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Washington CDL Requirements
All CDL holders must self-certify in person between January 30, 2012 and January 30, 2014.
If you don’t self-certify before the deadline, Washington SDL will change your CDL record to show “not certified,” and you won’t legally be allowed to operate a commercial vehicle. You can return your status to normal by submitting a self-certification form and, if required, a copy of your medical certificate.
You must visit a driver licensing office to self-certify. Mailed in forms are not accepted.
The category you self-certify will determine whether you have to keep a medical certificate on file with Washington SDL, or not.
See WA State Licensing Official Site
Interstate Non-Excepted
You must meet the Federal DOT medical certificate requirements. You must keep a current copy of your medical certificate on file with WA SDL.
Intrastate Excepted
You must meet the Federal DOT medical certificate requirements. You do not have to keep your medical certificate on file with WA SDL but you must carry it with you when operating a CMV.
Intrastate
You must meet the Federal DOT medical certificate requirements. You do not have to keep your medical certificate on file with WA SDL but you must carry it with you when operating a CMV.
Per RCW 46.25.055 CDL drivers must carry Medical Examiners Card in Washington.
How to Self-Certify and File your Medical Certificate
- You must submit a completed self-certification form in person at a driver licensing office. Mailed in forms are not accepted.
- Non-excepted interstate drivers must also submit a valid medical examiner’s certificate with the self-certification form.
Keep Your Medical Certificate Current With Washington Department of Licensing
The first time you self-certify as a non-excepted interstate driver, you must submit your medical certificate in person.
After that, you may mail, or fax, or email your new medical certificate before the old one expires.
By Mail:
CDL Medical Program
Department of Licensing
PO Box 9030
Olympia, WA 98507-9030
By Fax:
360-570-4915
By Email: (please do not email questions to this email)
CDLMed@DOL.WA.GOV
Other Information:
Washington State Department of Licensing – Commercial Driver License (official website)
Self-Certification and Medical Certificate FAQ
Intrastate Medical Waiver:
Intrastate Medical Waivers
Contact: CDL Program DOL Tiffany Cooper 360-902-3819
Questions:
If you have questions about your medical certificate or self-certification, you may call WA SDL at 360.902.3900 or email drivers@dol.wa.gov
Special Information Updates Pertaining To ALL STATES
MEDICAL EXAMINERS MUST CONTINUE TO ISSUE MEDICAL CERTIFICATES TO ALL DRIVERS
The FMCSA has requested that all medical examiners continue providing drivers with a paper copy of the Medical Examiner’s Certificate – Form MCSA-5876, so that Commercial Driver’s License (CDL) holders can provide a copy to the State licensing agency, and the non-CDL drivers can provide the documentation to their employers and Federal and State enforcement officials.
The Agency is currently completing efforts to put into place an electronic system to enable medical examiners to transmit the medical certificate information from the National Registry system to the State licensing agencies.
Until that system is completed, which compliance date according FMCSA is June 23, 2025, medical examiners must continue to issue paper copies of the medical certificates to drivers who pass the medical exam.
ALL DRIVERS MUST CONTINUE TO CARRY A PAPER COPY OF THEIR MEDICAL CERTIFICATE
Commercial Drivers – You still need to carry a paper copy of your medical card, until FMCSA announces that this is no longer necessary.
Your Feedback Is Welcome
Dealing with Federal DOT Regulations across the board is tough enough!
But when it comes to State Regulations — There are 50 different sets of rules. Someone could move the goal posts at any time…
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I was injured at my place of employment and have been on L&I since then. My medical card recently expired. Am I required to keep current with my medical.card while healing from my injuries? Or is there a grace period allowing me to have extra time to renew my medical card because I am still on L&I.
@ Lisa C
You cannot do a new medical examination until you are released to return to work. Best to check with your local drivers license department, explain your situation and then follow their procedures.
Would a Texas clinic DOT medical card would work to renew my washington state cdl. ?
@ Jose V
Yes. Please make sure you get a copy of your new medical card to Washington states drivers license department. They need it to update your information to your cdl.
If I have had a blood clot but no medication can I keep my cdl/ medical card
@ Shondra
For a class A cdl, you need a new medical card examination, as long as everything is working normally, you will be fine.
Can my primary care doctor fill out the cardiology part of my dot physical?
