DOT Physical Exams - Oregon

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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) – 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.

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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

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

test was quick and easy

Company New Hire Employee Process for DOT Drug test was quick and easy. No need to make appt. All employee had to do is show prepaid qr code I sent to employee show ID and was set. Would Recommend.

Maria Lopez - 11/19/2024

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

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

Unbelievably fast and Easy

Unbelievably fast and Easy, I wont be using Any other provider from now on.

Ren Wisby - 4/19/2025

Pretty Straightforward

It was a pretty straightforward process getting an appointment and making payment. Getting to the testing site was quick. I was in and out in no time.

Sadiat Ogunyemi - 12/19/2024

Great experience

Great experience and great lab. Customer service agent was very helpful.

Jenna Bee - 2/19/2025

Super helpful and courteous

I've had to use this service twice for out of state physicians we've hired and both times it was super easy. Both customer service reps I spoke with were super helpful and courteous. I won't hesitate to use their service again if needed.

Alicia Rau - 6/19/2024

Fast and efficient service

Fast and efficient service for employers wanting to do pre employment drug screening that meets DOT requirements!!

Mary Thomas - 4/5/2025

Super Helpful

Detricia was super helpful in making sure that the drug test is sent my worker for was the right one I needed for my company to be compliant with my customers drug test requirements.

Kevin Howell - 12/19/2024


(800) 221-4291