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Q&A
Who can I go to, to get my DOT medical card?
Can I go to my own doctor to get my DOT physical or do I have to use my company doctor?
What’s the difference between a DOT Doctor and a Medical Examiner?
How long does it take to get my medical certificate?
What’s involved in a DOT physical?
What would cause me to fail a DOT physical?
When I do my DOT physical do I have to get completely naked?
Who pays for the DOT Physical Examination? Me. Company. Insurance?
If I don’t have medical insurance can I still get a DOT physical?
How much does a DOT physical exam cost without insurance?
Why do I have to have a urine test for a DOT physical?
Can I get a copy of my DOT physical form?
How long is the DOT medical card good for?
How many 3-month DOT medical cards can you have?
Is there a difference between a DOT physical card and a DOT medical certificate?
How do overweight truck drivers pass the DOT physical?
What if I’m disqualified – may I request another DOT physical?
What if I don’t disclose a medical condition when I go through the DOT physical exam?
Who can I go to, to get my DOT medical card?
Interstate drivers: CMV drivers who drive interstate, must get Federal medical certificates from a medical examiner who is FMCSA National Registry Certified. (Find a registered CME)
Intrastate drivers: Each individual State makes the determination as to whether or not intrastate drivers must be examined by a certified ME listed on the National Registry. To avoid hassles it’s our recommendation that you find a registered CME.
Can I go to my own doctor to get my DOT physical or do I have to use my company doctor?
This will depend on the company policy. Your company may require you to use their company doctor for your DOT physical exam. If this is not a requirement, you may go to any medical examiner who is certified on the FMCSA National Registry.
What’s the difference between a DOT Doctor and a Medical Examiner?
There is no difference, these terms are used interchangeably. The terms Medical Examiner, Certified Medical Examiner, and CME are now being used since the federal regulation came into force on May 21, 2014. Drivers will not be able to go to just any healthcare provider for your DOT physical. You must go to a Certified Medical Examiner on the FMCSA National Registry.
How long does it take to get my medical certificate?
It should take 30-45 minutes to go through the physical examination. Provided there are no medical concerns the medical examiner will be able to certify you and issue your medical certificate.
If the medical examiner has concerns about a potential, current or past medical condition you may be required to see a specialist for additional medical tests or get documentation from your treating physician. In this case the medical examiner will not be able to complete the DOT physical exam until these requirements have been fully met.
Be Prepared! Find out what you should know before you get to your DOT physical appointment.
What’s involved in a DOT physical?
The DOT physical exam is considered a “Medical Fitness for Duty” exam for the demands of the job required of any commercial driver, not just the driver’s current job duties. The medical examiner’s role is to determine if a CMV driver’s health meets FMCSA standards.
The examining doctor has these two questions foremost in mind when conducting the physical exam:
- Can the driver safely meet the physical and mental demands of the job today, and for the period for which the medical card will be issued?
- Does the driver have any past or current medical conditions, which may impact the ability to meet the demands of the job now or in the future?
The DOT physical is an extensive medical examination to determine if you are qualified to safely operate a commercial vehicle. The best way to understand the DOT Physical Examination is to relate the medical requirements to the demands of your job as a commercial driver. The full extent of these are explained in Trucker Docs™ special guidebook to getting your medical certificate.
What would cause me to fail a DOT physical?
Any condition that would cause a loss of ability to control, operate, or drive a commercial vehicle safely – loss or impairment of limbs, poor visual or auditory acuity, insulin-controlled diabetes, high blood pressure, heart disease, respiratory disfunction, epilepsy, mental disorder, use of certain drugs, alcoholism.
The DOT physical is an extensive examination. The full extent is explained in Trucker Docs’ special guidebook. Any disease, disorder, injury, or medication could cause you to fail if they present a risk to public safety.
When I do my DOT physical do I have to get completely naked?
No. There is no reason to get naked. Loose clothing will suffice for the examining physician to be able to complete all aspects of the DOT physical exam.
Who pays for the DOT Physical Examination? Me, my employer, my insurance?
There is no set answer here.
Sometimes the driver pays.
Some companies will pay for it, some will not. So check with your company because some require that you use their company doctor.
