What does the Oregon DOT physical include?

The DOT physical exam in Oregon typically includes a review of medical history and medications, vision and hearing tests, measurement of blood pressure, pulse and heart rate, urinalysis and a general physical exam by a certified medical examiner. Upon passing, you may receive a medical examiner’s certificate valid for up to 24 months.

Who in Oregon needs to get a DOT physical?

Any driver holding a commercial driver’s license (CDL) for interstate or intrastate commerce in Oregon, or operating a commercial motor vehicle regulated by the DOT, must have a valid medical certificate issued by a certified medical examiner.

Where can I have the DOT physical done in Oregon?

Oregon drivers can schedule their DOT physical through Accredited Drug Testing’s network of certified examiners and collection sites across the state, ensuring compliance with both federal and Oregon state requirements.

What should I bring with me to the DOT physical in Oregon?

Bring a photo ID, your current medical certificate if applicable, list of medications and dosages, any specialist clearance letters (for conditions such as sleep apnea or cardiac issues) and glasses or contact lens prescription if used.

What happens if I don’t pass my Oregon DOT physical?

If you fail the exam, you will not receive the medical certificate and your driving privileges under the DOT‐regulated commercial vehicle operations may be suspended until you meet the qualifying medical requirements and are re-examined.

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Oregon DOT Physical - What You Need to Know

A DOT physical is an all-encompassing health evaluation mandated by the Department of Transportation for commercial motor vehicle operators. This assessment guarantees drivers are fit on physical, mental, and emotional levels to safely handle large vehicles on public roadways. A certified medical examiner from the National Registry performs the exam. Successful completion awards a DOT medical certificate, necessary for a valid CDL per FMCSA rules. Questions? 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

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What is checked in a DOT Physical?

Health history and medication review
Vision screening with corrective lenses allowed; standards must be met
Hearing test via whisper or audiometry
Blood pressure and pulse rate check
Physical examination covering various systems
Urinalysis for specific readings like gravity, protein, glucose

After successful evaluation in Oregon, a Medical Examiner's Certificate (MEC) is issued, valid for up to 24 months, though certain health conditions might require more frequent renewals or specialist documentation.

Who needs a DOT Physical?

Holding a current DOT medical certificate is mandatory if you:

Possess a commercial driver's license (CDL) â€“ class A, B, or C for interstate commerce
Operate a vehicle with a GVWR over 10,001 lbs in interstate trade
Transport over 8 paying passengers or 15 non-paying ones
Handle hazardous materials needing DOT regulation placards
Are employed by DOT-regulated bodies like FMCSA, FAA, FRA, FTA, or USCG with medical qualification requisites

This includes Oregon drivers.

What to bring with you to a DOT Physical?

Government-issued identification with photo
Spectacles/contact lenses and prescription
Medication list with dosages
CPAP usage records if relevant
Specialist medical approvals (cardiology, sleep apnea, diabetes, etc.)
Recent logs for A1C or blood pressure when monitored

Note: Oregon requires these for a smooth process.

What happens if I fail a DOT Physical?

No Medical card issuance
Temporary disqualification indicated
Referral to primary healthcare for treatment
Eligibility for FMCSA condition-specific exemptions
Employer must be notified
Follow-up actions: Resolve health concerns and reattempt the exam

These protocols apply in Oregon too.

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

Vision & Hearing: Visual acuity worse than 20/40 in each eye (with correction), inability to recognize traffic light colors, or hearing loss preventing understanding of a whisper at 5 feet.
Blood Pressure & Heart Disease: Hypertension uncontrolled (≥180/110 mmHg), recent heart event, stroke, uncontrolled angina, or defibrillator without clearance.
Diabetes: Diabetes not managed properly with frequent hypoglycemia or complications affecting safe driving.
Sleep Apnea & Respiratory Issues: Untreated sleep apnea causing daytime sleepiness or severe lung disease impairing oxygen intake.
Neurological Disorders: Epilepsy/seizures, or conditions with sudden consciousness loss, dizziness, or uncontrolled tremors without exemptions.
Substance Abuse: Current illicit drug use, alcohol dependency, or prescription misuse affecting driving.
Psychiatric & Cognitive Disorders: Serious untreated psychiatric conditions or cognitive problems impacting decision-making and reaction time.

Temporary vs. Permanent Disqualification: Some conditions may cause temporary disqualification until medical clearance (e.g., controlled blood pressure). Others, like untreated seizures or defibrillators, are generally permanently disqualifying under FMCSA.

References:
- FMCSA Medical Examiner Physical Qualification Standards (Â§391.41)
- 49 CFR Part 391 - Qualification of Drivers
- Medical Examiner's Handbook
- FMCSA Driver Exemptions

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Frequently Asked Questions

What does a DOT physical include?

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.

Who needs a DOT physical?

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.

Where are the DOT physicals offered?

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.

What should I bring to my DOT physical?

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.

What happens if I fail my 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.

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