a week or so? Thanks is advance.
@ Angel R
Use the 3 month card to the end and then go elsewhere for a second opinion.
If regulations say I can get a 1yr can I get a second opinion on a 3 month card how long do I have to get a second opinion
@ Michael S
Use the three month card for now and get your second opinion before it expires. You do not have to wait any specific time frame, just have the examination done before your three month card expires.
What if I fail can I still get a card once I’m below 140/90
@ Michael S
If all else is within normal limits, yes.
If I let my DOT expire do I have to go back to the Doctor that gave me the card I let expire or can I go to another DOT examiner?
@ Thomas D
Any federally registered CME in the US can perform the DOT / FMCSA medical certification examination.
I recently went to get my D.O.T.card renewed as it had just expired. I passed the exam until they found out I hold a current medical marijuana card. I only smoke occasionally to help with my sleep. I have used marijuana for sleep for many years and it does not effect my ability to do my job or effect any part of my daily living. I work hard every day and I believe there should be exceptions. How can I get my card renewed so I can keep my job?
Julie B
@ Julie B
Medical marijuana is a state by state issue. DOT / FMCSA is federal, and marijuana is still a federal offense. If you are driving in state only, then you need to talk to your state drivers license department. And when taking the medical certification examination, you will need to explain that you fall under the states variances and not federal DOT.
If I get my DOT Physical in Vermont is it valid in New York
@ Aaron S
If performed by a federally certified medical examiner (CNE), then it’s good in all fifty states.
I was issued a 1 yr dot card for high blood pressure a few yrs ago. Even though it’s at qualifying levels 365 days a year, they refuse to okay mefor a two year cert. WHY NOT? Thanx
@ Stephen B
It’s a wording issue. Federal form ask if there has been a “history” of high blood pressure. If the CME makes a change to a two year card, then he must explain his decision making process to the company, the state and the federal DOT / FMCSA.
I have just been informed that my new company will not pay for the DOT medical card. I was told I am fully responsible to get it done, they won’t even tell me when/if it is about to expire. So, since I have to pay for it, and I know the doctor has to report to the DOT that I either pass or fail it, am I required by law to provide a copy to my work as well, or can I just tell them I passed or failed?
The way I look at it is, if I have to pay for it out of my own pocket, insurance won’t cover it, and the company won’t either, and it’s my responsibility to get it, I don’t want to give my money away to them by providing them with a copy. I have no problems telling them I passed or failed, but, if they really want a copy, I feel they need to pay for it.
Every other company I ever worked for, including ones that didn’t have CDL drivers, but, needed DOT Medical cards, always paid for it, since it helps their insurance, and keeps them compliant with DOT federal laws and regulations, which helps them out tremendously.
Thanks!
@ Larry C
Check with the companies HR department for their policy. Most cases the company must have at least a copy of the medical card, not the long form, on file for them to allow you to operate.
My dot card expires on1/18/2020
Went to company doctor passed physical on 1/9/2020 doctor told me she will not sign off due to an amputation of toe 18 months prior wants a work release note from my doctor. Report to work the next day was sent home due to I have No valid medical card. Old card is still good till the 1/18/2020 correct
@ John
You should have had a new medical card following the toe amputation. Work release and doctors release should already be present. As of 1/9/2020, if examiner put your info into the FMCSA data base, then your old medical card is invalid. Get the medical release done asap and you should be good to go.
I am the owner of a small construction company. My trucks are all under 26000 Lbs. Because my company is an S. corp the trucks are considered commercial vehicles. As the owner of the company do I require a CDL physical to operate my trucks?
@ ROBERT
Check with your state drivers license department. In most states your drivers would need a valid medical card, but not a cdl.
Is idiopathic thrombocytopenic purpura (ITP) a disqualifying condition for a DOT physical?
@ Shane B
It will raise questions with the CME, but it is not a DOT/FMCSA disqualifier, in and of itself.
As a DOT medical examiner, I am drawing a blank and doubting myself about something. A patient who wears corrective lenses and his vision is 20/20 in both eyes with his glasses, is he certified for one or two years.
Thanks!
Tricia
@ Tricia J
If all else is within normal limits and all that is needed to pass the DOT/FMCSA medical certification examination is for the driver to wear corrective lenses, then the card is good for 2 years.
My brother and I have both been diagnosed with genetic hemochromatosis. I am trying to convince my father, who drives a tanker for an oil company, to at the very least have his iron levels tested, but he is concerned an official diagnosis my pose a problem for his CDL. So my question is even if he were to discover he has hemochromatosis, would this disqualify him from driving?
@ Diana
The diagnosis would not be an issue, with proper medical documentation from his physician. The related symptoms of hemochromatosis could be, later on.
How do I file a complaint against a medical officer? I went to get a physical and the Dr. made me get a heart cath even though I have a letter from my cardiologist stating that there is no reason I cannot drive and work. He says ” as a driver you have to be able to change a tire” I told him I’m not certified to change tires or work on the truck never seen a jack on any truck I’ve driven.
@ Steve T
Check FMCSA website. There is a way, but seems to be hidden in the site somewhere.
My current medical card is good until May 2020. the last time I had it renewed was right after I had surgery to remove my gall bladder and repair an umbilical and abdominal hernia without mesh. The card then was good for about another month, and I had to take a week off of work to complete the surgery.
Long story short, the abdominal hernia reappeared over the last 6-9 months, it has never affected my ability to do my job. I just took a week of vacation and had the abdominal hernia repaired with mesh this time. While I would obviously report the issue when I take my next physical, do I have to retake my physical now before I return to work, or do I take my physical again prior to May 2020?
@ Matt
You need to retake your DOT medical examination card before returning to work.
I am a non CDL driver for 2 companies. I am required by one(fedex) to have a medical certificate, not by the other. I’m wondering why the drivers at job #2 are not required to have this certificate. I do not cross state lines but do deliver items that have been transferred from out of state. I drive a commercial vehicle, 26k lbs. Why would these drivers not need a medical certificate?
@ Pamela P
Most states require a medical card to operate a vehicle used for commerce. Your second company may be operating outside the state requirements. Also, FedEx is a nationwide company. Confirm the need for a medical card for company two with your local drivers license department.
This is probably a stupid question, but what happens if I have been back and forth between Utah and Colorado, and I wasn’t notified that my license was suspended due to me not completing my next DOT physical? I recently 100% relocated to Colorado, and was planning on going to get my license changed, only to find out that it’s suspended for failure to complete a new DOT physical. I haven’t been operating any kinds of CMV’s, and I didn’t get anything in the mail or through e-mail, let alone phonecall, informing me of this suspension. And I had been under the impression that it would merely be downgraded to a regular license status in the event that I didn’t renew my DOT card. Zero notification and then finding out through my brother-in-law’s insurance company that my license is showing up as suspended seems akin to entrapment to me. So, what needs to be done in this situation? How would that be remedied?
@ Ariella S
Get a valid DOT medical certificate and present it to your issuing states drivers license department. If they need additional information, they will tell you what to do.
I have Primary Biliary Cirrhosis (PBC) which I have taken medication for the last 4yrs would this condition disqualify me driving a school bus?
@ L A
If you are a class A driver, then there will be serious questions. As a school bus driver with a lesser class license, the answer is with the state. Check with your state drivers license department
I was offered a job driving and the General Manager of the company told me I couldn’t pass the DOT Drug Test and Physical because I am on Dialysis and don’t urinate enough to fill the cup at the level they want. I offered to go get my own Blood Test at LAB Corps and pay for it myself.. The GM told me that they only accept urinalysis test. That didn’t sound right, with today’s technology, there are hair and mouth swab testing for drugs. Are there any DOT regulations that would keep me from passing a drug test because I’m on Dialysis?
@ Dahryl K D
The GM must want the normal report that goes with a DOT drug screen. But yes the technology is available to drug test you. No FMCSA restrictions other than being on dialysis.
Should there be an additional charge for the urine test? I paid . Then 2 weeks later I get a bill for $25 for the urine test.
@ Earl M. C
No, the testing for blood, sugar, and protein are all part of the DOT examination.
What if you have sugar in the urine and they make you do a stick and then charge $63 for the stick, is that extra charge allowed ??
@ Jimmy F
There should be no additional charge for a urine analysis dip stick.
I had a CDL exam and received a 1 year MEC. The examiner claimed my eye sight warranted the one year expiration date. I really wanted a two year card so the next day I thought I’d try a “do-over” and went elsewhere and passed the eye test but failed the BP test, slightly over 140/90 and also received a one year card.
My question is, if I try again, will the 3rd examiner see that I just had two previous tests elsewhere by looking at the FMCSA database? I’m not trying to game the system but don’t want to raise any red flags with the 3rd examiner before I even begin.
@ William L
It looks like, and feels like, your doc-shopping. Use the one year card to get your blood pressure down and get your eyes checked out. Then do a new DOT medical examination.
I’ve had a cdl class a in Oklahoma even when it was commercial chauffeurs license, I’m 64 now . In2014 was in accident broke my leg was off work, signed up disability started drawing dis 2015 had to renew license wanted to keep cdl had k restriction added when renewed license now I’ve been contacted about snow plow duties which I have done in the past . Called the co doing snow job told her I had cdl no med card she tried to tell me my license was invalid, I know it’s not. My dilemma is I don’t know if I’ve got to get a medical card to drive a snow plow don’t really want to pay for med exam I can pass just don’t want cost . Question is I guess do i have to.?? Thank you .I probably already know answer thanks again
@ Aaron E
Each state is different, so check with your states drivers license department. If you have a class A, most states require a valid medical card to maintain tour license, but confirm with your state.
Do I have to disclose surgeries that won’t disqualify me from driving on the road. Like for example if I had a cyst removed?
I’m currently 22 years old, I’m interested in becoming a truck driver. I don’t take any medications or have any serious medical conditions that’ll disqualify me from taking a DOT physical. However when I was 17 I had an operation done on my penis for a cyst and couple of skin bridges. It wasn’t serious, but I was under anesthesia. I was just wondering if it would be necessary to have to bring that up to the D.O.T. physician? Thanks.
@ Joseph
You can explain the situation, if asked, otherwise you should be fine.
What if you have a legal name change? How do you go about changing it on your medical examiner’s certificate?
@ Jennifer
Most DOT officers would be fine with a copy of the name change documentation. You could go back to the CME who did the examination and ask for an updated name on a new certificate, but that would create more hassle with FMCSA then simply providing a name change documentation the the DOT officer. When you get your next physical and your license has the new name on it, you’ll be fine.
Can u get a cdl medical certificate in new York state if you have only one kidney
@ Jeanne W
NY drivers license department will have the best answer for you on this issue.
I have a bus CDL with S & P endorsement. I am retiring in December and turned
In my pocket card as required when I signed my paperwork. Can they still make me
Drive a bus without my pocket card until December?
I have a medical issues attached to my card and was not scheduled for New DOT physical
Until 2020.
@ Lynda W
If DOT stops you and you can not provide a valid medical certificate, then they will site you. Simply request they return your medical card until you no longer drive.
Hello. I have posted before regarding brain tumor surgery and cancer treatment. My question is what is the actual guidelines for getting a DOT certification with this existing condition? Any information would be appreciated.