Some insurance companies treat this exam as preventative health care and will not reimburse for it. Sometimes the driver will pay, and may submit the receipt to their insurance for reimbursement, if the insurance will pay.
If I don’t have medical insurance can I still get a DOT physical?
Yes. You do not need medical insurance to get a DOT Physical.
How much does a DOT physical exam cost without insurance?
Currently we’ve seen DOT physicals charged anywhere between $50 and $300. The new FMCSA Medical Examination Forms (2016) and reporting system have increased administrative work and time for medical examiners, and costs for the DOT physical exam are rising accordingly.
Why do I have to have a urine test for a DOT physical?
The urine test is just a kidney screen to test for sugar and protein. It’s done to determine that there is no early onset of conditions like high blood pressure breaking down the kidneys, or early signs of diabetes, or kidney infection.
Can I get a copy of my DOT physical form?
Yes. As well as receiving your medical certificate you should also get a copy of the long form (Medical Examination Report). The medical examiner is required to keep a copy of these documents for three years. If you need a copy you should contact the medical examiner. Contact information is on your medical card.
How long is the DOT medical card good for?
A DOT medical card is valid for two years if you have no restrictions. A history of high blood pressure, taking high blood pressure medications, a sleep disorder, and taking oral medications for diabetes can restrict the medical card to one year or less, depending on how frequently the condition needs monitoring.
How many 3-month DOT medical cards can you have?
One only. You should have the condition, which caused the restriction, under control by the end of the 3-month window.
With the typical 3-month medical card, you needed to do something to bring some physical condition under control. If you did that, and you go back to see your last DOT examiner, he can issue you a new medical card for typically one year. If you didn’t fix the issue, he can choose not to extend the card. So get the condition taken care of and don’t have to worry about short term medical cards.
Is there a difference between a DOT physical card and a DOT medical certificate?
No. These terms are used interchangeably. They are most often referred to as a DOT medical certificate when referring to the medical card, and DOT physical when referring to the DOT physical exam.
I lost my medical card. How do I go about getting another one? Do I have to do the DOT physical again?
No you do not have to do the physical exam again. The medical examiner is required to keep a copy of the exam documents for three years. If you need a replacement medical card you should contact the medical examiner.
How do overweight truck drivers pass the DOT physical?
Being overweight is not a restriction to passing the DOT physical exam. It is the medical conditions that being overweight eventually leads to, such as high blood pressure, heart disease and kidney disease, that may affect your ability to safely drive a commercial vehicle. That is what the DOT Physical exam will determine – whether you have any of these restrictive medical conditions. Getting healthy and staying healthy is your best guarantee for your life and your livelihood.
Does the DOT physical require a driver to be completely healthy… does that include sexually transmitted diseases?
No. An STD will not affect a DOT examination.
What if I’m disqualified – may I request another DOT physical?
This really depends on why you were disqualified.
Doc shopping used to be what folks did, but that is changing with DOT and FMCSA. If all medical examiners are following the guidelines and regulations, then it would not matter where you go, you would still be disqualified if the same situation exists.
If the disqualification seems unreasonable, and you feel you are truly fit enough to safely drive a CMV, then discuss the concerning condition with the medical examiner, and ask for options that may help you to be reconsidered for certification.
Second opinion: A driver always has the option of getting a second opinion. If the qualification restrictions or disqualification seems unreasonable, and you feel you are truly fit enough to safely drive a CMV, you should find a different clinic to get a second opinion. The new examination decision supersedes the previous examination.
What if I don’t disclose a medical condition when I go through the DOT physical exam?
When you complete the health history section on the long form you must certify that your responses are complete and true. Making a false statement for concealing a disqualifying condition may invalidate the examination and any medical certificate issued, based on it.
What about “shopping” for a DOT doctor who will be “lenient” on the qualifiers for DOT medical certification?
Some drivers used to do “shopping around”. Starting 2016, the FMCSA reporting system with the National Registry will have the capability to flag multiple exams, identify missing or false information reported by the driver in the Driver Health History section of the MER Form, MCSA-5875, and make a determination to void the driver’s MEC, Form MCSA-5876, if appropriate.
It isn’t an issue of lenience. It’s an issue of whether you, as a driver, are safe and medically fit to operate a commercial motor vehicle. It’s about safety for you and the public at large. Do what you need to do to be medically fit to pass the DOT examination and don’t worry about finding a lenient DOT doctor.
