DOT Physical Exams - Colorado

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Colorado DOT Physical - What You Need to Know

A DOT physical is a thorough medical assessment mandated by the Department of Transportation (DOT) for all drivers of commercial motor vehicles (CMV). This examination ensures that those driving large vehicles on public routes are fit physically, mentally, and emotionally. Conducted by a certified medical examiner (CME) from the National Registry of Certified Medical Examiners (NRCME), passing the exam grants drivers a DOT medical certificate (Medical Examiners Certificate, also known as a DOT medical card), necessary for maintaining a valid CDL license according to FMCSA guidelines. If you're overseen by a different DOT agency and require help determining the specific DOT physical needed, 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?

Health History Review
Vision Test

Hearing Test
Urinalysis

Vital Signs
Physical Examination

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What is checked in a DOT Physical?

  • Health history review and medication assessment
  • Vision screening (corrective lenses allowed; minimum standards apply)
  • Hearing assessment (forced whisper or audiometry)
  • Blood pressure and pulse rate
  • Physical examination (systems review)
  • Urinalysis (specific gravity, protein, glucose)

In the state of Colorado, upon successfully finishing these steps, your Medical Examiner's Certificate (MEC) could be valid for up to 24 months, subject to specific conditions needing shorter certification or specialist's approval.

Who needs a DOT Physical?

In Colorado, a valid DOT medical certificate (card) is necessary 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 over 8 passengers (for hire) or over 15 passengers (not for hire)
  • Transport hazardous materials requiring placarding under DOT rules
  • Are employed by entities under DOT agencies like FMCSA, FAA, FRA, FTA, or USCG needing DOT medical qualification

What to bring with you to a DOT Physical?

  • Government-issued photo ID
  • Contact lenses/glasses & prescription
  • List of current medications & doses
  • CPAP usage reports (if relevant)
  • Specialist approvals (cardiology, sleep apnea, diabetes, etc.)
  • Recent A1C/blood pressure logs if tracked

Include these documents for your exam in Colorado to ensure proper evaluation, aiming for expedient certification processing under any applicable special conditions or requirements.

What happens if I fail a DOT Physical?

  • No Medical card will be issued
  • Temporary disqualification may occur
  • Referral for treatment to your main physician
  • FMCSA exceptions for some medical conditions
  • Employer notification
  • Next steps include resolving medical concerns and reattempting the exam

If you're in Colorado, address these issues and pursue the necessary steps to regain eligibility and fulfill the requirements as indicated for successful qualification.

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

  • Vision & Hearing: Vision weaker than 20/40 in each eye even with correction, inability to recognize traffic light colors, or hearing deficiency that affects detecting a forced whisper at 5 feet.
  • Blood Pressure & Heart Disease: Unmanaged high blood pressure (≥180/110 mmHg), recent myocardial infarction, stroke, unaddressed angina, or a defibrillator implant without medical sign-off.
  • Diabetes: Uncontrolled diabetes accompanied by frequent hypoglycemia or complications like neuropathy or sight impairment that interfere with driving safety.
  • Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing drowsiness during the day, or severe pulmonary conditions affecting proper oxygenation.
  • Neurological Disorders: Epilepsy/seizure conditions (unless exempt), disorders causing unexpected unconsciousness, dizziness, or uncontrolled movements.
  • Substance Abuse: Current substance misuse, alcohol dependency, or use of prescriptions that reduce driving capability.
  • Psychiatric & Cognitive Disorders: Severe, unmanaged psychiatric disorders (e.g., active schizophrenia, bipolar disorder with recent episodes) or cognitive deficits that affect judgment and reflexes.

Some conditions might temporarily disqualify you until medical clearance or documentation is provided (e.g., regulated blood pressure, managed diabetes). Others, like untreated seizure disorders or implanted defibrillators, generally result in permanent disqualification as per FMCSA standards.

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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

A very nice company

A very nice company of expertise. The staff will go above to help you out of your situation in a timely matter 👏

Tam Jack - 2/19/2025

ADT was able to get me the best tests

Dealing with allegation’s of drug use that completely false is stressful, ADT was able to get me the best tests, going back the farthest in the same day with as little hassle as possible, I spoke with 1 person and wasn’t transferred once, and they took my payment, and got me my work order for a clinic as close as possible for the service I needed. 5*

Christopher Hansis - 12/19/2024

Very easy to get scheduled

Very easy to get scheduled and easy process once checked in and the staff were all extremely friendly! I would recommend this company!

Ronickia Moore - 11/19/2024

Very Fun and Easy

Trish last week and Tatiana this week, very fun and easy folks to deal with. Well be using them more and more in the future.

Tom O - 12/19/2024

Excellent service!

Excellent service! Trish went above and beyond to find me a testing site as close to my home as possible. Results were faster than expected, as well. Thanks for your help, Trish and Accredited!

Es Hache - 4/13/2025

Hassle Free Experience

It was easy to make the arrangements to get to someone in regards to renewing my DOT medical certificate. They took care of everything over the phone which made my experience hassle free. I will definitely be using them again and you should too.

Jim Raymond - 10/18/2024

Everything was great

Everything was great, the staff was very polite. Thank you.

Olga Petrova - 9/19/2024

Saved My CDL!

Time was running out before my Cdl got downgraded because of a violation I had on clearinghouse. I couldn't find an employer to send me for my return to duty test, but these guys had my test scheduled and done in the same day! They saved my cdl. Thank you again!

Michael Williams - 12/2/2024

This is by far the easiest

This is by far the easiest way to get my lab work ordered and paid for. The phone calls are short and to the point. They don’t try to push extra sales on you and when I walk in to the clinic I simply show my donor pass and with in a matter of minutes I’m done. I will continue to use ADT in the future.

Jason Jackson - 7/19/2025

Very helpful

They were very helpful in finding a place to get tested on the route back home! They made a difficult time seem easy with no judgement!

Anne Creden - 11/19/2024


(800) 221-4291