@ Daniel G
It will starts with a medical release form from your doctors and any supporting documentation the CME is requesting. The CME’s responsibility is safety and risk to driver and the public at large. Start there.
I took a preemployment drug test and the test facility lost my paper work. What is my options, I took a home test and was negitive for everything so I know its not me. I had herd I can’t retest. What the hell…..
@ matthew
It is the test facilities responsibility to re-test, and they have access to your last test results, so someone is not telling the truth.
what does your A1C have to be at to pass
@ Ray
Your A1c needs to be in the normal range, between 4 and 6%.
I have a history of brain cancer. It effects the status of my dot card renewals . My question is what if I start omitting the info on my history paperwork at whatever clinic I go to? Is all the information inputted into a national database where they would find out?
I had brain tumor resection, chemotherapy and radiation in 2017. I had a renewal in August 2018. No real issues. However, I had a new employer in May ’19. With that certification the nurse gave me such a hard time. In the end she gave me a card for only six months. Does that information stay in my records? Or could I possibly get away with not including and get certified hassle free? I am in remission and healthy otherwise.
@ Daniel A. G
You can request a second opinion from any registered CME. It would over-ride the existing medical card once put into the registry.
I do not have a cdl, but my husband is a truck driver and im with him 24/7. Here is my question. Can i have medical marijuana in the semi without him losing his CDL or getting into trouble with the law
@ Cheryl
You put your husband at risk. Until medical marijuana is legal through out the all states, he still must follow DOT/FMCSA and that federal. Most likely it would be an issue.
If a driver’s physical card expires while on temporary disability for an injury will he lose his CDL for not having a current medical card?
@ James W
Most states understand situations like your and all you need do is contact your state, the one that issued your cdl, and follow their guidelines.
I heard my doctor has 24 hours after my exam to report it on the website. What happens if he does not report it in 24 hours?
@ denise
FMCSA website has so many issues, they probably won’t notice. The CME’s is the one that is responsible for the data input. He may risk penalty or warning from DOT?FMCSA.
I submitted my DOT card online, like I always do, but did not receive the email telling me that it was accepted or denied. Is there somewhere I can go look online to see if it was accepted?
@ Darrell B
This is reported to your states DLD, so check with them on your status.
My question is
I had a back inury at work therefore i am not working at the moment. And my medical certification expires Sept 10 2019. I would like to kinow If there is a possibility that i take my certification in sixty days, meaning getting an extension?
Because i am in a debate with a work injury and my Attorney is working on it.
@ Arturo M
There is no extension for your medical card. You need a medical release from your doctor with no restrictions or limitation to pass the DOT medical certification examination. Once you get a release from your doctor, then go get the examination.
I’m required to have a stress when getting my DOT medical examination. However due to another health problem I will be unable to perform the stress test at the time of my next DOT medical examination. Is it possible to get an extension on having this exam done? Will my CDL become inactive unless I have this exam>
@ Crystal A
Stress test are needed every two years. If your last test is within the two year period, then it should be no issue. However your other health matter may become an issue during your DOT medical examination. CDL matters are done by the states drivers license department, so check with them on cdl inactivity.
We have a driver that is going to have an operation and anesthesia will be used. Are they required to have a new physical before coming back to work?
@ Steve B
Yes, FMCSA requirements.
I have RRMS. My DMT is Ocrevus. I’ve had 2 yrs of stable MRI’s. Can I be disqualified for a medical card due to my MS. Have a doctor stating my MRI is stable. At this point I have a examiner saying I am disqualified due to having MS.
@ Cathy
Your condition will always raise major questions with a CME for the DOT. Bring as much supporting documentation as you can with a medical release form from your treating physician. And get a second opinion from another CME. You may, with proper medical documentation and a medical release, be able to get a one year card. FMCSA has guidelines that the CME needs to follow, so be prepared.
do you need a birth certificate for a D.O.T. physical
@ Randy H
No.
I have been diagnosed with OSA Obstructive sleep apnea and am currently being treated with a dental device. I was told by a medical examiner that i would be disqualified because dental devices are untrackable so i was not able to get certified from that doctor. I am being treated and hae gone to another doctor and they told me that is does not disqualify me at all and as long as i am being treated that was fine and was re certified. I now have a 1 year DOT card. My question is will I have trouble with mostly all Medical examiners in the future? I do have an email from the federal motor carriers medical dept telling me dental devices are ok to use.
@ Jason m T
The more experienced CME’s will understand, but there may be issues with some others. If your being treated and follow-up-with routinely, then bring a recent medical release form and any supporting documentation you can.
Will I get my dot medical exam certificate after I get my drug test results back?
@ Traice A
DOT physical medical card and drug testing are two different and separate things.
I took a preemployment drug test and passed, now I have to go get a DOT physical exam that tests urine for blood sugar and protein. Will the DOT physical also test for drugs? or will they use my preemployment drug test results?
@ Jordan M L
DOT examiners are only testing for blood, sugar, and protein.
I took my Dot physical and passed all requirements. Because I had a slight protein in my urine (ketones), she only gave me a 1 year card. Can she do this? How do I make a complaint to the FMCSA about a provider?
@ John
It does fall to the CME’s interpretation of the FMCSA guidelines and how long they would be prepared to let you drive without a yearly follow-up. In most cases, the CME is reading a potential health issue and wants to have you keep a closer eye on the issue. There is an area in the FMCSA/national registry to file a complaint.
minimum age required to receive a dot medical card
Paul McG
18 and your states rules may vary for cdl. Check with your states DLD.
I took a dot exam two years ago and stated that I had anxiety two years prior to the exam and took xanax for it but hadn’t taken them for two years. The doc wouldn’t pass me without a sign off from doctor. I couldn’t afford to pay the extra 100 dollars to get that doctor to fill out a form so I never followed up. Now 2 years after that I am in the same situation. My question is, is my exam info on the database and can I just not put that on my history for this time around because I can’t afford to pay a doctor just to confirm that I haven’t taken any med for 4 years.
Can I freeze my medical card if Iam not driving at this time but don’t want to lose my commercial licensr
@ Ron
No.
@ stwf
If you have not taken any medications for your condition for over four years and have had no issues, then you should be fine.
My question is do they keep a medical record even if you do not follow through. For instance, I had a pending determination based on getting a note from my primary care and never followed up about a year ago. Is this record of examination still on the government file ?
@ stw
It is probably on FMCSA’s registry, but if you have a valid medical card right now your good.
Have a question… if you eat and drink a large glass of orange juice within a half hour before going to get your physical. Does this affect certain things for testing?
@ Carson
Could effect pulse rate, blood pressure and sugar levels in the urine.
Can you have a pre-dot physical performed several months before the actual physical to renew the medical card? To give you some time to correct any issue before the card expires.
@ Jamie
You could ask a CME if he is willing to do so.
Do Article 19A physical exams get filed with FMCSA?
@ Ant
No.
Is there a age restriction for getting a dot medical card I am 16 and getting my license soon and plan to go get my medical card as soon as possible after I get my license or can I get that first and then the license?
@ Cody
Each state has its own age restrictions and FMCSA has age restrictions for commercial license cdl. Check with your state first. Get the license first and then start the process’s needed for the medical card.
I’m not looking for a CDL just a medical card to drive a 26” box truck. I am in Massachusetts do you know what the minimum age here is? If not where could I find out?
@ Cody
Check with your local drivers license department, they should be able to help you out.
I once had my Medical Card and CDL. I had got my CDL in KY because of my vision in one eye. Moved to NC and had been driving truck. I had an accident, where a tire, off the truck, rolled onto my leg injuring my knee. My doctor took my Medical Card and I could not drive Trucks no more. It has been 10 years and I have not had any problem with that knee and I drive everyday. Is it possible that I could get my medical card again and drive trucks?
If you can pass the physical you can obtain a new medical certificate (“medical card”).
@ BC
Yes, first get your cdl back and then follow your states requirements for a vision variances.
I have a driver that was diagnosed with diabetes. He currently has a valid med card but the exam was before this diabetes diagnoses. Can we send him for another for another exam to make sure he is still DOT qualified?
@ Amber
His current medical card should be invalid and a new DOT medical examination is required.
Can I take a DOT physical with Chronic Kidney Disease?
@ Dwayne W
The condition will require further medical documentation for the CME to determine your qualifications.
My cdl physical card expired. I do not drive anymore, although wanted to keep it, in Florida. Question, have you used any drugs in last 2 years. Stupid me, answered honestly, yes, marijuana. Last two years it said. Passed physical, denied card due to saying yes. Card expires 2 days. Can I get a extension? How ridiculous this is?
@ Bob F
No extension, just a new DOT physical.
I was given a 1 year cert due to the fact I had a lymph node surgically removed for squamous cell cancer in 2016 and was diagnosed with low-grade prostate cancer in 2018. The first is in remission and the second is not life-threatening, only ‘watchful waiting’ stage. Neither require treatment, am not on any meds, only need to annually check on them. Was given a 2 year in 2017, only a year after the surgery. Doc says regs have changed. Is this so? everything else was A-OK.
@ Brad
The CME is following the guidelines and if he feels that ongoing monitoring is necessary, then he has the right to limit the cards length to one year at the time.
I had a concussion with a small brain bleed.i was held over night in hospital for observation and released with no complications. My neurologist cleared me to drive but my med card has been revoked for a year. Is there anything I can do to get driving sooner? I have a class a driving interstate.any help would be appreciated.
@ Doug b
Examiner is following the FMCSA guidelines for class A interstate drivers. Check with your local driver license department regarding the guidelines for Intra-state only for the rest of the year.
Recently went for my dot physical and there were some issues that I strongly disagreed with the Dr. Dr. granted me a 3 month medical card. I took it upon myself for a 2nd opinion and retake the physical with a different Dr. outcome was positive was granted 2 year card med card. On the examiner report the Dr. assistance orally asked me all the questions and filled in the responses. One she accidentally checked no when it should of been checked yes(have I ever used tobacco) which I didn’t realize until I got home and reviewed the report now it’s got me worried. It’s Sat. I plan on calling his office 1st. thing Mon. Wondering would they’ll be able to go into the system and make the correction.
@ Scott
You can check with the office and see if they can correct the answer. But there really isn’t anything to worry about. Next time make sure you are the one who fills out the intake forms.
I hold a CDL In Utah , and I have to renew my license and DOT . I am diabetic and my A1C is sitting above 10 what is the max limit for the A1C as I was told this is to high
10 will disqualify you then you have to wait 3 months to take the a1c test again
I went to Concentra for my DOT physical. The first doctor who saw me thinks I have depression/anxiety because I said I was depressed once (long ago) and I like to drink after work. She gave me 3 months to go to a primary care physician to get checked for depression (I did, no depression found). When I returned 3 months later, the other doctor saw me and cleared me for depression, but said that because I was hospitalized 10 years ago for a rapid, irregular heart beat I had to go get checked out for heart disease. I drank energy drinks and shots every day back then. Since I haven’t had any episodes since then and quit caffeine, a cardiologist cleared me for heart disease. 3 months later I was seen by the first doctor who contradicted her colleague’s opinion about my depression and said she STILL wasn’t convinced. She gave me 3 months to get to a doctor and checked out for depression . . . again. She did clear me for heart disease though (I’ll find out on my next visit if HER colleague is convinced or if I have to get my heart checked out again). I was charged $100.00 for each visit.
