DOT Physical Exams - San Bruno, CA

San Bruno, CA DOT Physical - What You Need to Know

A DOT physical is an all-encompassing health assessment mandated by the Department of Transportation (DOT) for all commercial motor vehicle (CMV) operators. It confirms that professional drivers possess the physical, mental, and emotional fitness necessary to operate large vehicles safely on public highways. Conducted by a certified medical examiner (CME) listed on the National Registry of Certified Medical Examiners (NRCME), passing this exam grants drivers a DOT medical certificate (Medical Examiners Certificate, also known as a DOT medical card), essential for retaining a valid CDL license under FMCSA rules. If adherence to another DOT agency is required, and you need guidance on the appropriate DOT physical, contact us at 800-221-4291.

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?

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

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

• Vision & Hearing: Worse than 20/40 vision per eye (with correction), inability to discern traffic colors, or inability to hear a whisper at five feet.
• Blood Pressure & Heart Disease: Uncontrolled hypertension (≥180/110), recent heart issues like attacks or strokes, or defibrillators needing clearance.
• Diabetes: Issues with uncontrolled diabetes, such as frequent hypoglycemia or vision-affecting neuropathy.
• Respiratory & Sleep: Untreated sleep apnea or significant lung disease causing day fatigue or low oxygen.
• Neuro Disorders: Epilepsy/seizures (unless exempt), conditions with blackout risks or tremors.
• Substance Issues: Illegal drug use, alcohol misuse, or problematic prescription medication usage.
• Mental & Cognitive: Severe psychiatric conditions with recent episodes or impairments affecting decision-making.

Some cases can temporarily disqualify until medical documentation is provided (e.g., controlled blood pressure). Others, like untreated epilepsy or implanted defibrillators, are permanent disqualifications under FMCSA rules.