DOT Physical Exams - Biltmore Forest, NC

Biltmore Forest, NC DOT Physical - What You Need to Know

A DOT physical is an all-encompassing medical check mandated by the Department of Transportation for every commercial motor vehicle (CMV) driver. This assessment is crucial to verify that professional drivers are physically, mentally, and emotionally prepared to operate large vehicles safely on public roads. Conducted by a certified medical examiner from the National Registry of Certified Medical Examiners, passing this exam grants drivers a DOT medical certificate (also known as a DOT medical card), required to keep a valid CDL license in accordance with FMCSA regulations. If another DOT agency regulates you and you need help finding out which DOT physical you require, please 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?

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: Visual acuity worse than 20/40 in both eyes with correction or inability to see traffic colors; hearing loss preventing a whispered voice recognition at 5 feet.
• Blood Pressure & Heart Disease: Uncontrolled high blood pressure (≥180/110 mmHg), recent myocardial infarction, stroke, untreated angina, or defibrillator implant without approval.
• Diabetes: Poorly managed diabetes with frequent hypoglycemic episodes or complications like neuropathy affecting driving.
• Sleep Apnea & Respiratory Issues: Untreated sleep apnea causing sleepiness during the day or severe respiratory disorder affecting oxygen supply.
• Neurological Disorders: Epileptic/seizure disorders unless exempt, or conditions triggering loss of consciousness, dizziness, or tremors.
• Substance Use: Current illegal drug use, alcohol dependency, or misuse of prescribed drugs affecting driving.
• Psychiatric & Cognitive Disorders: Severe unmanaged psychiatric conditions (e.g., schizophrenia, bipolar disorder with recent symptoms) or cognitive deficiencies affecting response and decision-making.

Some medical conditions might temporarily disqualify until medical evaluations or documentation are provided, such as managed blood pressure or diabetes control; whereas conditions like untreated seizures or defibrillator implants often lead to a permanent disqualification under FMCSA guidelines.