Do I have to return to these people or can I get my next DOT physical from a different doctor? It does seem I’m being taken advantage of. My co-workers have advised me to seek legal council, but I’d rather not if at all possible.
@ Jay M
Go somewhere else and get a second opinion.
I have a nys cdl driver’s license class b. My medical card exp. Next month, can I go to New Jersey “another state” to do my medical exam??
@ Roberto R
If the examiner is on the registry, then you can have your exam done anywhere you like.
My Dot Medical Certificate expired on May 5 2019 I was told I couldn’t drive my route because it was expired. Our Safety personnel says this is a new rule ny New York state. Is this true or not….
@ Norman D
Most states require a valid medical card to operate a commercial motor vehicle. Once the card is invalid, in some states, your driver’s license is invalid. A new medical card should fix the issue.
I had surgery with anaesthesia, do I have to get another DOT physical before I can go back to work?
@ Kenneth B
FMCSA requires all class A drivers, who have been out of the truck due to illness or injury, have a new DOT medical examination done before returning to work.
If I was off 12 weeks with a pressure wound on my foot. Do I have to renew my medical card
@ Edward P
Yes.
I was given a 1 year physical because I am on gemfibrozil, a cholesterol medicine. I have been on it since 1998 and never been denied a 2 year physical card. Has something changed?
@ Greg
No changes. If that is the only reasoning given for the one year card, then get a second opinion next time from another examiner.
I took the the physical. In March 2019 was told I passed but the waiting period because I was in the hospital for blood clots in my lungs . I should come back after I pass my family dr’s blood test and physical . I did and got a written signed letter from the dr. Went back now the dot nurse said I have to take take another physical from them . Because I didn’t get my card they want me to do it again it’s been about 55 days ?? I have to pay again ???
@ Theodore A SR
FMCSA requires a new examination be done each time. According to FMCSA, things may have changes in those 55 days. New Examination.
I recently had a DOT physical done. I was given1 year on my medical card because a month prior to getting a DOT physical I had been taking an anti depressant for 1 month given to me by my doctor who happen to be my new doctor. She gave me the prescription on my first visit. By the follow up visit a month later I had completely stopped taken the anti depressant as I didn’t feel I needed it. I had never been on an anti depressant before. The DOT doctor noted it on my form as I was upfront. The trucking company I was going to be driving for sent a standard short form asking for clarification. My doctor noted the medications on the form, gave me a copy and approved me to drive. The trucking company sent another form. This time another doctor in the same office who I had never seen nor met disapproved my form and refused to give me a copy and I was turned down by the trucking company. By this time I had already quit my regular job of 16 years and was preparing to go work for this new trucking company. So this doctor who I never met tells me I should be taking the medication. Then I told her I didn’t need the medications and that I was out of work because of all this with no money to pay my mortgage, car payment and bills. she told me to go get badger care. I am wondering is there a way to get a second opinion, Get a new DOT physical, get a new permit and DOT physical out of state. running out of options. I had my heart on becoming a truck driver. what can I do?
@ Ken
Go get a second opinion else where.
If a truck driver has a open workers comp case because of a back injury, can he renew his DOT medical card?
@ David
No, the injuries would restrict the passing of a new medical certification examination.
Do I need to have taken the written test to get a permit before having the medical exam done?
@ Kasey
No. Anyone can go for the DOT medical certification examination.
I was told today that I need an A1C under 7.0 to get any CDL at all. I called the clinic that the school I’m planning on using referred me to. This information doesn’t square with what the FMSCA says or what the state I’m in says either. It just sounds fishy. What are the 2019 DOT reg on Non Insulin dependent T2DM?
@ Alice W
CDL’s are state issued and have nothing to do with the FMCSA. Check with your states DLD for clarification. Unclear as to who gave you this information.
My last DOT physical a “Occupational Medicine” Doctor my company made me use disqualified my CDL because I am on the medication Suboxone, which is not a disqualifying medication.
She requested that I provide a note and research from my doctor stating that I am fit to drive and not a risk.
I have done that. In all my years driving I have never had a wreck in my personal vehicle or in a Commercial Vehicle while on this medication.
I sent her the information she requested and she denied me again. I have been on this medicine for years while driving and in my career have never had any problems with safety.
I am 20/20 vision, perfect weight, perfect hearing, no diabetes or any other problems. I’ve never had an accident yet she insists I am a safety risk. I have been driving a CMV for 6 years without incident on this medicine.
After she told me I was unable to drive safely and took my CDL and livelihood away she proceeded to tell me I could do a appeal process. Her decision is completely unreasonable and is based on her personal feelings towards me as opposed to the general safety of my driving ability.
She told me I could appeal her decision but could not give me any information regarding how to go about it or what to do. Is there a way I can have her decision appealed? How would I go about it?
My company will not let me get a second opinion. They will only let me use her and she is extremely biased. She told me she always denies people on Suboxone and has never passed one in her entire career.
My CDL is my livelihood. Is there anything I can do to get my job back?
@ Jessie C
# 1. She cannot take your cdl away from you, medical card qualifications yes, but not your cdl.
Your medications are going to raise questions anywhere you go for a DOT medical certification examination. Take all the medical documentation, that you have, regarding your situation and the length of time you have been on these meds. A medical release form from your prescribing doctor too.
so what happened?did you pass or is she still discriminating against you and suboxen,yet they’ll let the real drug addicts do whatever they want, when someone on suboxen trying to do things the right way these clowns put the stigma on you,ridiculous.
If you put your not hiv positive but you are will you still pass the dot exam
@ James
If you lie on the intake forms, what else will you lie about? Unless there is reason to question any other physical conditions requiring medical documentation, then you may pass.
As far as the exam is concerned, if we wear glasses,must we bring them, or is it only necessary for them to know that you can have 20/40 with glasses. I need to buy new ones(stolen) , but didn’t know if it was necessary before the test. Also, do they check your prostate or testicles, is it necessary?
@ Henry
Bring your glasses for the examination. DOT/FMCSA does require that the CME question you and examine you for inguinal hernias
I have a driver that needs his DOT physical done in two weeks, he was in a car accident cannot pass physical what can he do to not lose his license because of this?
@ Sandra
He won’t lose his license due to his present situation. You may need to speak with the local drivers license department to determine their process.
If you were hurt on a WC case, but Dr released you as cured. Do you have to put broken bones on physical paperwork if bones aren’t broken?
@ J H
If it ask ‘have you even had’ then yes.
I have hep c. Can I still keep my cal lic.
@ Joe c
Probably, but check with cal licensing for the best answer.
I work for 2 different companies, I have a valid DOT certification. can one of my employers require me to get a DOT certification from their company doctor? I live in NY
@ Vinny
That’s a company policy issue. They should not need another valid medical card. Your card is good throughout the USA.
If I do not have a cdl class license, and I just fall under state variance, are my dot exam results filed with FMCSA? I failed one test, they claim they tested me for drugs and I failed (I thought the urine screen was for blood, sugar and protein) My company did not ask for a drug screen, and I paid for the exam myself, yet was not told that they were doing a drug test. I went for a second opinion and passed, though they did not do a drug test. Does this second still supersede the first?
@ T
Yes.
I am currently half way through a radiation treatment for Grade 1 prostate cancer. Today I received a Texas CDL Medical Certification Renewal Notice with a expiration date of 04/23/2019. First question – should I have contacted someone at TDPS to advise them that I am no longer long haul driving and receiving radiation treatment? second question – If my radiation treatment/clearance to go back to work is not completed before 04/23/2019, Do I loose my CDL Class A license?
@ Caroll C
Your cld class A license is state issued. And at present you are not qualified to do the DOT/FMCSA medical certification examination. And your medical card went invalid with the diagnosis and treatment. Let the state know your situation, they should have a policy regarding situations like yours.
I am currently in Iraq working as a US DOD Contractor and cannot get to the United States in time for the physical deadline. Can I get a physical out of the country and send the results to the Louisiana DMV to meet the requirements?
@ James T H
Contact the Louisiana DMV, we are sure they have special arrangements with out of country DUS OD contractors.
What do you have to do to get a pocket card again for North Carolina to drive a school bus? Just need to get it again because mines has expired.
@ Sheri
The examiner should give you a new card when you do your next examination.
I was previously a OTR driver and decided to drive for a motor coach company, they had me take a new DOT physical and the doctor passed me and gave me a 2 year card , but 2 days later the company sends me back to the doctor and she tells me that per their policy and the motor coaches policy I need to have a sleep study done , so let’s just say that conversation didn’t go well and I left , but when I checked with the state the card that was sent to them was the 2year card that I signed off on, and I advised the company that I didn’t mind taking the test but if they are recommending that I take it they should pay for it ( which they are saying no) , but they still let me drive , until I found out that the doctor sent them a new card that was good for 3 months and that it expired , so when I call my supervisor he tells me that the doctor rescinded the 2 year and gave them a 3 month. My questions are 1. Can a doctor rescind a DOT card? 2. Can this be done without my Signature on the new card, 3. and is the new or old card valid ?
@ Roni b
Company policy is one thing, so check with the motor coach company HR department for their stand on the issue. If they demand the sleep study, then they should pay for it. CME doctors don’t rescind a valid medical certification, without probable cause. We would recommend you check with your states drivers license department to confirm which medical certificate they have on file.
My brother needs a liver transplant. And i am considering doing a live liver donation. will this disqualify me from getting my Dot Physical card renewed?
@ Gerald R
Once fully recovered and released and your medical doctors release form, with no restriction, then you may be aok.
I have my medical marijuana license in ny I am a cdl driver . On my prescription the doctor wrote use 4 hours prior to driving and operating machinery. I failed a drug screen because I thought it was legit because it’s from the department of health etc . Is this not a lawsuit . The department of health and the doctor failed me . I feel it is unfair that neither the doctor or department of health who gave me my card and prescription. I told them I was a cdl driver
@ Matt
FMCSA medical certification does not accept marijuana legal or not. It’s a federal ruling not a state regulation.
I took my dot physical yesterday and also a drug test. I know it will be a few days before I get the drug test results, but how do I know if I passed the physical ? I know I should of asked the doctor
@ Purcell d
Medical certification examination and drug testing are two different things. You should have received a medical certification card if you passed the DOT medical examination. Drug testing results are sent to the employer.
Uhhhh, you’ll be dead without your liver dude!
I HAVE TO TAKE A PHYSICAL EVERY YEAR BECAUSE I HAD BYPASS IN 2012 NOW THEY SAY I HAVE TO TAKE A STRESS TEST SO I WENT TO TAKE THE TEST AND THEY SAID YOUR INS WILL NOT COVER THE TEST . I HAD ONE IN 2016 AND EVERY THING WAS FINE. THE TEST COST ABOUT $10,000 IN THE MEAN TIME MY MED CARD EXSPIRES AND THE SEC OF STATE WANT ME TO SEND MY LIC. IN. WHAT SHOULD I DO?
