DOT Physical Exams - Tennessee

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Tennessee DOT Physical - What You Need to Know

A comprehensive health exam mandated by the Department of Transportation is essential for every commercial motor vehicle operator. This assessment verifies that drivers are physically, mentally, and emotionally capable of handling large trucks or buses on highways. Conducted by a medical examiner certified and listed on the NRCME, passing this exam awards a DOT medical certificate. For DOT agency queries on required exams, contact 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 evaluation including medication assessment
  • Eye examination for minimum vision standards with corrective lens allowance
  • Hearing check through whisper test or audiology
  • Monitoring of blood pressure and pulse
  • Comprehensive physical systems exam
  • Urine analysis for specific gravity, protein, and glucose

In Tennessee, upon successful exam completion, you could receive a Medical Examiner's Certificate valid for up to 24 months. Conditions could require shorter validity or specialist input.

Who needs a DOT Physical?

In Tennessee, to maintain your commercial operations, a valid DOT medical certificate is mandatory if you:

  • Hold a CDL - class A, B, or C for interstate trade
  • Operate vehicles exceeding 10,001 lbs. GVWR in interstate trade
  • Carry over 8 passengers (commercial) or beyond 15 (non-commercial)
  • Haul hazardous materials needing placards as per DOT rules
  • Are employed by DOT-regulated bodies like FMCSA or similar entities requiring DOT medical qualifications

What to bring with you to a DOT Physical?

  • Government-issued photo identification
  • Corrective eyewear & prescription if applicable
  • List detailing medications & their dosages
  • Record of CPAP use where necessary
  • Specialist clearances for conditions like cardiology, apnea, or diabetes
  • Recent health logs on A1C or blood pressure if monitoring is active

Ensure all requirements are met when attending your exam in Tennessee for accuracy and potential certification validity.

What happens if I fail a DOT Physical?

  • In Tennessee, lack of a medical card issuance
  • Faced with temporary exam disqualification
  • Advised medical treatment via primary healthcare
  • Possible FMCSA health exemptions
  • Employer notified regarding outcomes
  • Steps to proceed involve addressing health issues followed by exam retest

Tennessee applicants must address disqualifying health aspects proactively to regain qualification status.

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

  • Vision & Hearing: Vision under 20/40 per eye (corrected), inability to differentiate traffic light colors, or hearing failure to detect a whisper at 5 feet.
  • Blood Pressure & Heart Disease: Uncontrolled high blood pressure (≥180/110 mmHg), recent cardiac event, stroke, unmanaged angina, or unapproved defibrillator.
  • Diabetes: Uncontrolled cases causing hypoglycemic episodes, or complications like neuropathy impairing safe driving.
  • Sleep Apnea & Respiratory Issues: Untreated apnea causing fatigue, or serious lung conditions reducing oxygen levels.
  • Neurological Disorders: Epilepsy (without exemptions), conditions causing sudden unconsciousness or tremors.
  • Substance Abuse: Current illegal drug use, alcohol addiction, or prescription abuse impacting driving abilities.
  • Psychiatric & Cognitive Disorders: Severe mental illness (e.g., untreated schizophrenia, severe bipolar) or cognitive deficits affecting decision-making.

Temporary vs. Permanent Disqualification: Some issues might temporarily disqualify you until clearance is given (e.g., stabilized hypertension). Others, like unmanaged epilepsy, might cause a permanent disqualification under 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

Very helpful

They were very helpful in finding a place to get tested on the route back home! They made a difficult time seem easy with no judgement!

Anne Creden - 11/19/2024

Had very fast and good service

Had very fast and good service, was able to get an appointment same day with the nearest facility. My questions were answered thoroughly but quick. Definitely recommend

Jacob Matzke - 11/19/2024

quick to assist

They are very quick to assist with your orders and they helped when I needed to find a new testing facility.

Gary Matkin - 2/19/2025

Super helpful

Customer service was surprisingly super helpful and so nice. She was able to get me in at a local location right away the same day. She helped me figure out exactly what I needed. Very impressed.

Brook - 9/19/2024

Excellent service!

Excellent service! Trish went above and beyond to find me a testing site as close to my home as possible. Results were faster than expected, as well. Thanks for your help, Trish and Accredited!

Es Hache - 4/13/2025

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

phone support has been excellent

I have used ADT several times. Their phone support has been excellent, both when putting in the orders and when asking for help to interpret results.

Tee Ess - 12/19/2024

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

A very nice company

A very nice company of expertise. The staff will go above to help you out of your situation in a timely matter 👏

Tam Jack - 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


(800) 221-4291