DOT Physical Exams - San Francisco, CA

San Francisco, CA DOT Physical - What You Need to Know

A DOT physical is a detailed health assessment mandated by the Department of Transportation for all drivers of commercial motor vehicles. This examination ensures drivers are capable of handling large vehicles on public roads safely. A certified medical examiner, listed on the National Registry, conducts the evaluation. Successfully passing the exam results in gaining a DOT medical certificate, essential for maintaining a valid CDL as per FMCSA rules. For assistance with DOT agency requirements, call 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?

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

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

• Vision & Hearing: Visual acuity below 20/40 per eye (even with correction), inability to recognize traffic signal colors, or hearing deficiency failing detection of a forced whisper at 5 feet.
• Blood Pressure & Heart Disease: Unmanaged high blood pressure (≥180/110 mmHg), recent myocardial infarction, stroke, uncontrolled chest pain, or an implanted defibrillator.
• Diabetes: Poorly controlled diabetes with frequent hypoglycemia or complications (e.g., nerve damage, vision problems) that hinder safe vehicle operation.
• Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing excessive daytime sleepiness, or serious pulmonary disease affecting adequate oxygenation.
• Neurological Disorders: Seizure disorders (without exemption), conditions causing abrupt unconsciousness, dizziness, or uncontrollable tremors.
• Substance Abuse: Ongoing use of illicit substances, alcohol addiction, or abuse of prescription drugs affecting driving capabilities.
• Psychiatric & Cognitive Disorders: Severe untreated mental health conditions (e.g., schizophrenia, bipolar disorder) or cognitive decline impeding judgment and quick responses.

Temporary vs. Permanent Disqualification Some conditions might temporarily disqualify you until medical clearance is provided, while issues like untreated epilepsy or having an implanted defibrillator could permanently disqualify under FMCSA rules.