@ Thomas
Your primary should simply provide the information that the CME needs to complete your DOT/FMCSA medical certification examination, along with a medical release form.
I have not received a medical card for my CDL and only have the temporary paper one the physician gave me, how do I request another card? I need the expiration date for work applications and the paper one does not show that information.
@ Nancy B
Get in touch with the examiners office and ask them. All the information should be on the medical card (paper copy) that you received.
Do I need to be released to full duty by my Dr to pass a CDL physical? I’m on modified duty but it specifically states I can still commercially drive on my APF.
@ Curious
DOT/FMCSA for a class A interstate driver must be fully released to return to work. Lesser class cdl’s fall under your states guidelines.
I have had a icd defibrillator put in at 36. I’ve driven for a nation wide trash company here in Washington for over 16 years. But I had a freak heart thing and now have this implant. So far two dot doctors told me no I no longer can qualify for a medical cards. But Washington offers a medical waiver. Does anyone know if I will be approved or is this going to get a no answer as-well?
@ C
Everything may depend on the class cdl you hold. If less than a class A, you will fall under your states guidelines and variances. The state has its own regulations and it seems that your last couple medical examiners are holding you to a class A standard. Check with your states DLD for guidance.
how can a doctor certify a cdl class a with haz mat and the driver is not present?
@ albert m v
Not posible. If this happened, then the CME will lose his certification from DOT/FMCSA.
If you are on L&I, can you still renew your medical card?
@ Mark
For a class A cdl, you would not be qualified for the DOT/FMCSA medical certification examination until you are released to return to work.
Can I get my cld if my expired med card . How long is grace period after expiration date of med card
@ Ida R
Since your cdl is a state issued document, you need to check with them. There is no grace period for an expired medical card.
If you don’t pass your medical certification card how long do you have till you no longer have your cdl ?
@ Brenda R
Different states, different rules for cdl’s. You would need to check with your local DLD for the best answer.
Of I have high blood pressure willi get my license? Plus what do they do in the DOT physical, do they take blood work?
@ Trish
License are a state document, so check with your local DLD for a best answer. No blood work done during a standard DOT medical certification examination, (medical card).
Because of a change in meds, my blood pressure won’t be under control/under 140, until a few weeks after my DOT Medical cert expires (WA state).
Do I have to retake the CDL school for expired DOT med cert? Or can my new med cert apply, reinstating my CDL, even though it will be late?
I know this is similar to the below question, but I was told the same thing, about retaking school if you lose your CDL this way. Anyhow looking for definitive answer.
@ Erick
DOT/FMCSA has extended the grace period to the middle of October. In most states all you need do is renew your medical card and get a copy to your state drivers license department ASAP.
On my physical I had high blood pressure, 144/? Dr said he will sign for a temporary 90 CDL permit. I now need to be on high blood pressure meds. Will be rechecked in 90 days if Blood pressure at 140 or below Dr will sign for full permit, but he said I will have to take the CDL classes all over again? My Supervisor doesn’t think I should have to, what is the process?
@ Renee
Most likely he meant you will have to take a new medical certification examination, not your cdl classes.
Washington State CDL Medical certificate: BMI 35.14 Neck 43mm blood pressure meds… Doc gave 3month extension to get sleep study??? I suggested I lose a few pounds and retest..She states that would work?? I get home check last years certificate and my BMI and neck circumference was larger??? What the heck is going on here??
@ Greg
No changes in the DOT/FMCSA guidelines, just examiner interpretation of the same guidelines as last year. BMI and neck measurements are not a mandatory sleep study. OSA sleep studies request should have a multitude of signs and symptoms beyond BMI and neck size. One year for the BP meds, yes. Sleep study, No.
Do we still have to carry a copy of medical certificate in our wallet? I was reading in the Federal Motor Carrier Safety Regulations pocketbook and 391.41 Subpart E (2)(i)(A) and (B) seemed to indicate that drivers only needs a copy of medical certificate for 15 days after it was issued
@ Jesse
That’s what it says, but now you are depending on the government to have things in place for you. ???
Best bet, to cover all bases is to have a copy available to you at all times, like take a picture on you phone or carry a hard copy.
For Intrastate CDL do I need to submit a copy of current Medical Certification every time it is renewed or just when License is renewed? what’s the process I’m confused with the extensions due to Covid 19.