@ Gary R
If a simple stress test is 10k, I might want to do some shopping around. But your last stress test is now outside the FMCSA requirements. For the CME to issue a card on that stress test and then you have a safety issue, the FMCSA comes after the CME. You need the stress test for DOT/FMCSA
Hi,
If a patient/driver denies the hernia check, does this automatically disqualify him. Is the medical examiner allowed to deny/disqualify the patient for this reason alone?
Thanks
@ Beverly
Some drivers are picky about male/female examiners. The test should be completed by a same sex examiner. Also, under full questioning as to the possible likelihood of a hernia, an examiner could qualify the driver. But, the examiner had best have a good set of notes to show his/her decision making process.
Do CDL holders 80 years old and above require a 6 month CDL physical exam renewal?
@ Janine
It will depend on the examiners findings and potential risk factors. It is not a FMCSA regulation, but aging factors are in the guidelines for consideration.
I am in Indiana and drive a 20 passenger special purpose bus for my day care center and have held a CDL for 20 years. I was diagnosed with Myasthenia Gravis in 2011. Since that time, my symptoms have been controlled with medication with no progression of the disease. Every year prior to having my DOT physical, I go to my neurologist for an examination (for strength, coordination, etc.) and she has always passed me for driving and signed a medical release form – it has not been a problem and I have successfully renewed my license every year. This year, with a new doctor at the clinic where I go, she told me I had to walk on my toes to prove I could apply the brakes. This is the first time anyone has asked me to do this. I certainly have no problem applying the brakes. I cannot do this because I have developed flat feet and my ankles have pronated (turned in). I tried to tell her this, but she would not discuss it and put on the physical form that I could not walk on my toes because of the Myasthenia. She made NO physical examination of my feet and ankles and told me the doctor she called at the Federal DOT hotline said I could not appeal. Basically, she recorded a diagnosis without a proper exam. Is there anything I can do?
@ Cathy B
You are not a class A driver, but were tested as one. Apples and oranges each has their own grading system. Check with your local DLD for better clarification. Also, get an examination done by an examiner that know the difference between class A drivers examination and small passenger bus drivers examination.
If someone is diagnosed with kidney disease stage IV and will begin dialysis immediately. Will they be able to maintain medical card and cdl?
@ mike
Your medical certification will be invalid and may affect your cdl. You should check with your local DLD for a more complete answer.
At my company we have a female nurse who comes in and does all the physicals for drivers and warehouse workers. Some of us drivers find it offensive that we are asked to drop our pants and underwear so she can grab our privates, Is there any consent or restrictions to what she can make us do? I appreciate your comments because I cannot find any wording on this anywhere.
@ William S
If this situation is uncomfortable to you and other male drivers, then you can request that a male perform the examination and report his findings to the nurse
My husband is getting a DOT physical by his family physician who is a CME.
1. If he gets a 3 month card and has to return after 3 months for another DOT will he need to pay full price for the second exam?
2. If he goes in for a DOT with his family physician and gets a 3 month card because his BP is high. The physician also starts him on blood pressure medications at the same visit. Are all charges under the DOT or do I pay for DOT and pay for my hypertension treatments?
@ Frankie
This questions are best answered by your doctor. None of this falls under the FMCSA.
Is it true that at the age of 70, you are only allowed a 1 year medical certification?
@ Alice D. DC
It is not a FMCSA regulation. It falls to your professional opinion as to the length of the medical certification.
Hello,
I live in RI and last year I turned 65 and was told because of my age I need to get my medical card renewed every year instead of every 2 years. I recently renewed it again now that I am 66 also for one year. I do have Rheumatoid Arthritis and have had it for over 15 years, but it is under control with medication. The doctor who examined me for the medical card never mentioned that my disease had anything to do with the one year limit. I tried to see if RI has a limit based on age, but did not come up with anything.
Regards,
David
@ David G
There is no FMCSA age related limitations. And, if the medical examiners feels that he wants to keep a closer eye on you, then he has the ability / responsibility to reduce the time frame of the medical card.
if your medical card is pass due by 2 weeks,can you still drive until you see the doctor next week?
@ mike
If it did not invalidate your cdl.
If my urine was at 100 degrees at the clinic,does that goes to dot records as well
@ Kenneth D B
No.
If a company pays for a dot physical can they legally charge it back to u after they fire u?
@ Sherman M
Whats the companies written policy on this issue? Start with the companies human resources department.
I take unprescribed Amordafinil to stay awake for long hours primarily for school and take as needed. Is this a disqualification? I do not have sleep apnea or any other related sleep apnea conditions.
I went through a treatment program for alcohol and marijuana nearly 4 years ago, does that disqualify me from getting a medical card?
@ Pete
You will be asked, by the CME, to provide specific documentation. If you can, you should not have any problems.
Got hired on as a school bus driver back in August. For my first physical they discovered I had untreated diabetes so they gave me 30 days to get it under control which I did. For my second physical they decided I needed to undergo a sleep apnea test so they gave me 3 months. I did the test, failed and was put on a sleep machine. I did the required hours and my sleep doctor passed me for the physical. I went in last week to get my year approval but my blood pressure at first reading was 168/90!! They said I would not pass with that reading. So I asked them to do it again. The next reading 20 mins later was 138/90(something) because of the lower reading she would not pass me. I told her I had no history of high bp she said her hands were tied but since i still had a month before my license would be revoked she said to see my doctor and get on meds if needed. I did and he said I had no history of high bp and that day it was 130/80. So i thought I was fine i even continued my diet losing 10 pounds in between my visit from this morning which again this morning it was 144/90something. I told them I was very nervous so she tested 3 times each time it was higher. Anyway I have one more try in 2 weeks right before it’s revoked, she told me if its over 140/90 I will fail but I’ve read the guidelines and that doesn’t seem to be true? Should I go to another doctor or is that true?? I’m in Indiana.
@ Josh g
140/90 is the highest a bp can be to pass the medical examination. Anything less, including bp medications, begins to require further examinations and documentation from the attending physicians. If you feel stressed out at the facility you are presently using, them try one that allows you to feel more relaxed.
I took a DOT Physical for a School Bus Driver job October 2018. The medical examiner said I had to sign an authorization to release my medical record to my new employer, before I could be examined. I signed and took the physical. The examiner told me that I passed the physical. They were waiting for my for my lab and drug test results to come in and would send everything to my employer. The examiner did not give me a medical certificate. I was told that the employer instructed them not to give a medical certificate to driver trainees they send to take the physical. I asked the examiner if I could fill out a medical record release form to get copies of my record. He told me that they can not give it to me because the employer paid for my physical and are the only one privlidge to my medical record. I would like to know is this legal? Why am I not intitled to have proof that I passed the DOT Physical if that is the case? Can the examiner withold the certificate I never saw or signed? What legal recourse do I have if any?
@ Leslie D.
We are not legal advisers, and we would have serious questions about this. Check with the hiring company and ask for their written company policy regarding medical records. By law, as we understand it, you should receive a copy of your medical card and a hard copy of your medical examination.
Can i get an Extension to renew the medical card
@ Shelly V
Check with your local DLD for best answer.
My husband is a CDL-A roll-off driver. He hurt his arm at work. On 11/25 we went to urgent care at Concentra, his job’s doctor. He had just eaten and his blood pressure was 200/90. They took his medical card and put him on muscle relaxer and an NSAID, put him on light duty, gave him another appointment, sent him to his PCP. PCP ordered an MRI and changed his blood pressure meds. He’s been back and forth to the doctors, blood pressure is better,- but turns out both the NSAID and pain med RAISED his blood pressure. His medical card expires 12/18, has DOT physical scheduled for that day. What happens now? Where does his blood pressure need to be to go back to work? Last reading was 170/80. Can he postpone physical?
@ Angela
Once your husband has a full medical release, without restrictions or light duty, he’ll need a new physical. His BP need to be below 140/90, with or without meds. You can postpone, but watch out as to how it affects his driver’s license.
My husband failed his DOT physical due to high blood pressure. His Kaiser dr. Told him his BP was fine and was not changing medications. He returned to DOT Dr. And his BP was high again. The DOT Dr. Put him off for 2 weeks and said he can not test again within that time. Can he find another DOT doctor and get a second opinion now or does he have to wait the 2 weeks like the DOT dr said?
@ Sam F
You can always ask for a second opinion at any time.
My husband has been going to a practice for his DOT physicals and regular care and recently they won’t give him his medical card because they say his A1C is still too high. As of Tuesday it was 9.2, down from 9.5 in October. He had an appt in September at which they put it on hold for 45 days because his Cpap usage wasn’t at 70%, never mentioning the A1C. So we got his Cpap straight and went back in October to get his card and was then told he couldn’t have it because of the A1C level in September being 9.2. They have him on Trulicity and he has been taking it religiously and modifying his diet. He’s lost 15lbs since September, but they are still denying it saying they don’t see enough progress. He’s had his cdl for 13 years. Never had a diabetic episode, gotten confused, no physiological issues that would impair his ability to drive at all. He’s now lost his job because of not being able to drive and has no insurance and can’t afford the $800 a month for the trulicity. Can he see another doctors office for a second opinion? Does he need to do anything special to avoid potential issues?
@ Lindsey
As long as he has his A1c down in the normal range, then he is welcome to a second opinion.
There is no limit requirement for A1C levels…not sure why examiner would not qualify???
@ Peter
FMCSA does have limits on the A1c test. CME should have explained why you did not qualify.
I have a cyst on my tonsil that my doctor said is harmless. Will this effect anything? I need to take a company physical on Tuesday and was hoping this won’t be a concern for them.
@ Jacob
As long as it does not interfere with ability to swallow or breath, then there should be no issues.
I have my vision checked by an ophthalmologist. The result shows that I have a 20/40 in one eye, 20/20 in the other and 20/20 on both.
Do I meet DOT vision requirement. Distant visual acuity of at least 20/40 (Snellen) in each eye, with or without corrective lenses. Distant binocular visual acuity of at least 20/40 (Snellen) in both eyes,
with or without corrective lenses.
With 20/40 in one eye is this considered a monovision? Thank you for your candid reply.
@ Peace
As long as all else is within normal limits, then you would pass the vision test and you can use your doctors test results.
I have a cardiologist that will not say I am okay to drive or I am not okay to drive will give no comment either way.Have already passed physical.what can I do
@ Henry L P
If you have a valid medical card in hand, then you are good to go. The cardiologist is mistaken that he can be held responsible for signing off for you.
If I am pregnant, will that disqualify me from obtaining a Class “B” Commercial Drivers License with Air Brake and Passenger Endorsement (School Bus)?
@ Lorena G
Probably not.
One of my employees failed his first DOT physical exam and now needs to go get a second opinion. I was wondering if the results from the initial exam that he failed will be sent to FMCSA?.
@ Brandon
Yes.
My DOT card was disqualified, my company made me get another physical after i just had one in July and passed because they claim they got me on camera falling asleep which was false. Went to doctor passed the dot test then He says I see your company sent you here because you fell asleep at the wheel. I’m disqualifying your dot card until you have a sleep test of done. Im using a apap machine and now the examiner says i have to use it for 30 days and bring in the stats from those 30 days before i can take my dot test for my medical card again and have it reinstated. Is this true or can i go tui another doctor and show him im Complying and using my machine I actually love it I slept 13 Hours today.
