Can high blood pressure make you fail a DOT physical?

Yes. Drivers with blood pressure at or above 180/110 mmHg will fail the DOT physical. Lower levels of hypertension may result in shorter certification periods if under treatment.

Does diabetes disqualify you from a DOT physical?

Not always. Controlled diabetes with proper documentation may be allowed. Uncontrolled diabetes with frequent hypoglycemia or complications can cause disqualification until managed.

Will sleep apnea cause you to fail a DOT physical?

Untreated or uncontrolled sleep apnea that causes daytime drowsiness can disqualify a driver. However, drivers who are compliant with CPAP or other treatments may qualify with documentation.

DOT Physical Exams - Arkansas

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(800) 221-4291

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Arkansas DOT Physical - What You Need to Know

A DOT physical is an in-depth health evaluation mandated by the Department of Transportation for all drivers of commercial motor vehicles. This examination certifies that drivers are equipped physically, mentally, and emotionally to handle large vehicles on public streets safely. A medical examiner, verified by the National Registry of Certified Medical Examiners, conducts this test. Successful completion allows drivers to obtain a DOT medical certificate, necessary for keeping a valid CDL license in compliance with FMCSA regulations.

If regulated by another DOT body and need help recognizing the necessary physical, dial 800-221-4291 for assistance.

During your exam, the medical examiner will complete a thorough health assessment to determine if you meet the Federal Motor Carrier Safety Administration (FMCSA) medical standards. The process typically includes:

What Does a DOT Physical Include?

Health History Review
Vision Test

Hearing Test
Urinalysis

Vital Signs
Physical Examination

DOT Testing | DOT Breath Alcohol | DOT Consortium Services | MVR Reports Also Available

What is checked in a DOT Physical?

Health review & medication evaluation in Arkansas
Vision test (correction allowed, minimum standard required)
Auditory evaluation (forced whisper or auditory test)
Blood pressure and pulse monitoring
Physical check-up (system review)
Urine test (check specific gravity, protein, sugar)

After success, your Medical Examiner's Certificate might be issued up to 24 months. Certain conditions call for shorter certification or more specialist documentation

Who needs a DOT Physical?

You must hold a valid DOT medical certificate (card) if you:

Have a commercial driver's license (CDL) - class A, B, or C for interstate commerce
Drive a vehicle weighing over 10,001 lbs. GVWR in interstate commerce
Transport over 8 passengers (for hire) or over 15 passengers (not for hire)
Move hazardous materials needing placarding as per DOT regulations
Work for DOT-regulated employers like FMCSA, FAA, FRA, FTA, or USCG needing DOT medical qualification in Arkansas

What to bring with you to a DOT Physical?

Government-issued photo ID
Eyewear & prescription in Arkansas
Medications & dosages list
CPAP usage data, if necessary
Specialist clearances (heart health, sleep disorders, diabetes, etc.)
Latest A1C/blood pressure logs if monitored

What happens if I fail a DOT Physical?

Medical card will not be issued
Temporary disqualification
Refer to primary care provider for treatment
FMCSA exemptions potentially applicable
Employer will be informed
Next Steps (address health issues and redo examination) in Arkansas

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

Vision & Hearing: Visual acuity below 20/40 per eye (even with correction), inability to recognize traffic signal colors, or hearing deficiency failing detection of a forced whisper at 5 feet.
Blood Pressure & Heart Disease: Unmanaged high blood pressure (â‰¥180/110 mmHg), recent myocardial infarction, stroke, uncontrolled chest pain, or an implanted defibrillator.
Diabetes: Poorly controlled diabetes with frequent hypoglycemia or complications (e.g., nerve damage, vision problems) that hinder safe vehicle operation.
Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing excessive daytime sleepiness, or serious pulmonary disease affecting adequate oxygenation.
Neurological Disorders: Seizure disorders (without exemption), conditions causing abrupt unconsciousness, dizziness, or uncontrollable tremors.
Substance Abuse: Ongoing use of illicit substances, alcohol addiction, or abuse of prescription drugs affecting driving capabilities.
Psychiatric & Cognitive Disorders: Severe untreated mental health conditions (e.g., schizophrenia, bipolar disorder) or cognitive decline impeding judgment and quick responses.

Temporary vs. Permanent Disqualification Some conditions might temporarily disqualify you until medical clearance is provided, while issues like untreated epilepsy or having an implanted defibrillator could permanently disqualify under FMCSA rules.