DOT Physical Exams - Delaware

In Delaware we have 33 testing locations in the state of Delaware. 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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Delaware DOT Physical - What You Need to Know

A DOT physical is a thorough health assessment mandated by the Department of Transportation (DOT) for all commercial motor vehicle (CMV) operators. This examination verifies that drivers possess the physical, mental, and emotional capacity to safely maneuver large vehicles on public routes. Conducted by a certified medical examiner (CME) listed in the National Registry of Certified Medical Examiners (NRCME), passing the exam grants drivers a DOT medical certificate, essential for maintaining a valid CDL under FMCSA guidelines. For guidance on the specific DOT physical needed if overseen by a different DOT agency, 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

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 or audiometry)
  • Blood pressure and pulse rate
  • Physical examination (systems review)
  • Urinalysis (specific gravity, protein, glucose)

In Delaware, 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.

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 that require 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

Delaware enforcement ensures compliance.

What to bring with you to a DOT Physical?

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

In Delaware, all the above documents are crucial for a smooth DOT physical exam process.

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)

Residents of Delaware must follow these steps if disqualified.

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

  • Vision & Hearing: Vision below 20/40 in each eye (even with correction), inability to discern signal colors, or hearing inability to detect a whisper from 5 feet away.
  • Blood Pressure & Heart Disease: Unmanaged hypertension (≥180/110 mmHg), recent heart events, stroke, uncontrolled angina, or non-cleared defibrillator implants.
  • Diabetes: Poorly controlled diabetes with frequent hypoglycemia or complications that hinder safe operation.
  • Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing fatigue, or severe pulmonary disease impairing oxygen levels.
  • Neurological Disorders: Epilepsy or other seizure conditions (unless exempted), disorders causing sudden consciousness loss, vertigo, or tremors.
  • Substance Abuse: Current use of illicit drugs, alcohol dependency, or misuse of prescriptions affecting driving capabilities.
  • Psychiatric & Cognitive Disorders: Severe unmanaged psychiatric conditions or cognitive deficits that affect decision-making and reflexes.

Temporary vs. Permanent Disqualification: Some conditions might temporarily disqualify you until medical documentation is provided (e.g., hypertension control, diabetes management). Others, such as untreated seizures or defibrillators, are often deemed permanently disqualifying by FMCSA.

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

Accredited Drug Testing has 33 drug testing centers in 105 DE cities.

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

Dover
Georgetown
Lewes
Middletown
Milford
Millville
Milton
New Castle
Newark
Ocean View
Seaford
Wilmington

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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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