Get My DOT Exam

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.