DOT Physical Exams - Arkansas

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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 (≥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.

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Frequently Asked Questions

A DOT physical typically includes a review of the driver’s health history and medications, vision screening, hearing assessment, vital signs (blood pressure, pulse), urinalysis (checking specific gravity, protein, glucose), and a full physical examination by a certified medical examiner. Upon passing, a Medical Examiner’s Certificate (DOT medical card) may be issued for up to 24 months.
You must have a valid DOT medical certificate if you: hold a commercial driver’s license (CDL) Class A, B or C for interstate commerce; operate a vehicle over 10,001 lbs GVWR in interstate commerce; transport more than eight passengers (for hire) or over fifteen passengers (not for hire); or transport hazardous materials requiring placarding under DOT regulations.
DOT physicals are offered at test centres in all cities and all states, through Accredited Drug Testing’s nationwide network. You can schedule by calling 1-800-221-4291.
You should bring a government-issued photo ID; glasses or contact lenses and the prescription; a list of medications and dosages; CPAP usage data if applicable; and any specialist clearance letters or physician documentation (for conditions like heart disease, sleep apnea, diabetes) to your DOT physical.
If you fail the DOT physical, you will not receive the medical card; you may be temporarily or permanently disqualified depending on the condition; you will need to address any medical issues (e.g., uncontrolled hypertension, untreated sleep apnea, recent myocardial infarction) and then be re-examined.

Customer Reviews

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