The basic requirements for passing a DOT physical exam under the new standards effective May 21, 2014 are:
- At least 20/40 correctable vision in each eye as well as both combined. Glasses or contacts are allowed.
- Needs to be able to distinguish colors found on traffic signals.
- Forced whisper test to detect adequate hearing.
- Controlled blood pressure below 140/90. Prescription medication may be used to control blood pressure.
- Cannot have diabetes that requires insulin injections.
- Maximum blood sugar level allowed is 200.
- No use of a schedule 1 drug (controlled substance), amphetamine, narcotic or habit forming drug.
- For any exemptions for vision, diabetes, etc., please bring the exemption to your physical exam.
Before you arrive at our office for your DOT exam, please do the following:
- Arrive about 20 minutes early to complete necessary paperwork.
- Bring your completed DOT Form to your visit along with your driver’s license and pocket certificate.
- Bring your glasses, contacts or anything you routinely use for vision.
- Bring all prescription medication bottles that you take including over the counter medications.
- Bring a list of doctors that you see and their phone numbers.
- Take any required medications prior to your visit, including blood pressure medications.
- Drink plenty of water. You’ll be required to give a urine sample to screen for kidney problems.
- If you have any of the conditions below, bring the requested items.
- Diabetes – Bring a list of medications and the name of your prescribing doctor. Bring copies of your blood sugar results or hemoglobin A1C results from the past 3 months.
- High blood pressure – Bring a list of medications and the name of your prescribing doctor.
- Heart condition – If you’ve had a heart attack or cardiovascular disease bring a copy of your last stress test or release from your cardiologist. If you’ve had a CABG or stent you must provide written clearance from your cardiologist.
- Sleep apnea – Bring a copy of your latest sleep study results or CPAP compliancy notes.
Passing or Failing your DOT exam:
- The most common reasons for failing a DOT physical are high blood pressure and uncontrolled sugar in your urine. Both conditions can commonly be controlled and managed.
- Another reason for failing a DOT exam would be having any condition that would cause a loss of the ability to operate a commercial vehicle safely, including the loss or impairment of limbs, poor vision, insulin controlled diabetes, high blood pressure, heart disease, epilepsy, mental disorders or use of certain drugs.
- DOT medical cards are typically issued for 2 years. However, your medical examiner may issue a card for one year or less, if you have a medical condition that requires monitoring, such as hypertension.
- Drug testing is not a typical part of the DOT exam but may be required by your employer.