Second opinion: A driver always has the option of getting a second opinion. If the qualification restrictions or disqualification seems unreasonable, and you feel you are truly fit enough to safely drive a CMV, you should find a different clinic to get a second opinion. The new examination decision supersedes the previous examination.
Certified medical examiners are now required to understand the role of a commercial driver. The doctor who understands the lifestyle and job challenges of a driver, should really want to help you alleviate conditions that could potentially threaten not only your livelihood, but also your life, and possibly the lives of others if a catastrophic event could occur. So if you need a second opinion, look for a medical examiner who considers the big picture of fit for duty rather than one who does a checklist exam.
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As of 4 days ago my Podiatrist wants me off my heel for 4 weeks, so no work ! Problem is my DOT card expires in 14 days? Will I get extension or do I just go and take it
@ Tim
DOT/FMCSA has extended the grace period to the end of August. You could take it now or wait until you are ready to go back to work.
I have driven or over twenty years and have a excellent driving record. A few months ago one of the supervisors from the home office called me at home and told me to go while I was at home and get re-certified since it was coming up in a few months. I have failed my DOT Physicals and have gone to a office near the company’s terminal. This time however, I was told to go to a different DOT Dr in a near by city. At first I did not think anything of it because I knew I had no issues and would pass the physical for re-certifying. However, after the physical was completed and I was told I have passed by the physician’s assistant, the DOT Dr came into the room and informed me I had to go get additional test. I found out the supervisor had called while I was there and told the Dr he had concerns and to send me for a Neurology test. The Dr then gave me some papers to give to a Neurologist for testing and the paper had some false statements from the supervisor who is a person I have only talked with on the phone before. I was told I was to go get these other test done and have to pay for them myself. I passed the test but as of today the DOT Dr has not signed off on my re-certification papers stating that she is waiting to hear more from the supervisor. What am I to do? I feel that they are trying to force me to quit/retire.
ps.CORRECTION. I have NEVER FAILED my DOT Physicals…
@ Sammy B
That’s what it sounds like. Might be a good time to start looking elsewhere and go get a second opinion on your DOT physical.
Am I required to share my long form with the company, even when I pay for the examination?
@ davis
Most companies require a copy of your medical card and long form to be on file for DOT/FMCSA.
i have had 2 heart attacks do i qualify for a dot physical
@ neal s
Your situation will require some supporting medical documentation and a medical release from your cardiologist. If you are capable of performing the duties of a CMV operator, then you may get a one year medical certificate. Due to the heart attacks your medical card will always be one year at the time.
I drive interstate as a volunteer for a non profit. We all got the non CDL driver certificate. Passed everything with no limitations. In filling out the medical procedure portion, I stated surgery for colon cancer. It was a cure with no cancer found anywhere. The examiner limited my certification to one year. She stated it was necessary because of the cancer. Was this correct , and will I have to renew every year ?
@ Lonnie F
It appears that your examiner does not use your states guidelines and variances. She has held you to a class A standard, when you actually fall under the states requirements. Go somewhere else next time and let the examiner know you are not a cdl holder and fall under the states guidelines and requirements.
How early can you take a DOT Physical before the current one expires?
@ Richard M
As early as you like.
I tried to obtain a copy of my DOT card from the examiner, he stated that the card belongs to my former employer and they can not give me a copy. I’ve never heard of this, nor had this issue before. Is this true?
@ Ivy T
Some companies have made some BS arrangement with their doctor that if the company pays for the medical examination then they own the forms, not you.
How do I update my medical long form if I start taking other medications or supplements after my physical?
@ Jason D
You have to have a new DOT/FMCSA medical certification examination once you start new meds.
Went for a DOT physical & pre-employment physical. According to the doctor I passed the DOT physical but not the pre-employment physical but refused or couldn’t give me medical certificate. Is this even legal? Please help
@ Steve p
Sounds like one of those scenarios where the company is paying the doctor to screen the potential driver. If you paid for the DOT physical, then you should have received the medical certificate card.
Was told the company was paying for it so since I didn’t pass the pre-employment physical they can’t give me anything
@ Steve
Time to look else where. Get a new medical certificate on your own.
