Can high blood pressure make you fail a DOT physical?

Yes. Drivers with blood pressure at or above 180/110 mmHg will fail the DOT physical. Lower levels of hypertension may result in shorter certification periods if under treatment.

Does diabetes disqualify you from a DOT physical?

Not always. Controlled diabetes with proper documentation may be allowed. Uncontrolled diabetes with frequent hypoglycemia or complications can cause disqualification until managed.

Will sleep apnea cause you to fail a DOT physical?

Untreated or uncontrolled sleep apnea that causes daytime drowsiness can disqualify a driver. However, drivers who are compliant with CPAP or other treatments may qualify with documentation.

What does the Indiana DOT physical include?

The DOT physical exam in Indiana typically includes a review of medical history and medications, vision and hearing tests, measurement of blood pressure, pulse and heart rate, urinalysis and a general physical exam by a certified medical examiner. Upon passing, you may receive a medical examiner’s certificate valid for up to 24 months.

Who in Indiana needs to get a DOT physical?

Any driver holding a commercial driver’s license (CDL) for interstate or intrastate commerce in Indiana, or operating a commercial motor vehicle regulated by the DOT, must have a valid medical certificate issued by a certified medical examiner.

Where can I have the DOT physical done in Indiana?

Indiana drivers can schedule their DOT physical through Accredited Drug Testing’s network of certified examiners and collection sites across the state, ensuring compliance with both federal and Indiana state requirements.

What should I bring with me to the DOT physical in Indiana?

Bring a photo ID, your current medical certificate if applicable, list of medications and dosages, any specialist clearance letters (for conditions such as sleep apnea or cardiac issues) and glasses or contact lens prescription if used.

What happens if I don’t pass my Indiana DOT physical?

If you fail the exam, you will not receive the medical certificate and your driving privileges under the DOT‐regulated commercial vehicle operations may be suspended until you meet the qualifying medical requirements and are re-examined.

DOT Physical Exams - Indiana

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Indiana 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?

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 review and medication assessment in Indiana
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): Upon completing successfully, the Medical Examiner's Certificate may be issued for up to 24 months. Some conditions require shorter certifications or specialist documentation.

Who needs a DOT Physical?

You need a valid DOT medical card if you:

Hold an Indiana CDL for interstate commerce (class A, B, or C)
Operate a vehicle over 10,001 lbs. GVWR in interstate commerce
Transport more than 8 passengers (for hire) or 15+ passengers (not for hire)
Carry hazardous materials necessitating DOT placarding
Work for DOT-regulated employers like FMCSA, FAA, FRA, FTA, USCG, where medical qualification is mandatory

What to bring with you to a DOT Physical?

Government-issued photo ID from Indiana
Glasses/contacts with prescription
Medication list with dosages
Data on CPAP usage (if applicable)
Specialist clearances (cardiology, sleep, diabetes)
Recent A1C/blood pressure logs if tracked: Ensure to have these items for your DOT physical exam in Indiana.

What happens if I fail a DOT Physical?

No Medical card issued in Indiana
Temporary disqualification
Referral to primary care physician for treatment
FMCSA exemptions exist for some conditions
Notification of employer
Address medical issues and retake the exam in Indiana to remain compliant.

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

Vision & Hearing: If vision is worse than 20/40 per eye, color blind to signals, or cannot hear a whisper at 5 feet, it poses issues.
Blood Pressure & Heart Disease: Unmanaged high blood pressure, recent cardiac events, or implanted medical devices without a clearance can disqualify.
Diabetes: If uncontrolled with frequent hypoglycemia or complications, it can hinder driving ability.
Sleep Apnea & Respiratory Issues: Untreated apnea causing daytime fatigue or severe lung conditions can be problematic.
Neurological Disorders: Conditions like epilepsy or frequent dizziness are generally disqualifying unless exempted.
Substance Abuse: Use of illegal drugs, dependence on alcohol, or misuse of prescription drugs affecting driving can disqualify.
Psychiatric & Cognitive Disorders: Severe mental health conditions or cognitive issues impacting safety are concerns.

Temporary vs. Permanent Disqualification: Issues may be temporary if controlled with documentation but certain conditions like untreated seizures or defibrillators are typically permanent under FMCSA standards.

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