DOT Physical Exams - Louisiana

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Louisiana DOT Physical - What You Need to Know

A DOT physical is an in-depth medical evaluation required for all commercial motor vehicle (CMV) operators by the Department of Transportation (DOT). This assessment guarantees that professional drivers are fit physically, mentally, and emotionally to handle large vehicles on public highways safely. Certified medical examiners (CMEs) listed on the National Registry of Certified Medical Examiners (NRCME) conduct the DOT physical. Successfully passing the evaluation enables drivers to acquire a DOT medical certificate, also known as a DOT medical card, necessary to uphold a valid CDL license as per FMCSA regulations. If you're governed by a different DOT entity and need help figuring out which DOT physical is needed, you can call 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

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


What is checked in a DOT Physical?

  • Health history check and drug assessment
  • Vision test (corrective glasses allowed; minimum criteria apply)
  • Hearing test (forced whisper or audiometry)
  • Blood pressure and heart rate
  • Physical exam (overall health overview)
  • Urinalysis (checking specific gravity, protein, glucose)

In Louisiana, upon successful completion of these procedures, your Medical Examiner's Certificate (MEC) might be valid for up to 24 months. Some conditions could require shorter certificates or specialist verifications

Who needs a DOT Physical?

To hold a valid DOT medical certificate (card) in Louisiana, you need one if:

  • You possess a commercial driver's license (CDL)- classes A, B, or C for interstate transport
  • You drive vehicles exceeding 10,001 lbs. GVWR across state lines
  • You transport more than 8 paying passengers or over 15 non-paying passengers
  • You carry hazardous materials requiring DOT placarding
  • You work for employers under DOT agency regulation like FMCSA, FAA, FRA, FTA, or USCG where medical qualification is mandated

What to bring with you to a DOT Physical?

  • Government-issued photo ID
  • Glasses/contact lenses & prescription
  • List of medications & dosages
  • CPAP usage information (if relevant)
  • Specialist clearances (cardiology, sleep apnoea, diabetes, etc.)
  • Recent A1C/blood pressure logs if monitored

In Louisiana, these items ensure the smooth processing of your medical requirements.

What happens if I fail a DOT Physical?

  • No Medical card will be issued
  • Temporary barring period
  • Referred for treatment to your main healthcare provider
  • FMCSA exemptions for specific medical concerns
  • Employer Notification of the situation
  • Next Steps: Address medical problems and retake the examination

In Louisiana, resolving the medical issues is crucial for retaking the exam and securing your medical card.

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

  • Vision & Hearing: Unable to see better than 20/40 in each eye with correction, trouble identifying traffic signal colors, or hearing loss affecting ability to hear whispers at 5 feet.
  • Blood Pressure & Heart Disease: Unmanaged high blood pressure (≥180/110 mmHg), recent heart attack, stroke, uncontrolled angina, or an unapproved defibrillator.
  • Diabetes: Poorly controlled diabetes with frequent low sugar incidents or complications like neuropathy or vision issues impacting driving safety.
  • Sleep Apnea & Respiratory Issues: Untreated sleep apnea leading to daytime sleepiness or severe lung disease hindering oxygen levels.
  • Neurological Disorders: Epilepsy/seizure disorders unless exempt, sudden loss of consciousness, dizziness, or involuntary tremors.
  • Substance Abuse: Use of illegal substances, reliance on alcohol, or misuse of medications impacting driving.
  • Psychiatric & Cognitive Disorders: Severe unmanaged psychiatric problems or cognitive decline affecting decision making or reaction times.

Some issues might only temporarily disqualify you if you fail to provide medical approval or records (like regulated blood pressure, diabetes care). Others, such as untreated seizures or implanted defibrillators, are usually seen as permanently disqualifying by 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

Fast,easy and efficient

Fast,easy and efficient. They made the whole process stress free and simple. Thanks 😊

Micheal Ankenbrandt - 2/19/2025

they have made my job much easier

I always have a good experience setting up company driver drug screens through ADT. I'm really happy I found them while searching online, they have made my job much easier.

Exodus Heath - 2/13/2025

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

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

Polite

I ran into a situation because the Guthrie had closed and I had to go to well care and they were right on it. I had no problems when I called to get connected with welcare everything worked out and I didn't even have to wait.they were polite and talked with the receptionist for me once I got them on the phone.

Sayre - 8/19/2024

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

ADT is truly the best

Where do I start?!! ADT is truly the best!! I had the pleasure of speaking with Tori today! She was excellent, professional and truly went above and beyond in her kind, compassionate care and commitment to providing me with the best service possible. I was in such a time crunch, but I was able to call, order the test, pay for it over the phone and get the test I needed within the hour. Not only did this put my mind at ease, they saved my job!! I am forever grateful for this team of hard workers, that care, with such great work ethics! Thank you from the very bottom of my heart!!! If you need a drug, alcohol, etc… screening, this team will be your lifesavers!!

Sarah Patterson - 4/8/2025

Accredited has been wonderful to work with!

Accredited has been wonderful to work with! My court ordered tests are on a very strange schedule but every time I call, they are quick to schedule me and are always able to find a location that works for where I’m at and when! Thank you for making this rather undesirable situation less stressful and efficient.

Madison Sanderford - 8/19/2024

Really Helpful

I am just really happy to see that the location near me still offers hair follicle tests!! They are really helpful when any false positives happen, waiting on my results. Hope they come fast!

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Quick, knowledgeable and courteous Janelle worked diligently to support me. I am recommending their services to anyone looking.

Greensboro Joseph - 11/19/2024


(800) 221-4291