@ Philip L
30 Days compliance is a FMCSA requirement, not the doctors request.
I have a driver that was hospitalized. Is her required to obtain a new physical before he can return to work?
@Ron
Yes, the driver must get a new medical certificate before he/she may drive a commercial vehicle again.
I know a driver that failed his medical exam i went to work at the same company and now my medical info has mysteriously disappeared and he is still driving
@ John
???
Can a Dr on the national register doing Dot physicals also be your treating Doctor?
@ Tom L
Yes.
Does having a liver transplant one year ago disqualify me for a DOT if I am otherwise healthy?
@ Christine
You will need to bring your doctors release form along with your most recent test results.
If my husband had a bone marrow transplant and isn’t able to get his DOT physical before the deadline, what will happen? Can he put it on hold for a couple of months until he is well enough to get one?
@ Susan
Check with your local DLD for the best answer here.
Does peritoneal dialysis automatically disqualify drivers per fmcsa
@ Debra
It will cause questions and will need supporting medical documentation from your doctors.
I was disqualified on my dot cdl physical and I feel the Doctor was very wrong. When I go to another approved doctor do I tell them I am disputing my disqualification from the other doctor. And do I have to pay another fee.
@ Richard O’H
Second opinions require time and talent, so it will be very likely you will pay for a second medical examination. The examiner does not need to know you are requesting a second opinion. And you can tell them, if you choose.
Are the new electronic dot medical cards online?
@ Joe B
Not that we are aware of.
I have been driving since 2006 and i have crohns disease. I have always passed my dot physicals with a 2 year expiration. This years the doctors told me that because my crohns disease under new 2018 regulation that ny physical is only good for 1 year. I take an immune suppressant drug and have not had a flare up since 2012. Is this right?
@ Julie
There is no new ruling and the certifying physician can hold you to a one year card, if he feels the need for continued monitoring. Next year try another facility.
A co worker had a DOT physical on 09/28/18 by his family physician who is a CME. He was given a 6 month card due to his diabetic condition which is under control. The company made him go to their CME on 10/01/18 in which he was disqualified the CME said he could hear a heart murmur an EKG was given and showed no abnormalities. The medical assistant did a glucose test which showed a blood sugar level of 469. My co worker was not sent to the hospital for hyperglycemia. My questions are should the company have honered his current DOT physical? I also think there is something wrong with the CME who disqualified him. Being that he discovered a heart murmur that wasn’t detected 4 days prior and a blood glucose reading of 469 and not sending him to the hospital for treatment. Then refering him back to his family physician who issued a 6 month card. He had blood work done prior to his first physical which included A1C levels.
@ Wade
Lots depends on the company policy for accepting a valid medical certificates. It sounds like the company doctor may have a conflict of interest and should have acted in a more professional manner.
I have a current and valid DOT physical card. I am in process of being hired by a trucking company and they wanted me to do another DOT Physical. Do employers (specifically new) have to accept you DOT card? I just passed the physical a little over a month ago.
Depends on what the company policy is. The company can accept your current card or they can send you for another DOT pyhsical.
@ Jon
Company policy. Check with their HR department as to why they would not accept a valid medical certificate.
I schedule my husband’s medical exam each year prior to his CDL expiring. However, the doctor’s office, in order to be sure it gets done prior to expiration, makes it so it is earlier and earlier every year. So, we are never getting a full year out of the card. His card used to expire in the middle of December. Now it is the end of October!! How can we avoid this constant progression?
@ Susan L
You can set the appointment much closer to the expiration date, but we know of no other means to correct the issue.
When a driver fails his med exam, shouldn’t the DOT physician be giving documentation of the failure and the reason, and the subsequent actions ( return in 30 days, etc.).
Our doc is not doing this – simply telling the drivers that they are not passing and to come back after they see their own physicians and resolve the issue. Of course, then their certificates expire, so they are temp suspended anyway, but shouldn’t we have something to cover ourselves for the suspensions?
@ Gayle
Clarify the question and we will try to answer it for you.
I have a driver that would like to quit smoking. I know Chantix is not allowed but is the drug Buproprion allowed
@ Jack P
The medication will raise questions. The driver should be using the medication for more than 30 days before requesting a medical release form from his prescribing doctor. He will need the release form when he goes for his DOT exam.
I failed an initial CDL physical last month because my A1C and Glucose levels were just over the limit. I have recently been diagnosed with Type 2 Diabetes (non insulin) My PCP has been adjusting my meds and I now believe that if I were to have new lab work done that I would be well under the limit ( it has been 6 weeks since my last lab work). Is there a waiting period to retry for the physical? The doctor at Centra Care did not seem to know the DOT rules and was a bit misleading. She told me 3 months but I feel that is because she thought that is when my labs were due again.
@ Vance
A medical release form from your doctor and thirty days, once he has you stable and your med’s well adjusted.
I went in for my Med card and they had me take a sleep apnea test after the physical. She gave me a 6 month card. It literally took all of the six months to get the sleep study done and have me on a machine for 7 days at my home. At that point I brought the results back to the Physician and they made me retake the physical.. which I easily passed again. She then handed me a 1 month med Card pending the results of one month on the machine at home. Its been a month. I emailed my results which are great and she was happy with them but insist that I come back for ANOTHER physical. This seems ridiculous at this point and the office says its federal but everything I read says its not even a law… Is this normal practice?
@ Joe
Office policy and FMCSA requirement, in the guidelines, would be the culprits.
I am a dispatcher that holds a current CDL . I do not drive anymore but still would like to hold my licences. Do i still need to continue to take these DOT physical to keep licence valid ?
@ George
Most state have adopted the policy of maintaining your cdl with a valid medical certification card. You want to confirm this with your local drivers license department.
My medical card is set to expire in September. Am I able to get another physical with another company and use that card? Or do I need to wait to renew it?
@ Matt
You can redo your medical card anywhere, any time you want.
I have a 19a certificate from RTS…. in Rochester NY, however I just got a letter saying because my DOT physical is up, I am going to lose my commercial license, How can I resolve this? I already had a 19A physical on the July 19th 2018, passed it from RTS, so what is my next move?
@ Jeffrey M. M
You need to contact your local drivers license department to get your best answer, they apparently don’t have the new medical certification findings for you.
My family doctor (who is part of the National Registry) told me a new regulations says that you can’t have your family doctor do your DOT physical that it has to be another doctor. I’ve not heard of this before. Is it true?
@ Randy
We are not aware of any such ruling. If he is on the registry then he is as qualified as any other examiner.
I have sleep apnea, have used CPAP since 2010. To pass the DOT physical to drive a school bus, I must provide a 90-day compliance report. How can I get that information? Lincare is the supplier of the machine, but the location in my area has now closed. I have not been able to get an answer from other local Lincare stores. What do you suggest I can do? Thank you in advance for your help!
@ Debra B L
All we can suggest is that you just keep calling up the ladder until you reach someone in authority.
can I still drive with med card expired?
@ Mike
You can drive, just not legally.
I was just informed from my motor coach company that I have 12 days to get my CDL medical card but I have been on disability with that same company since I fell on their property and February 13th of 2018 how can I postpone my physical without losing my CDL driver’s license
@ Brian L
If you are on disability, you won’t pass a DOT medical certification examination. Depending on which state your licensed in will determine what, if any, time frame you may have between having a valid medical card and a valid cdl.
So I’m wondering what I should do my dot physical card says it expires July 19 2018 but I didn’t get any papers in the mail from dot so I called them an they told me that my dot physical card is good until july19 2019 so what should I do ?
@ Josh
If your medical card expires on 7/19/2019, then you don’t need to do anything. Be aware that you will NOT receive any paperwork reminding you to go get it done in July of 2019, that’s your responsibility.
I’ve had my physical but the examining doctor wants verification from my doctor that I can drive without becoming drowsy. I’ve taken a medication for a few years now and drowsiness is one of the side effects. I’ve taken it for 2 years though and drive fine. My problem is things aren’t happening fast enough. I’m waiting for the DOT doctor to send the paperwork to my doctor and then MY doctor to send it back. BUT My physical is due to run out on the 9th of July and today is the 3rd. Is there any grace periods?
@ TAmmy
Medical cards expire at midnight of the expiration date, there is no grace period according to the DOT.
Nowhere can I find an age restriction for a DOT physical. My boss says you must be 18. Also I’m finding conflicting data on age restrictions for a CDL holder in Minnesota. I have found both 16 and 18 for non school bus.
@ Heather L
The first age restriction will be with the cdl portion from the state, so check with them for the best answer. DOT physical can be preformed on any eligible driver, commercial or non-commercial.
With Type 2 Diabetes how current should the lab work be for A1C? Primary does it every 6 months but DOT physician said it had to be within 4 months?
@ Susan R
The CME is correct and is looking for the most up-to-date documentation.
my brother is in Alaska driving a truck for the summer. He got his physical and has his CDL. He said the Doctor that did the physical called him and was told to inform him that she was not supposed to have given him his physical card as he is over 77 years old. He is 81 but runs every day and is in good health and has been a truck driver all his adult years. Can you please get back with me ASAP on this question as he is waiting to hear what the law is in AK. Thank you
@ Nita R
If he has a valid medical card in his wallet, then he is good to go. Age is not a restriction or regulation of the FMCSA. If he was able to pass the DOT medical certification examination, then he was good enough to continue driving. CME can’t go back and change their qualified/disqualified status after the fact especially based on age.
I made an error filling out my health history section on my paperwork. Can this be fixed without getting myself into trouble? I was rushed while filling it out and it wasn’t until later when i talked to another driver that i found out
I have been doing DOT physicals for a school company
I used to have the drivers complete page 1
their handwriting was difficult to read, made mistakes, forgot some medical contieion, so after a few years, Me and the driver would go over each question and I filled out the paper work.is that ok
to the DMV for our drivers
I have a significant number of drivers who are of different ethnicities
and their handwriting and understanding the questions
Therefore, I would sit and fill out the Page 1 and 2 with the drivers to make sure they understand the questions regarding their medical history.
Page 1and 2 says that the driver must complete
@ christine
FMCSA indicates the need to understand english and be able to communicate in an english speaking domain. If you are simply asking and explaining the questions with the driver, then you’re fine.
My nephew is attempting to get his DOT medical card. He went to a testing center and passed every portion until the examiner asked about drug use. He mentioned he had used marijuana in the past three-four months but was not actively using. He was given some sort of substance abuse form that he now has to get filled out within 45 days. He is about to be out of the country for three months and will be unable to get the form filled. Will he be unable to obtain a medical card upon return even though the 45 days has passed? Can he just take the physical again at another facility or does he have to get the Substance Abuse form filled out and returned to the original facility? Also will he have to pass a drug test in order to get this Substance Abuse form certified by his doctor?
Thanks
@ JM
Just do a new medical examination when he returns state-side.
Can the dot physician require you to show an a1c test
@ Marc
If you are diabetic and being treated with a medication that causes a sugar spill-over, then yes.
What’s kind of drug test will be a given at the DOT exam?
