DOT Physical Exams - Wilmington, NC

Wilmington, NC DOT Physical - What You Need to Know

A DOT physical examination is an all-encompassing health check mandated by the Department of Transportation for every commercial motor vehicle driver. This exam ensures that drivers are in sound physical, mental, and emotional health to safely manage large vehicles on roads. A certified medical examiner from the National Registry conducts the test. Success leads to obtaining a DOT medical certificate, which is essential for keeping a valid CDL under FMCSA rules. If regulated by another DOT body and need guidance on the required DOT physical, please reach out to 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: Vision below 20/40 in each eye (with correction), inability to detect traffic light colors, or hearing loss hindering the ability to hear a forced whisper at 5 feet.
• Blood Pressure & Heart Disease: Uncontrolled hypertension (≥180/110 mmHg), recent myocardial infarction, stroke, unchecked angina, or an implanted defibrillator without authorization.
• Diabetes: Inadequately controlled diabetes with frequent hypoglycemic events or complications (neuropathy, vision issues) affecting safe driving.
• Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing daytime drowsiness, or severe pulmonary disease impairing oxygen levels.
• Neurological Disorders: Epilepsy/seizure conditions (unless exempted), issues leading to sudden loss of consciousness, dizziness, or uncontrolled tremors.
• Substance Abuse: Ongoing illegal drug use, alcohol addiction, or misuse of prescribed drugs affecting driving abilities.
• Psychiatric & Cognitive Disorders: Severe uncontrolled mental health conditions (e.g., schizophrenia, bipolar disorder with recent episodes) or cognitive impairments hampering judgment and reaction speed.

Some conditions may cause temporary disqualification pending medical clearance or documentation (e.g., controlled blood pressure, diabetes control). Others, like untreated seizure disorders or having an implanted defibrillator, are generally deemed permanently disqualifying according to FMCSA policies.