DOT Physical Exams - Virginia

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Virginia DOT Physical - What You Need to Know

A DOT physical is a detailed health evaluation mandated by the Department of Transportation for all commercial vehicle operators. This examination verifies that drivers are healthy enough, both physically and mentally, to operate large vehicles safely on public pathways. A certified medical examiner listed on the National Registry of Certified Medical Examiners conducts the DOT physical. Passing it enables drivers to obtain a DOT medical card, essential for maintaining a valid CDL under FMCSA guidelines. If uncertain about which DOT physical applies due to regulation by another DOT entity, 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 analysis and medication examination
  • Vision check (corrective eyewear allowed, minimum benchmarks apply)
  • Hearing evaluation (forced whisper or audiometry)
  • Blood pressure and heart rate
  • Physical exam (system assessment)
  • Urine test (specific gravity, proteins, glucose)

When finished successfully, your Medical Examiner's Certificate (MEC) in Virginia may be granted for up to 24 months. Certain conditions might necessitate a shorter certification period or specialist's note.

Who needs a DOT Physical?

Holding a valid DOT medical certificate (card) is imperative if you:

  • Possess a commercial driver's license (CDL)- class A, B, or C for interstate commerce
  • Operate a vehicle weighing over 10,001 lbs. gross vehicle weight rating in interstate commerce
  • Transport more than 8 passengers for hire, or over 15 passengers not for hire
  • Convey hazardous materials demanding placards under DOT rules
  • Are employed by entities regulated under DOT agencies like FMCSA, FAA, FRA, FTA, or USCG, where DOT medical certification is necessary
Ensure inclusion in Virginia.

What to bring with you to a DOT Physical?

  • Official photo ID
  • Corrective lenses/glasses & prescription
  • Medication list & dosages
  • Data on CPAP usage (if required)
  • Expert clearances (heart, apnea, diabetes, etc.)
  • Recent A1C/blood pressure logs if monitored

Ensure to have this in Virginia.

What happens if I fail a DOT Physical?

  • No medical card issuance
  • Temporary disqualification status
  • Suggestion to seek treatment from primary healthcare provider
  • Possibility of obtaining FMCSA exemptions for specific medical issues
  • Notification to employer
  • Follow-up Steps (address the underlying health concerns and retake the exam)
Ensure to refer in Virginia.

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

  • Vision & Hearing: Suffering from vision loose with correction worse than 20/40 in each eye, inability to identify traffic light colors, or hearing loss preventing the detection of a whispered voice from 5 feet away.
  • Blood Pressure & Heart Disease: Uncontrolled high blood pressure, recent cardiac arrest, stroke, uncontrolled chest pain, or a heart implantable defibrillator lacking clearance.
  • Diabetes: Non-managed diabetes known for large low-blood-sugar episodes or issues like vision problems that hinder driving safely.
  • Sleep Apnea & Respiratory Issues: Untreated apnea causing daytime drowsiness, or serious lung disorder affecting oxygen levels.
  • Neurological Disorders: Epileptic disorders, conditions causing sudden blackout, dizziness, or uncontrolled shaking, barring exemptions.
  • Substance Abuse: Active illegal drug use, alcohol addiction, or improper prescription medicine use negatively impacting driving skills.
  • Psychiatric & Cognitive Disorders: Severe unmanaged mental disorders or cognitive dysfunction impairing quick thinking/reaction time.

Some medical issues can temporarily disqualify you until medical proof or documentation is given, like controlled blood pressure or managed diabetes. Some conditions are usually deemed permanently disqualifying under FMCSA rules, like untreated seizure issues or heart defibrillators.

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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

Quick, Polite, Informative

Everyone has been quick to respond, polite, informative. It's been easy to order tests. I would recommend them to anyone to use.

April Rogers - 2/15/2025

Kind and very helpful

Called around for hours and posted from company to person and got nowhere and had to fight to get a refund die to there miss information, well save time and sanity Acredited is the ONLY place the person was kind and very helpful, said what I needed and Faith the lady I dealt with made it simple and she did above and beyond everything I needed, as I'm going through a devorse this was a great help and made my day 100 stars from me.

Steven Harrison - 12/19/2024

Really Helpful

I am just really happy to see that the location near me still offers hair follicle tests!! They are really helpful when any false positives happen, waiting on my results. Hope they come fast!

Kali Collins - 1/16/2025

I love the customer service

I love the customer service. The lady was patient enough to help me book my appointment with ease and ensuring I get the location that's best for me. Keep up the good work!

Elizabeth Chiaka - 9/19/2024

Fast,easy and efficient

Fast,easy and efficient. They made the whole process stress free and simple. Thanks 😊

Micheal Ankenbrandt - 2/19/2025

Fast service and friendly staff!

Fast service and friendly staff! Could not recommend enough for drug testing services.

Habib Malik - 4/12/2025

Very professional and very quick

Very professional and very quick service to schedule appointments! I am pleased with the services and would definitely recommend using them for any drug testing needs!

Carrie Feerick - 4/19/2025


(800) 221-4291