5 panel, tests for thc, cocaine, pcp, opiets, and amphetamines/methamphetamines
@ Jimmy
No drug testing done at the time of the DOT medical certification examination unless the company request a drug screen. Urine testing is for sugar, protein, and blood.
I have a co worker/friend who received Chemo for Colon Cancer, and just recently had tumor removed. He has been cleared to return to work, and has already passed and received new DOT medical card. He will be under going some radiation treatment in the next month or so. once he starts radiation treatment will his loose his DOT Medical card or is he still fit to drive? Radiation treatment will last 30 days.
@ Mark
He will need a new medical certification examination following his next treatment period. Make sure he has a medical release from his doctors and a working prognosis from his cancer doctor.
What is the FMCSA email address to send my completed MCSA-5875 to.
@ Gordon
Your examiner should have already done this, it is not your responsibility.
Is this being done now by the examiner> I was told that that ruling was postponed. Our office downloads them for our drivers and we’ve never been instructed that this was not the proper procedure.
My dad was told that I could no longer have my cdl due to being on dialysis but can’t find where is states this anywhere on medical conditions that keep you from having a cdl. This is for the state of Kentucky
@ Sherry
Class A cdl, interstate driver can not operate a cmv while on dialysis. That is FMCSA. CDL in a lesser class and usually intra-state only, is possible. Check with your local drivers license depart.
If I failed a military drug test 3 years ago, …..and answered “yes” to failing a drug screening. Am I disqualified to get my medical card?
@ Paul
No.
I went and had a DOT physical, my blood pressure was 141/84. The Dr. measured my neck at 21″. The Dr. ordered a sleep study and I have been diagnosed with moderate sleep apnea. When checking in for the sleep study the technician measure my neck at 19 1/4″ and I have not lost that kind of weight. I have asked the Dr. to extend my 3 month medical card and can not get a straight answer from him over the phone. My primary care Dr. does not think there is any concerns with my blood pressure. I am awaiting being fitted for my CPAP machine. Now the DOT Dr. wants a 30 day study and I am 2 weeks out from the deadline on my medical card. What are my options?
@ Jennifer R
The CME needs a thirty day read-out from your cpap machine indicating a 70% compliance. You may be able, maybe, to get a short extension if you can show good compliance for the first couple of weeks. Don’t count on it, but maybe.
I have a driver that is on workman’s comp and has not been released to go back to work yet. He has been gone for two years.
He wants us to pay for his DOT medical exam while he is on WC. Can we refuse this since he is not eligible to return to work yet?
@ Marie
He is on workers comp and will not pass the DOT medical certification examination, so there is no question as to paying for something that is not passable. Once he has been released to return to work, then it becomes a question of company policy as to whether you want to pay or not. All in all it is the drivers responsibility to aquire the medical card.
I’m trying to determine whether ambulance drivers need a DoT physical in the first place. If I understand correctly, this boils down to whether ambulances qualify as CMVs. Any guidance?
@ Brian S
First ask the local DMV for guidance. All ambulances are for commercial use, (they make somebody money) But it is not a class issue, so your local drivers license department should have the best answer.
Thank you for your response. Sorry, but please clarify for me what you mean when you say “it is not a class issue.”
Class as in the class of the vehicle.
@ Gregg
Class of drivers license, ex: class A, B, C, etc.
Does DOT send you a form to get your physical done or do you go do it yourself
I have the every 2 yr physical exam
@ Charles g
It’s a do-it-yourself deal.
I have a question any doctor please help. Woman getting dot exam, is require to remove ur back bra, then the breast to be check, also need the hernia check, is that require by the dot gov to be check. Please help me, need a answer
@ Maria Ramirez-Chan
A DOT medical certification examination requires non of the above for a female driver, unless the CME feels that you may have a hernia that would interfere with the safe operation of a CMV.
I applied for a driving job that required me to get take a physical exam to get my medical card. The Doctor went over the entire exam form and asked me if Iʻve ever used illegal substances and I replied “yes”. The doctor then asked me when did I use illegal drugs and I replied “in 2012”. Finally, he asked what kind of drugs did I intake? And I replied “marijuana”. The doctor then told me that I failed to pass the exam and I now must see a Substance Abuse Counselor and obtain a letter from the SAC stating I am not an “addict”. The first and last time I tried Marijuana was in 2012, straight out of high school and because I answered this question honestly, I have to see a SAC to get my drivers. This is absolutely ridiculous! How true is this? And if this is accurate, where does it state in statute that I must do this. I am not on drugs never have been, yet I have to go through all of this. Someone help me! Thanks!
@ Joe
The CME is following the FMCSA guidelines to the letter, but they are guidelines not regulations. You might try a second opinion.
If a driver gives false medical or incomplete list of pain medications taken and obtains a med card what can be done to report that driver?
@ Bob
Notify the company that they drive for and the examiner, if known.
Does anyone know if we can fold the new dot cards then laminate them since the card is now bigger I want to know if we can fold then laminate so it could be a better fit for the wallets. If anyone can help Thank You
@ Ray
As long as the DOT officer can read all of the information on the medical card with his naked eye, then you should be OK.
How long after taking the DOT physical do I have to turn it into the state? Is there a time limit on the date it was taken and the date you have to certify with the state?
@ Patrick
Basically you want the state to know as soon as possible. If you delay and then forget, you could be downgraded or placed on suspension.
IF you have a current med card that is not expired but this one is just a more recent physical I should be ok
@Patrick
Yes, the latest card will be the one on file with FMCSA and your local drivers license department.
If a driver answers “yes” to question 31, which asks if they have used an illegal substance in the past two years, are they automatically disqualified?
@ Julia
No, it just raises questions that may need some supporting documentation.
I dont need a cdl to drive my cmv but my company wants me to get a dot physical my left eye is lazy can i explain to them my job requirements i have had my driver license since i was 18 and have never been involved in an accident i have no restrictions on my license either but cant read with my eye my vision other than reading is perfect no blurry vision just cant read what do i do so i dont lose my job
I work for a package delivery company. I drive a pkg car and I drive a big rig. Diagnosed with type 2 and my doctors orders can only work day time. I worked 3 months straight as a pkg car driver then all of a sudden I was told to go ‘fit for duty exam’. Doctor deemed me ‘temporarily disqualified’ without doing test. but he said come back ‘when i feel comfortable’. I told him I feel comfortable driving a pkg car but not the big rigs at the moment. should he have given me 3 month card instead? are the rules for CDL class A different than class c? because I know drivers with class c with type 2 that got 3 month card and are driving. I will probably go and try to get re certified next week is that too soon?
@ Larry
Not sure why you were disqualified and yes, the rules for class A drivers are different from a class C license.
What do I do if I lose my Medical Card?
@ Jim
You should have a copy of your medical card and your medical examination, if not contact the examiner and see what their policy is for a duplicate.
Can I reduce the size of the medical card?
@ Bryan
DOT wants to be able to read the entire card with the naked eye, so it is not recommended to reduce the card. See if you can locate one of the tri-folds cards and have your examiner fill it in for you.
Hi pls help I just found out that I have prostate but not cancer , can I still qualify for CDL medical card and continue driving ? Thanks
@ Phil
Prostate what?
Today I failed my DOT med card renewal because centre care (required place for McLane drivers)said they detected a slight heart murmur. My card expires tonight. They say they cannot extend my med card for this like they can for other issues. Is this correct? Gonna take me 3 days to be seen and cleared after echocardiogram
How long after being released from my doctor do have to wait to take my D.O.T physical? After I suffered a double saddle pulomory Embolism.
@ William B
You will need a full release to return to work and documentation indicating that you are no longer a health safety risk, according to the FMCSA. The medical examiner should be able to explain any delays and waiting periods, once he has all of the above information.
@ Glenn L
The CME has the right to withhold a medical card until he has the documentation that he needs to make his final decision.
I RECENTLY TOOK AND DOT PHYSICAL FOR THE FIRST TIME AND WAS ISSUED A MEDICAL CARD, BUT I LATER FOUND OUT THAT I FAILED THE DRUG SCREEN. WILL I EVER BE ABLE TO RETAKE?
@ Dante S.
Drug testing and DOT medical certification examinations are two different thing. You should be able to redo your drug test, once you are clean.
I’m off on workman’s comp for a shoulder injury, and my 3 month evaluation is coming up for cpap. Can I still get a DOT medical card, or am I going to have to wait till I am released by the Dr, and get my Dot physical then, and be reissued my CD? If I don’t get the physical I will be down graded and am wondering if it is difficult to get upgraded back to a class A with hazmat, or will I have to take all the test again?
@ Rodney S
You need to be fully healed and released without restrictions before you can take your next DOT examination. Most states have some type of lenience for individuals that are out with injuries during the examination period, so it should be easy to re-enstate your CDL.
I currently have a good up to date medical card and am currently working. I have an opportunity at a better job but they want a new medical card. since my last physical I have gotten a small hernia that does not bother me. my medical card is still good for a year and a half. If I fail a physical for the new job would it void the current medical card I have? would I potentially not get the new job and get fired from my current job because I failed a physical they don’t know I even took? I live in Idaho, I don’t know if it matters or not.
@ Ricky
If the small hernia does not present with any symptoms then you should do just fine. Yes, a new medical certification examination over-rides an existing medical card.
I just had a dot physical recertification the doctor said i past all the test but doctor wanted me to get and updated sleep test. The doctor didn’t issue me a temporary. Was she supposed to? She to come back with the update results.
@ Tim
If you did not receive a medical card then she is waiting for the new results.
My Employer sent me for a Fit For Duty Medical Certification at their Medical Examiner. The Medical Examiner issued me a 1yr Medical Card. Three months passed and my Employer said my Medical Card Expired. The Medical Examiner gave my Employer a 3 Month Provisional Medical Card that I did not sign or know anything about. Is the 1yr Medical Card I got in her office still valid? My Employer is not allowing me to drive and I may loose my job. I have a CDL Class B license.
@Leen
You should have a copy of your medical card in your possession and if it is signed by you and the examiner, then that is the valid card. The examiner should have a copy in your file also.
Well the Employer terminated me and said they are going by the 3-month medical card the Doctor submitted to them without my knowledge. I asked if they would accept a second opinion from another doctor and they would not answer me. Is there any printable documentation that the 1-year is the valid card?
@ Leon
All the proof you need should be in your back pocket as a copy of a valid medical certificate, signed by the examining doctor.
The medical examiner disqualified me for my medical card because I told her that I fell asleep at the wheel of my personal vehicle & had an accident this happened over 4 years ago. The reason I fell asleep was because of my inconsiderate house mate kept my up all night. I then went to work at my non driving job for my 8 hr shift. On my home I fell asleep. I have been working in driving jobs (non-comericial & commercial) sense then with no incidents. Can I appeal the disqualification on the grounds that the decision to disqualify me was unreasonable because the reason I fell asleep was due to situational circumstances and not medical?
@ Jason
Yes, you can appeal, the matter may take quite a while and the forms are hard to find on the FMCSA website, but it is do-able.
I no longer work for (deleted by admin) Trucking, no longer drive an 18 wheeler, so no longer need a medical exam for my CDL. How can I get this removed so I do not lose my CDL?
Thank you!
Steve E
@ Steve a valid CDL for any reason requires a valid medical certificate or down grade your license.
