DOT Physical Exams - Vermont

In Vermont we have 3 testing locations in the state of Vermont. We offer drug and alcohol testing for employment, probation and DOT requirements. Additional services include DOT consortium enrollment, DNA Testing and background checks. Order your tests and services online or call (800) 221-4291.

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Vermont DOT Physical - What You Need to Know

A DOT physical consists of a detailed health evaluation mandated by the Department of Transportation for all operators of commercial motor vehicles. This assessment confirms that drivers are adequately fit physically, mentally, and emotionally to manage substantial vehicles on roadways. Conducted by a certified medical examiner found on the National Registry of Certified Medical Examiners, passing it grants a medical certificate necessary for retaining a valid CDL according to FMCSA rules. For guidance on which DOT physical might be needed if regulated by another DOT agency, 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

DOT Testing | DOT Breath Alcohol | DOT Consortium Services | MVR Reports Also Available


What is checked in a DOT Physical?

  • Health history review and medication assessment
  • Vision screening (corrective lenses allowed; minimum standards apply)
  • Hearing assessment (forced whisper test or audiometry)
  • Blood pressure and pulse rate
  • Physical examination (systems review)
  • Urinalysis (specific gravity, protein, glucose)

Upon successful completion, your Medical Examiner's Certificate (MEC) may be issued for up to 24 months. Some conditions may require shorter certification or specialist documentation, especially in Vermont.

Who needs a DOT Physical?

You must have a valid DOT medical certificate (card) if you:

  • Have a commercial driver's license (CDL) - class A, B, or C for interstate commerce
  • Drive a vehicle over 10,001 lbs. GVWR in interstate commerce
  • Transport more than 8 passengers (for hire) or more than 15 passengers (not for hire)
  • Transport hazardous materials requiring placarding under DOT regulations
  • Work for employers regulated by DOT agencies such as FMCSA, FAA, FRA, FTA, or USCG, where DOT medical qualification is required, including Vermont.

What to bring with you to a DOT Physical?

  • Government-issued photo ID
  • Glasses/contact lenses & prescription
  • List of medications & dosages
  • CPAP usage data (if applicable)
  • Specialist clearances (cardiology, sleep apnea, diabetes, etc.)
  • Recent A1C/blood pressure logs if monitored

Make sure you bring these important documents to your exam in Vermont.

What happens if I fail a DOT Physical?

  • No Medical card will be issued
  • Temporary disqualification
  • Referral for treatment to your primary care doctor
  • FMCSA exemptions for certain medical conditions
  • Employer Notification
  • Next Steps (address the medical issues and retake the exam)

If you're in Vermont, make sure to address these issues promptly before attempting the exam again.

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

  • Vision & Hearing: Vision worse than 20/40 in each eye (even with correction), difficulty in recognizing traffic signal colors, or hearing deficiency affecting a forced whisper at a 5-foot distance.
  • Blood Pressure & Heart Disease: Hypertension (≥180/110 mmHg) not under control, recent heart attack or stroke, uncontrolled angina, or a defibrillator implant lacking approval.
  • Diabetes: Poorly managed diabetes with recurrent low blood sugar or complications disrupting safe driving.
  • Sleep Apnea & Respiratory Concerns: Untreated sleep apnea causing daytime sleepiness, or serious lung disease affecting oxygen levels.
  • Neurological Disorders: Seizure disorders (exceptions allowed), conditions leading to loss of consciousness, dizziness, or uncontrolled tremors.
  • Substance Abuse: Present illegal drug use, alcohol addiction, or misuse of medications affecting driving.
  • Psychiatric & Cognitive Disorders: Severe psychiatric disorders not under control (e.g., schizophrenia, recent bipolar episodes) or cognitive decline influencing decision-making and response times.

Some conditions may cause temporary disqualification till medical approval or documentation is provided (e.g., managed blood pressure, diabetes handled well). Others, like untreated seizure disorders or unapproved implanted defibrillators, are typically considered permanently disqualifying under FMCSA standards.

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

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Please select a city from the list below to find drug test centers in Vermont.

Barre
South Burlington

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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.

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