@ Carlton P
Every time you get a new medical card, it should be submitted to the state.
Can I let my medical card expire and still keep my cdl current if not planning on driving?
@ Leonard T
Each state has different rule and you will need to confirm with your state drivers license department for the correct answer.
How long does it take for my suspended license to be renewed after I have paid my tickets and done my medical exam
@ Mnajit K
This is a state related question and your best answer will come from your local drivers license department.
What is the maximum size of an ascending aortic dilation allowed by WA state. The examiner didn’t know if it was 3.5 cm or 5.0 cm.
Thanks, Ann
@ Ann R
FMCSA changed the upper limit for the thoracic aortic aneurysm (TAA) diameter below which an asymptomatic individual may be certified from 3.0 cm to 5.0 cm.
Hello! If a person drives a class A CDL vactor in the State only and had a TIA that completely resolved itself and they have no other risk factors in Washington, has no impairments whatsoever, what is the steps they have to do to drive again and can they get a medical variance for Washington state since they only drive the vehicle to job sites and that’s it
@ Chantel
First check with your state drivers license department for the proper guidelines to drive intra-state only cdl class A. Then find a CME that understands the difference from federal to state guidelines. In some states you first fail the DOT/FMCSA guidelines and then the state issues the intra-state only cdl license. But do the states information first to know the proper procedures.
I updated my medical card by fax, can i expect some notice letter about that on my address and when?
I’ve had 2 A1C both have came out to 10 would I still qualify for my DOT card I heard anything over 10 does not qualify what about 10 and below?
@ Juan B
10 is totally unacceptable by the FMCSA, no medical card would be issued.
I just did my dot physical today. I took a copy into my employer and was told that I was now required to carry a full size copy of the document rather than a wallet size copy. Why is this? Most people use the wallet size copy if for no other reason than the full size is not practical.
@ Edward P
DOT requires you to carry a copy of your medical certificate, not the whole form.
I currently have a class B, I just has total knee replacement surgery. My medical expires some, but I don’t think I can renew my medical. What should I do about my medical?
@ Mary
Full recovery and a medical release form from your doctor is the only thing you can do at the moment. You are class B, so check with your local DLD and ask if they have any leniency for situations such as yours.
My current medical card will expire this july 15th but I had rotator cuff surgery. My question is can I wait to renew my medical card until I return to full duty for work or will I loose my cdl if I wait.? How long after my medical card expires can I wait?
@ David
Check with your local DMV, they should have a policy that takes into consideration your circumstances, besides, you should not pass a DOT medical certification examination at this anyhow.
Hello,
I am going to be getting a physical for a DOT medical card soon. Does Washington State test for cannabis now?
Thank you in advance.
Yeah, dude, you can’t get stoned and drive down the road.
Sorry bout that.
Yeah, but you can get stoned while your co-pilot drives down the road…smoke tuff and hammer down bro!
At my DOT physical it was discovered that my blood sugar was high, 310. This has never been an issue ever before. I was sent to a print care clinic to get an ArC and they have set me up with a primary care doc who I will see tomorrow. The print care clinic called and said my A1C is 11.1. The DOT doc said I can’t have a medical card if the A1C is over 10. This is all new to me. Am I going to lose my CDL because of this?
I’m not sure what WA will do. You can self certify as Intrastate exempted until you acquire new DOT card. That will ensure you maintain your CDL-A
I recently retired from my commercial driving job and will not be driving commercially again. I let my medical card lapse. Do I need to remove my CDL from my license? My regular license is good for another 3 years.
No, just let it lapse when you go to renew next just tell them you do not wish to renew your CDL and they will renew without it and Dave a few dollars in the process 🙂
My husband has recently experienced what his eye Dr called, a stroke behind his eye. For awhile he could not see out of that eye. He’s in treatment and the sight is slowly returning. My question is, if he gets proof from his Dr that he is in treatment, can be still be able to qualify for his medical card in order to continue driving. Also, he said that the Dr that performs the physicals measures your neck. Does anyone know the size and specifics on the measurement that would make him have to do sleep study to ensure he doesn’t have sleep apnea. Which, he doesnt.
@Jo
Eye – he will not meet the requirements at present until his eye is fully receovered.
Sleep study – Read these articles on sleep apnea screening.
Is sleep apnea in the state of washington bar you from passing a DOT physical even though you are not going for a CDL?