I just had a DOT physical and was disqualified because of medication I take. I am a cancer survivor from Leukemia. One of the medications I take is to help with memory because of “chemo Brain”. This is also used for Alzheimer’s. My PCP and a Neurologist wrote letters to the DOT doctor telling her why I took the medication and that I do not have any diminished cognitive function. This was not good enough for her. She now is requiring me to have a Neuro physic metric evaluation. The wait period is only 3 months to have that done. So I cannot work until I meet all of her requirements, even though two doctor one my PCP and a Neurologist have both told her I don’t need one. My company said I cannot get a physical anywhere else because she still has an open file on me. Is this true or can I get a Physical from another doctor?
@ Jim
You have the right to have a second opinion from any FMCSA qualified CME. And the company has the right, based on their company policy to accept or deny the findings. They have you between two hard places.
Im 32 years old, never failed a physicsl drug test, never had high blood pressure,no medications never been disgnosed with any ailment whatsover.Driving 12 years Go get a DOT physical and placed on a 90 day restriction pending sleep study based on BMI and neck circumference. Passed physical with flying colors, not on medicstions and had no physical indications of sleep apnea. My employer is telling me they wont honor a 2nd opinion by a FMCSA and that i have to accept and follow up with this DOC? This guilty until proven innocent is unethical and ridicoulous and what options do i have before im forced to submit to such a tests thst have life long ramifications in the event im missed diagmosed. Its from my understanding that everyone goes home with a cpap and appears to be the biggest fraud on drivers and the insurance companies. Im basicslly being forced to purchase an ailment regardless of the fact i virtually have no health issues in sny aspect.
@ Chris
They have put you between a rock and a hard place. You are now dealing with your companies policy and not FMCSA. As we under stand it, you have the right to a second opinion, but your company has the right to accept or deny the findings. BMI and neck measurements are not the standard for requesting a sleep study, so someone is taking advantage of your situation. Good luck.
if you do not pass a DOT recertification does the doctor still report to the state? Or can I still run off my existing physical that has a couple months left on it
@ Sheila
A failed DOT examination is reported to the FMCSA and the state, which then invalidates your existing medical certificate.
I recently had back surgery and my doctor doesn’t want me to return to my job due to the lifting & bending. I’m considering applying for Social Security Disability, but worry that if I’m denied, that will keep me from passing a DOT physical to try to do a lighter driving job.
what is the time frame for A1c test results to still be good for a dot physical. 3 months, 4 months or 6 months
@ Ken
The CME’s would like to see the most recent, 30 days if possible. They may accept 3 months, but don’t count on it.
How do I verify that the medical card was received by the DMV?
@ Trudy
Call them.
Is it the law that I must have my Medical card on my person while driving at work or is it as long as the company has it on file as current?
@ Bill
If DOT wants to see your medical certificate, then you need to have it in your possession.
First I’m in Texas. I have a valid CDL and med card. My med card is going to expire in March 2018. I no longer Drive for a living but would like to keep my CDL. What do I need to do or provide to the DMV to keep my CDL? I have looked all over the Web pages and not found the right answer.
I’m also in the same boat. You have to pay out of pocket at a certified Dot office. The price is anywhere between 50/300 and it will be renewed
@ Shaun
Valid class A drivers license require a valid medical certificate.
is there a way to get a CDL class A license or a truck driving job with out taking the dot medical exam just asking
No.
In my state,NC you can have a CDK without an medical card.But then you are restricted to intrastate driving
Is a digital exam or blood test required for a DOT physical?
@ Thor
No blood test are required and unsure of your ‘digital’ question.
My question is if Dot does not require that sleep apnea is mandatory for a Dot medical card then why can a physician tell you that he is not giving you a medical card unless you have a sleep apnea test done. I only drive a small box truck local .
@ Christopher
You fall under your states regulations and not FMCSA. You are being taken for a ride by some one who does not understand the differences. Go somewhere else for your examination and tell them that you drive local and a small box truck.
I answered yes to drug use in the last years but it’s been a year. Does this automatically disqualify me for a med card?
@ Dan
No.
will i be drug tested for my two year renewal certificate
@Mike
Drug testing is not part of a DOT physical exam. However your company may request a drug screen.
I have cdl a and have been told I have some heart damage. they want to implant pacemaker and cardiac defibrillators. will I still be able to have a cdl license? if not would I be able to get social security disability?
@ Dave
If you have the procedure done as you describe, you would be disqualified as a interstate class A driver. That being said, you could consider driving intra-state only and be able to maintain your CLD. Can’t answer the ss disability question. Check with social security for that answer.
Trucker Docs, I am not sure where you get your information from, but an ICD (Implanted Cardiac Defibrillator) are DISQUALIFYING regardless if intrastate only or not.
@TheTruthDoc
This may be possible depending on the license class and the state regulations.
My doctor (who has known me for 20+ years) approved my DOT Certification. I am a Diabetic, under control and have driven small trucks for a living for the better part of 30 years. Now, with these so called “Medical Examiners” who are approved (without knowing their patients AT ALL), are telling me simply because I am Diabetic (NEVER an accident or any other issue due to my condition), that I cannot continue doing my job. I do not have time to appeal nor can I afford legal services. I have already lost my home because of this. What am I supposed to do now? This is unfair practice that some doctor who never met me has more say than my doctor who has been treating me for over 20 years. Do I need to now sell my car to hire a lawyer? Help me out folks. I really need some experience, but I will certainly not snub my nose at some simple advice.
Thank You
@Howard
Based on your story we can only assume that you are driving a small local truck. If that is the case then what you need to do is explain to the examiner what your job consist of. Apparently you are being held to a long distance OTR driver standard and he does not understand the difference between federal guidelines and state guidelines. Yes you need a medical certificate, but the examiner needs to evaluate you as a local small truck medical certificate (state guidelines), not an OTR driver.
Thank You Trucker Doc. I didn’t even know there were state and federal guidelines. I thought this was a federal law covering the entire nation. I did not know that State guidelines are different. I MAY be required to cross state lines, will that require Federal certification or state?
@ Howard
A lot will depend on your drivers license classification. Classes other than class A have different guidelines based on your states regulations. Class A licenses falls under FMCSA and are federal guidelines.
I was just diagnosed with the Shingles. When I was a kid I had the Chicken Pox. Thankfully a very mild case at least as far as pain is concerned. My doctor prescribed me Acyclavir and Gabapentin which are medications, one is anti-viral and one is for pain. Also prescribed was a cream for the rash. Will the Shingles affect my medical qualification to drive? I did not see anything in the FMCSA Regulations regarding Shingles.
@ Dale
The pain medication will be the question for the medical examiner. FMCSA has no say with shingles unless it presents with a safety risk to the driver or public at large.
You are not required to tell the medical examiner if you have a cold or the flu. Shingles come and go just like the flu only it takes longer to get rid of them. I wouldn’t say anything about Shingles.
If i do not Have the money to pay for. The dot medical exam because of the lack of financial means. How can I obtain the medical ? is there any possible way to get around without paying imidiatly? Like billing me.
My husband owns a rollback by TN law we are only required to have an F endorsement class d license. We were recently told we are required to have a health card. Is this true? By all requirements I have read states it is required for cdl not for class d with f endorsement. We are wanting to make sure before we get shut down for this reason
Can an Advanced Practice Nurse (Nurse Practitioner) sign a medical release to be presented to a DOT Medical Examiner?
Yes this is true per federal standards
I am a truck driver in Kentucky and do some over the road driving in other states and have had CDL for 10 yrs. I have incontinence issues due to a birth defect and had my prostate remove due to cancer. I am considering having Urinary Diversion surgery to correct this problem. I will have a Continent Stoma installed in my abdomen where I will use a catheter several times a day to relieve my bladder. After a recovery period and a doctors OK to return to work will I still be able to keep my CDL and return to driving. I am 46 yrs old and have a perfect driving record for my 10 years of driving.
Thank You
This shouldn’t be an issue as it should not affect your driving safety.
What weight class requires a DOL Medical Card if person does’t have CDL ?
How soon after You change name on Your cdl,how many days do You have on Your medical card
I have a Class B CDL as a school bus driver for almost 4 years now. I have been ESRD/Chronic Kidney Failure patient prior to hire. I am treated with HHD/Home Hemo Dialysis on 5 or 6 nightly meds (mainly vitamins). I have not urinated in over 8 years. Since the 2018 Physical Exams Guidelines have/are changing, will this be a disqualifier? And where in Kansas can I locate a ME that will sign off as being okay? This condition is not listed 49 CFR391.15. Since I see a Nephrologist monthly can he fill out the MCSA-5876, based on the response listed on FMCSA Part 391.43- Guidance- the ME should have ‘knowledge’ of the condition and the patients ability to function.
Hemodialysis may lead to sudden and unpredictable incapacity related to fluid/electrolyte imbalance or blood pressure fluctuations and is generally considered a disqualifying condition.
This is a very difficult condition to pass a DOT physical. The examiner has to believe that you are safe on the road and this condition would lead any examiner to immediately deny you. If your neurologist can do DOT physicals, have him do it. Otherwise I think you may need to look much further into getting records of your stability. Another question, how can you do in home dialysis while driving?
I have a 56 yr old.driver that is Type 1 Diabetic and has been since childhood. He has controlled it well all these years with his family Dr. and has never gone to a specialist, Endocrinologist. At this time, his job will require him to drive across state lines, yet his medic. cert. will not allow it without a waiver. How does he go about obtaining a waiver when he has no history with a specialist to give him one? His current cert. would allow him to travel across the state without a waiver but not a 200 mile round trip across state line and back.
I work for a large company and I have Dystonia. I also have an FMLA in place for intermediate absensces. My neurologist, primary care doctor, DOT doctor and any other doctor I’ve seen have all said I’m okay to drive and I’ve passed my physicals just fine. Now my employer says that if I miss even just one day of work I have to go to my primary care doctor get a letter from them that I’m fine and get re-certified by the DOT dr.
Can they do this????
Can an employer make it mandatory for its employees to go to a company doctor for a DOT exam?
@Esther
If it’s a company policy, then yes.
I have my CDL to drive a bus and I’m currently not working. I’m taking the year off to spend time with my baby. The lady at my local dps told me that I didn’t have to get a physical that I am exempt. I just want to make sure she’s right so I don’t get downgraded. My last physical was July 2016 and I won’t be working for another year. When do I have to get my physical again? Thank you.
As long as you hold a two year certificate and return for an examination in the two year period, you’ll be fine. Do not let your physical lapse or you’ll have to repeat the licensure process from the beginning.
This past July, for the 1st time in my spouses 20 plus yr driving history, he was told he had high blood pressure during his DOT physical. He passed everything except the BP and was only given a 3 month card and told he had to be on medicine. So, he went to his personal doctor and got a low dose of blood pressure medicine and his readings have been great. However, every time he went to the company paid medical examiner to show them his readings , he was told it was high! Well, today the lady medical examiner gave him another 3 month card even though he passed! I am so upset because I thought that when you passed after the 3 month extension that you were given a year or at least 6 month card? I feel she is playing games. She told him she could only go back to July and so he needs to come back in January. I don’t trust or believe her because I saw on the official DOT site that after passing you get a 1 year card. What should we do?