I was recently diagnosed with cancer and the dot medical doctor wants a copy of a PET test that I am scheduled to have after my medical card expires…can i get an extension for the expiration date so that my CDL license does not get downgraded?
@ kc
DOT/FMCSA has already extended the grace period to the end of August and may extend it even further. Also, the state will have some policy for situations like yours, if they are made aware of it. Talk with your local DLD for guidance.
About 5 years ago I was given a 3 month certification because of my blood pressure. Got on medication have passed 4 years straight now my BP is creeping up again..if I go and fail will they issue me another 3 month card to get this under control?
@ Melvin C
Most likely, since you have had it under control for 4 years. The CME will want you to have it under control again.
I self-certified my medical card in March and I didn’t realize I marked intrastate ,but I was supposed to mark interstate because I travel across state lines, how do I correct that or do I need to take another DOT physical
@ Paul
This will need to be corrected at the state level. Talk with your local drivers license department, they should be able to guide you from there.
Do you have to be employed to get DOT certified?
@ Robert D
No.
I was in a alcohol rehab center and completed the program. Then took a dot physical for the first time. Now my dot doctor said she has to check with sap to see if I pass? I passed the physical and drug test. How long does this take
@ James O
It should not take very long. All depends on how fast DOT doctor request information and get the SAP response.
Will having a tracheostomy disqualify me from passing the medical portion to keep my CDL?
@ Jenn
Your situation will raise questions, but is not a disqualifier.
I need to ask if I’m do for aDOT physical and my CDLs don’t expire until 2026 and I had stroke do I need to turn in them or can I keep them until I can drive again
@ Edith M S
If you had a stroke you have a one year waiting period before you can take a medical certification examination. Let your local drivers license department know what your situation is and then follow their procedures.
whare can i check vailidity of my driver’s CMV MED card
@ Ali
You can check with the medical examiners office. It should be listed on the medical certificate.
I am scheduled for a full knee replacement. I am at this time still able to do my job with no issues. I need my physical done before my surgery because I will be recuperating when my card runs out. My employee health is telling me they cannot do it now, but have to wait till I’m ready to return to work. By that time, I will have lost my certification. I have had a CDL for over 20 years and refuse to lose it and start over. Is there any reason I cannot take the physical now, since I can pass it with no problems and then have a second when I am ready to return to work? The surgery is only to improve my quality of life, not because my issues are affecting my job. I’ve lost no work because of my knee. I work in Pennsylvania.
@ Maritta P
If you get the medical certificate done now, the moment you go for the knee surgery it will become invalid. Then would need to be done again, once fully released to return to work, without restrictions or limitations.
A new job that I accepted needed me to take a DOT physical examination. I’ve taken about 4/5 physicals every two years. Well this time I had to take a deep breath and blow into this machine until I was out of breath & told to hold it when I can’t blow anymore. Well I didn’t pass because you need 75%. Ok can someone tell me if this is new in the testing requirements? Also being 48 y.o. & a smoker for 30+ years throw in two years of sitting on the couch what person besides a non smoking healthy 25 y.o can do 75%.. is there perimeters for age/weight/ for each person? Just really confused
@ Steve P
DOT/FMCSA has not changed their procedures and it is not a mandatory practice to do a breath test, unless other signs or symptoms present themselves. Your class CDL will be important also. Try getting a second opinion somewhere else.
I got a dot physical done this past April and passed. Today I took a new dot physical as part of pre employment and was disqualified for my cpap reading being below 70 %. I was told I could come back in30 days to be Re-evaluated. Does this mean I can not drive until then given I just had a dot physical done? The dmv couldn’t really give me a straight answer because I’m in there system as having a valid one.
@ Brandon
If the examiner did not put your information into the DOT/FMCSA data base, then your last med card is still valid, until you retest, meaning you can drive.
Was in a serious motorcycle accident 8 months ago. I’m able to walk without a cane for short distances, but like to still use it. Don’t know if walking with a cane will fail me on a Med Cert. I will most likely limp for the rest of my life.
@ RJ
Lots will depend the class cdl you hold. For a class A interstate you should have no restrictions or limitations. Intra-state or less class cdl’s are more lenient.