@ Natalia
If you are not a class A driver or class A cdl holder, then you fall under the states guidelines and variances. You are being held to a class A over the road standard. Find an examiner that understands the differences. You should not have any issues with your state, especially if you have a state drivers license.
As a school bus driver if I have a procedure done that requires me to be knocked out, do I need to inform my employer of my procedure? I will only be out for approximately 30-45 minutes. With all the new laws I’m just curious about my responsibilities as a CDL holder. I was told by a coworker that if I was put under that I would have to get a new medical card. I live in Washington state. Is that true?
@Jim
Most states and the FMCSA have a policy that states if you are removed from behind the wheel for any reason or any period of time, you are required to have a new medical card examination to properly determine medical fitness for duty. If you want to confirm this we recommend that you’re check with your local drivers license department.
I’m a WA state school bus driver. I was diagnosed with mild sleep apnea. I was waking up 1x per hr compared to others with severe who wake up over100x. I had no other symptoms other than being overweight and neck size. Since getting the machine I’ve had really bad sleep. I slept great before all of this. Can you tell me if In WA state its a requirement for a Cpap machine and compliance or just a recommendation?
@Sharri
Everything depends on what class driver you are. If you are not a class A driver, then you should not be examined as if you are.
Check with your local drivers license department and see if it is a mandatory issue for your state.
There are different levels of CDL driving conditions, mine is. I drive a work truck that qualifies CDL class B. I drive for 20 to 30 minutes, stop get out of truck and do my work, I repeat this over and over each and every day.
I recently did my CDL physical, had to do a sleep study, now have to use a machine that gives me less sleep than not using it.
I feel that there needs to be different classes of CDL physicals for different classes of driving conditions.
Just needed to put this out there..!!!!!!
@Brad
The CME should be taking all drivers into consideration with regards to the type of driving that they do. That being said, some CMEs seem to have forgotten what they’re required to do. You are correct and some CMEs need to be refreshed on what their requirements are.
If I have diagnosed sleep apnea and use an APAP machine, can I still maintain my CDL in the state of Washington? My friend is concerned he will lose his because of his SA aND neck size.
@Joe
Just have a medical release form filled out by your doctor and a copy of your compliance report off of your machine and you should be fine.
If I’m a smoker (tobacco) do I need to have a sleep test done to get a none cdl dot card in Washington.
@Jack
No, you do not need a sleep test because you are a smoker.
There may be other tests needed if you have difficulty breathing because you have been a smoker, but that will be determined at the tine of the medical examination.
very very frustrated, i have had my CDL suspended for over two weeks now, i keep sending in the paperwork and i keep getting a letter telling me its incorrect, very little direction on whats wrong. This is pathetic, i called the number on the DOL paperwork and they explained what was incorrect, i said can i expedite this in anyway, she said i’m sorry i can’t see it, its at a different location you will know in 7-10 business days. What do i do in the mean time, collect government aid??? So much of a racket, it’s all on the national website placed there by a doctor, why this second step, another step for mistakes to happen.
my husbands medical card just expired and we had misplaced the renewal notice until yesterday (it expired yesterday morning) and we are very concerned that he will lose the CDL. If he gets the physical asap will it be reinstated? the CDL is current. thank you
@Laura
Shouldn’t be a problem in a short window of time. Each state has a different process / time limit.
Just get a new medical card and then get a copy to your local drivers license department asap.
I don’t use my Washington state interstate cdl class B, but I keep it anyways, just in case I need it one day.
I need to go in and renew my license and cdl.
Do I need to have a medical card to do so?
@Rick
Intrastate: You must meet the Federal DOT medical certificate requirements. You do not have to keep your medical certificate on file with WA SDL but you must carry it with you when operating a CMV.
Check with your local drivers license department if they want a current medical card in order to renew your CDL.
You have the wrong fax for submitting CDL Medical. Keep Your Medical Certificate Current With Washington Department of Licensing
The first time you self-certify as a non-excepted interstate driver, you must submit your medical certificate in person.
After that, you may mail, or fax your new medical certificate before the old one expires.