I recently came out as transgender. I’m scheduled to start seeing a gender therapist. Would this be considered a mental disorder under 391.41(b)(9)? Do I need to check the box for question # 14 on the MCSA-5875 form? Will this condition disqualify me from recieving a med card? If I decided to start hormone replacement therapy would that disqualify me?
I highly doubt any examiner would consider this as disqualifying or even a concern
I have my class C license and was required to take a DOT physical, so I have a medical card. I have now upgraded to my class A CDL, do I need to get another physical? Or is the medical card I have now valid with my class A?
Any DOT physical is a DOT physical. At this point I think your battle is solely with the DMV
We have a driver that is going to be traveling from IN to OH once a week. He will be driving a cube truck that weighs under 10000. IS he required to have a DOT since he is crossing state lines?
@Christi
Anyone who drives for commercial purposes must have a medical card. Crossing state lines, an interstate medical card is required.
Med card expires next month, on disability till Dec. How can I keep my CDL current so I can go back to my job in Dec? I won’t be able to pass physical till Dec.
@JS
Contact your local drivers license department with this information so they can note this on your CDL record and they will tell you what the process is to reinstate your CDL.
I have a current DOT medical health card. i have recently went back to using my maiden name after getting a divorce . How can i get another DOT health card with my maiden on it?
I have had a CDL for many years but when it came time to get my last physical i did not do so but not for any medical condition. I was just extremely busy at the time and wasn’t sure i would drive again needing a CDL.My question do i just go get physical and take it to the license branch and all is normal then?
@Rosalyn
Each state treats the CDL downgrade and reinstatement process differently.
You’ll need to contact your local drivers license department to confirm your status and what you need to do.
I passed my dot physical today but I had a bad month on c pap machine due to a bad mask my hours average using the machine was 3.6 hours instead of 4 hours. I always have slept over 4 hours with my machine. Can I get a medical card extension in order get my average hours back above 4 hours.
@Ron
You’ll need to take that up with the examining CME.
Hi my name is John i am a dialysis patient have been for 29yrs i have been driving patient transport for 12+ yrs i dont make urine therefore my dot drug was done through blood analysis now im being told that dot want except my blood for my drug test n i dont make urine how can i go bout getting my drug test done with my blood my job n lively hood depends on it thank u.
@John
DOT could accept a blood or hair test if you need a drug test.
Qquestion. I have neurofibromatosis. since 8 years old. I have had my CDL for 15 years. I have never had a problem before. This time a new doctor want a neurologists approval before they approve the CDL exam. If NF1 does not effect Driving is it legal for the doctor to require a specialist?
@Mike
The medical examiner can request additional testing or information by a specialist, and if you have not had any issues in the past, go get a second opinion from someplace else.
Do any states, specifically Wisconsin, require drivers to recertify their medical card more often than every two years based on any certain age?
@Butch
Yes there are states that require this. You’ll need to check with your local drivers license department to determine their regulation.
How does my examiner record or submit that ive completed and pass my examination. Do they mail my paper work? If so what do they mail out? do they do it electronically? or do i need to go to my local DMV and submit my documents? If so what documents do i submit? Im in California, Riverside
@Lulu
The medical examiner submits results electronically to FMCSA.
It is your responsibility as a driver to submit a copy of forms MCSA-5875 and MCSA-5876 to California DMV.
See California requirements.
We have a driver who has been off on medical leave for 3 months. His doctor found a benign brain tumor and had surgery to remove. Doctor has said he is ok to return to work and drive interstate. His medical card has not expired. Before he returns to work, does he need to be re-certified on his medical card in order to drive?
@Georgann
Yes.
If I’ve already done a dot medical physical can I turn around and have another one done again if I so choose for what ever reason.
yes you can. the last one you do will make the previous one invalid.
If I’ve had a dot medical physical done this year can I turn around and get another one done before the current one expires.
I need to know the fax number to send a copy of my medical to state of kansas
very sorry i also saw email addy to send in medical card to kansas I didnt kmow you could do that?? I am not sure I have the right fax number Thank you in advance so much.
@Nathan
Yes you may.
Is there a grace period for DOT physical card in the state of Ohio? My card expires 4 days before my scheduled appointment to have my sleep apnea data read.
@Mike
No grace period. You cannot drive on an expired medical card.
As far as downgrading your license, each state treats this process in their own manner.
Get your new medical card on file with your DLD as soon as you have it.
Is there such thing as being grandfathered on getting medical certificate in state of Texas? I have had a CDL for over 40 years and only drive about twice a month on a 4 mile round trip.
@Roy
No, you must have a current medical card in order to keep your CDL valid, or your license will be downgraded.
I just took a DOT physical and there was blood and glucose in my urine , the NP examiner took my current med card and issued a 45 day med card . How do I go about getting back in good standing of at least one year ?
@EJ D
Go visit your primary care physician and get your medical issues under control!
I had same problem do they make you pay for a new card after you see your regular Dr and get it fixed when you go back with your protein normal? Because I’m out of work and this is costing me a fortune No insurance
Most places will make you pay some sort of fee once it is under control. The CME has to take their time to review your records and agree with your records, therefore most places will charge at least some fee. My clinic charges $35
Can I register my physical with the DOT myself? If so, what’s the web address?
@Jamie
Yes, it is the drivers responsibility to get a copy of the medical card to their local drivers license department. Look up your State DLD to get the information.
My husband has a current medical cert but did not take it to the illinois sec of state office. He just received a letter suspending his license. He has the current certificate in hand. When we take it the next time they’re open, will there be a fine or penalties or waiting period? Also, does the suspension apply to his license to drive a CAR or just a commercial vehicle? Thank you.
I’m trying to get non cdl dot physical but doctor can’t approve because I admittingly smoked marijuana 4 months ago. Is that really a reason even though I can pass a drug test now?
@JM
As long as you stay clean and pass a drug test, and you pass all the other requirements of a DOT physical your should get a valid medical card. Make sure that you explain to the CME that you are not a class A driver and you fall under state variances, not FMCSA.
Hi I was wondering if I can go to my on doctor if I was not happy with the doctor my company had sent me to for a Dot phis.my bp read high one time and I had no rest the night before because I drive nights and I had to sit there for 2 hours and I was missing money and my bp went up she trying to put me on meds to bring it down it read 148/98 I have been keeping up with it and the highest it has read was 137/87 and I try to take meds an my bp drop to low it read 87/57 and I tried to tell the woman and she told me to keep taking the med . and I have stop taking the meds. and my Bp has been fine and I want to go to my on doctor to get a second reading on it what do I need to do because she gave me 2 months to take care of it and I can only take it one time.
You have a couple options here. You can just “go for it” and try a second time and ask for the CME to take your blood pressure. However, even a BP of 137/87 is barely passing and during stress your blood pressure shouldn’t be high like that. Driving in traffic is that stressful. So maybe see if you can take a lower dose of the Med because the the lower readings are super low. What type of blood pressure machine are you using? Any automated machine is fairly innaccurate
Yes where can i get the DOT Physical Form alone so my doctor can fill it out to save me the money, shes approved, I believe.
@Sarina
A DOT physical exam / certificate is only valid if performed by a certified medical examiner. And a CME will already have the required forms.
Hi, Is it required for the examiner to perform a hernia test on all males during their DOT physical examination? If one is not performed, but the examiner marks it on the DOT physical form, is this considered fradulent documentation? Thank you for your response.
@Beverly
FMCSA requires this check, and the examiner should be sure that the driver does not have a hernia problem. And, to mark it as done when the check was not done, that would be considered fraudulent.
Hi, I am going to apply for fedex home delivery non cdl box truck/van and will have a DOT physical. Will I fail the physical if I have Bipolar type 2 and also anxiety? I am stable and you would never know I had bipolar however, I’m worried about the mood stabilizer/epileptic drug disqualfing me. I read something recently stating that all epileptic drugs/bipolar meds disqualify you? As far as the anxiety drug I’m switching to a non narcotic before the test. Should I just cancel the interview with fedex? I greatly appreciate any information regarding this.
@JD
You do not fall under FMCSA class A requirements. So get a medical release from your prescribing and treating physicians. Explain to the medical examiner that you’re going to be driving a box truck locally, and that you fall under state variances. Any questions you would have should now be answered by your local drivers license department.
I got my first physical on 5/19/17. My initial BP was 150/80. I was led to believe by the examiner that it had to be under 140/90. They said they would check it again at the end of the physical. That ”
optional” test was 156/102. Of course this was after sitting there thinking that I was not going to be able to get a CDL. I was only granted a 90 day certificate. Now I see that as long as it’s under 159/99 I should have gotten a 1 year cert. Is there anything I can do to appeal/change this? I am working on my BP but meds I have tried have had some nasty side effects. Without meds my DR measured 136/78. For some reason when I go to the medical examiner I’m over 150. I fear I won’t be able to get under the 140/90 by the 90 day mark. Having a year would have been helpful to get this under control.
@Jim
You have 90 days to get this under control on medication. On medication your BP must be 140/90 or under that.
You get only one 90-day card to get this under control.
Take Low dose Asprin or Baby Asprin, 1 a day , about a week before your physical. I normally have normal BP but mine spikes up 20 points when I’m at the Dr. The asprin really helps keep the BP down when you’re having your vitals done…and I always request 3 separate BP readings, cause my Dr is aware of my nervous condition in the office .
Regardless of passing you should be concerned about that high of a reading. Time to start taking a BP Med to control your blood pressure. Go to the doc and get your blood pressure under control
Can a driver pass a dot physical if he/she does not speak English?
@Dr. Z
FMCSA requires in the physical exam / driver’s job description that the driver be able to communicate in English.
My husband is on dialysis and last year (while on dialysis) he passed his DOT and this year they failed him because he is on dialysis. Is there any way around this or is he just done driving til he gets a transplant? The Dr said something about getting a waiver from FMCSA, but what are his chances of getting the waiver? He also has high blood pressure, which he takes meds for and has been for the last 10 years.
@Niki
On dialysis, he is disqualified as a class A driver for interstate.
No such waiver from FMCSA.
You may want to check with your local drivers license department for local driving.
Does the Doctor submit your physical qualifications electronically to the Fed’s or state? Or is the only proof they get from me when I send them my form?? If I get a one year medical card because of high blood pressure, is that info sent to the state??
@Happy Harry
It’s reported to Federal and the state has access to this information.
Thank you. So if I understand correctly, the Fed’s are notified of the high blood pressure?? Also, the next physical examiner would have access to these Federal records as well??
@Happy Harry
Yes, this information is on record. And, you must answer the health questionnaire truthfully. So, nothing to hide, just take care of any condition that may be an issue. Safety is the intention of the medical examination.
if your medical card expires on a weekend, can you pay the renewal first thing Monday morning?
@Keith
Yes, get your new medical certification as soon as possible and make sure you get a copy to your local drivers license department.
I found out today that I have cancer in my right kidney. It is curable but, the kidney will have to be removed. Therefore, I will now have only one kidney. Is this going to be a problem for passing future physicals?
I live in Kentucky and currently only drive a city bus. No longer driving over the road.
@Paul
No it won’t be a problem for driving a city bus.