DOT Physical Requirements: What To Expect & How To Prepare

If you are a commercial truck driver, chances are you have heard of or have already undergone a Department of Transportation (DOT) Physical. Required by the Federal Motor Carrier Safety Administration (FMCSA), a DOT physical is a thorough medical exam that helps detect if commercial drivers are physically and mentally fit to operate a commercial motor vehicle safely. Whether you are taking your first DOT physical or it is time for a renewal, this blog post will walk you through, what a DOT physical is, what to expect, and how to prepare.

What Is a DOT Physical?

A DOT physical is a medical examination mandated by the FMCSA for commercial drivers. It is required that the exam by done by a certified medical examiner listed on the National Registry of Certified Medical Examiners. The purpose of the exam is to evaluate your general health, detect conditions that could impair your ability to drive a commercial motor vehicle safely, and ensure you comply with federal regulations.

According to the FMCSA, once passed, “A DOT physical exam is valid for up to 24 months. The medical examiner may also issue a medical examiner’s certificate for less than 24 months when it is necessary to monitor a condition, such as high blood pressure.”

Who Needs a DOT Physical?

You are required to undergo a DOT physical if you:

• Operate a vehicle with a gross combination weight rating or gross vehicle weight of over 10,000 pounds
• Are paid to operate a vehicle that carries more than 8 passengers, including the driver
• Operate a vehicle that carries more than 15 passengers, including the driver, not for compensation
• Transport hazardous materials

How to Prepare for a DOT Physical

Preparation can make a big difference in the outcome of your exam. Here is what you can do to get ready:

1. Bring the Right Documents

• • A valid driver’s license
  • Your medical records
  • A list of all current medications and dosages
  • Your eyeglasses, contacts, or hearing aids if you use them
  • Recent lab results if you have conditions like diabetes

2. Manage Medical Conditions

• • Take medications exactly as prescribed
  • Monitor your blood pressure and blood sugar levels
  • Bring logs or documentation if you’re managing conditions like sleep apnea, diabetes, or heart issues

3. Eat Well and Sleep the Night Before

• • Get a full night’s rest
  • Eat a balanced meal to avoid sugar or blood pressure spikes

What to Expect During the Exam

The DOT physical exam typically includes, but may not be limited to the following components:

1. Medical History Review

You will need to complete a medical history form covering:

• • Past and current medical conditions
  • Medications you are taking
  • Surgical history
  • Substance use (alcohol, tobacco, or drugs)

2. Vital Signs & General Physical Exam

The examiner will check:

• • Height and weight
  • Pulse rate and rhythm
  • Blood pressure
  • Vision
  • Hearing
  • Urinalysis
  • Reflexes and coordination
  • Heart and lungs to detect abnormalities

Need to Schedule a DOT Physical?

Many urgent care centers and occupational health clinics provide same-day DOT physical examinations. It is important to ensure that the examiner is certified by the FMCSA. To locate a certified medical examiner in your area, visit www.nationalregistry.fmcsa.dot.gov/home.

DOT physicals play a critical role in promoting safety for drivers, passengers, and others on the road. Proper preparation not only improves the likelihood of passing the examination but also supports long-term health and the sustainability of your driving career. By approaching the exam with diligence, organization, and honesty, you enhance your chances of receiving certification and achieving peace of mind as you continue your journey on the road.

Please note that the DOT physical exam requirements are consistently being updated. To ensure you are up-to-date with the most current requirements, you should visit www.fmcsa.dot.gov/ and check with a certified medical examiner.