By Mail:
CDL Medical Program
Department of Licensing
PO Box 9030
Olympia, WA 98507-9030
By Fax:
360-570-7893
Fax number should be 360-570-4915 and they can also email forms no questions to CDLMed@DOL.WA.GOV
Also Per RCW 46.25.055 must carry Med Examiners Card in Washington For Self Certification/Medical Certificates visit http://www.dol.wa.gov/driverslicense/cdlmedicalcertificates.html
For an Intrastate Medical Waiver visit http://www.dol.wa.gov/driverslicense/cdlmedicalwaivers.html
Contact me at 360-902-3819 CDL Program DOL Tiffany Cooper
@Tiffany
Thank you for taking the time and helping to keep our information updated.
It’s tough to keep up with changing info in 50 states, so we are grateful for everyone’s help.
We’ll correct the info above.
Hi I was diagnosed with a mild case of sleep apnea back in 2012 while I was in the army and my reccomendations were non invasive sleep techniques and given a old cpap machine no chip as a percaution …My AHI level is 8.9 and I read that moderate to severe cpap is required not mild…. Now I was given a 3 month medical card and to purchase a New machine…but before I spend 1200 bucks I wanted your opinion….oh and my blood work came back perfect with a blood pressure of 117 over 73…thank you
@Kevin
Most drivers that have sleep apnea will not leave home with out a unit. So my question would be, can and do you sleep normally without the unit? If you do not suffer from a multitude of other issues associated with sleep apnea, then you probably do not need a new unit. If you can’t sleep well without the unit, then it’s time to upgrade. And if you are service related, you might check with the VA along the way.
My husband who is 56 was diagnosed with Parkinson’s a year ago, and now needs to take his CDL Medical exam this Spring. He works for the WADOT. He is very nervous about if the doctor will fail him because of Parkinson’s. It doesn’t affect his driving….you can’t tell…he’s in the beginning stages of it…..he is on medication for it. He also, wears a CPAP, and is in compliance with the WADOT rules.
I’ve been on-line, looking for information about CDL liscence and Parkinson’s. I am making a notebook with all the doctors info…trying to help my husband out, so he won’t be nervous about this. He has worked for the DOT for 35 years. Can he get disability if he can’t pass his test?
A guy that I work with has the same problem, he failed the test where our company sends us, went to a different doctor and passed, it is still up in the air. He has another hoop to jump through. We’ll see.
I’m a type 2 diabetic and my med card expires tonight at midnight. I went yesterday and took the physical an they failed me saying that my blood sugar levels were supposed to be under 100. My question is what are the blood sugar levels for the state of Washington to pass the physical ?
@Robert
Why is anyone testing your blood sugar levels? If your condition is under control, with or without medications, and you do not pass sugar into your urine, then you should have passed.
There are a few new medications on the market that would cause you to have sugar in your urine and those new meds would require a recent A1c, but there is no requirements for any CME to be doing blood sugar levels, unless you do not have your diabetes under control. You might try a second opinion else where.
What i would know is why when you get a physical they turn away from you and wisper and then ask what did i say when you are in a big rig there is no one in there wispering to you so why does the dot requere them to do this test.
@Terry
It’s true that no one is going to be sitting in your truck whispering to you, but the FMCSA wants to make sure that you hear well enough to hear a siren or other emergency vehicle coming up from behind you, or any other issue around you. It’s a safety issue not a judgement call.
If I’ve had open heart surgery, am I required to do a Stress test before I can renew my CDL/DOT Medical Card?
What is required for the Medical Variance/Waiver?
@Don
Stress test need to be completed every two years for you to maintain your class A license. Also have your doctor complete a medical release form for you before you go for the examination with the DOT/CME. If you are ready to return to work, just be aware that your medical card will be limited to one year at the time from this point on.
I renewed my intrastate CDLON Dec 24 2014 in wa. St. Where I live by a DOT Doctor and I never sent my physical copy to anybody and I passed got a one year card. Now do I need to send it to someone? I haven’t been stopped or anything. Don’t know what to do.
.
@Bradley
Each state is requesting that you complete a self-certification as a driver and send a copy of your medical certificate and self-certification to the state Drivers License Department.
You’ll find WA information on this page.
The medical examiner submits the examiner’s required information to FMCSA, but it is the driver’s responsibility to submit a copy of the medical card and self-certification to their local DLD.
I have sleep apnea and currently use a c pap machine at night when I sleep. I see my sleep doc every year then go in for my cdl physical. In the past I have gotten a 2 year card. This year the PAC would only give me a one year card. I have a letter from my sleep doc that says I use my machine every night and will continue to do so. So my question is why did the PAC only give me a one year card?? Does anyone have an answer to this?
@Chris
Basically it all boils down to the FMCSA. They are requesting that all drivers be re-certified once a year and the CME needs to see both your letter from your doctor and a report showing your compliance with the unit. Thats all it is.
I want to make a formal complaint on how I was treated and classified by a docter at a Healthworks clinic at Painefield in Everett Washington, Dr. Stuart Austin. I was in their office on Monday Nov. 3, 2014 to renew my card as well as several other of my fellow employees, I work for a Company called Prologix West(TNG). I filled out all my paperwork as instructed, I have had some blood pressure issues but very minor at that, I take meds that my personel doctor prescrbes for me an d very much under control at this time. The Medical aide gave me a physical my blood pressure was okay as she told me, When the doctor checked me out he did not bother to check me blood pressure himself, so he inturn only gave me a one year card nor a two year. I later found out that he wrote a two year card to a fellow emploaee with a sleeping disorder. That is a totally upset about, So it is okay for the fellow employee to go out anbd kill a school bus full af kids if he were to fall asleep at the wheel? By the way I do not have a class A or B license I only drive a staraight axle/Automatc transmission. I think I need to be reissued a two year card. Could you look into it or let mee make a serious formal meeting with you and investegate the company I work for. You should…
@Robert
FMCSA has a portal on their website that allows you to enter into conflict. Once you can find it, they are very willing to listen to your situation.
The CME was correct to give you a one year card. When you are on blood pressure medication, the DOT deems this as a condition that needs to be monitored, so you have to re-certify annually. For more information see FAQ – BP & Hypertension.
What happens if blood sugar is elevated past 9 and the dot doctor says you need a letter from your doctor and your doctor tells you that he may not do that for you to get your card. Can you get a waiver still and just be off from work till they get back in control or will you lose your job? If you can not renew can you be on a medical leave and then get your Card back.
@Lisa
The medical examiner is simply requesting a medical release from your doctor. All that means to you is your doctor needs to confirm that his treatment has been effective, adequate and safe. You doctor is not being ask to do anything else. So go back to your primary with your medical release form in hand and have him fill it out.
No waiver in necessary for something so simple.
Can’t answer any of the questions regarding work or jobs or medical leave. Too many variables.
If I passed a dot physical and my b m I is over 35. Doc wants me to take a sleep apnea study. Can I go to another doc for the physical without taking that studyy. It’s expensive
I recently got on with a local parcel delivery company, it is a Non CDL driving job but I am still required to carry a medical card. This would be considered an “intrastate” possition. My question is why since it is “intra-state” not “inter-state” the clinic is trying to charge over $200.00 more for the SAME med card & test, with the Only differance is the Doc marks the “Intra-State” box instead of the “Inter-State” box????
@Woody
On average across the US the average fee for a DOT physical is $80 to $120.00.
I wouldn’t pay someone $200.00 for a DOT examination unless I had no other choice (and I would complain loudly too.)
Am I required to submit a copy of my medical certification to DOL every time it is renewed? Or does the doctors electronic copy take care of that?
@ConWatcher
The bottom line is that the responsibility falls on the CDL holder to make sure their driving record is updated or they risk their CDL being downgraded or suspended.
Since May 21, 2014, CMEs have to update the NRCME online system when doing DOT physicals. But I do not believe the State systems and the Federal systems are tied together yet.
Here at my office in Utah, we still do a courtesy service for Utah CDL holders, and fax a copy of their medical card to Utah DMV. Although we do DOT physicals for drivers from all states, we’re not able to handle submitting to other states because they are all different.
At this stage I recommend you submit a copy of your medical certificate to DOL every time it is renewed.
This may change in the future when the Commercial Driver’s License Information System (CDLIS) is fully operational.
If you live in the state of WA., and have an intrastate CDL, are you required to have a physical by a certified DOT medical examiner, or a regular doctor? Also, if you have a blood pressure reading of 138/86, will you be certified for two years?
@Bean
Until May 20, 2014, any qualified doctor can do your DOT physical. (Unless your company has a different policy). See our FAQ pages for more information.
If your blood pressure reading is as stated, and you are not on a high blood pressure medication, you should not have any issues with getting a 2 year card.