DOT Physical Exams - Chance, MD

Chance, MD DOT Physical - What You Need to Know

A DOT physical is an in-depth health check required by the Department of Transportation for all commercial vehicle operators. The purpose of this exam is to confirm that drivers are in good physical, mental, and emotional health to handle large vehicles safely on public thoroughfares. Certified medical examiners, registered on the National Registry of Certified Medical Examiners, conduct this examination. A successful exam grants drivers a DOT medical certificate, essential for holding a valid CDL license as per FMCSA standards. If your regulation falls under another DOT agency and you need guidance, 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?

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: Poor vision worse than 20/40 in each eye (with correction), inability to differentiate traffic signal colors, or hearing loss that restricts hearing a whisper at 5 feet.
• Blood Pressure & Heart Disease: Unmanaged hypertension (>=180/110 mmHg), recent heart attack, stroke, uncontrolled chest pain, or a defibrillator without approval.
• Diabetes: Poorly managed diabetes with frequent hypoglycemia or complications (neuropathy, eyesight issues) affecting safe driving.
• Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing daytime fatigue, or severe lung disease inhibiting oxygen exchange.
• Neurological Disorders: Epilepsy/seizure disorders (unless exempted), conditions leading to sudden consciousness loss, dizziness, or uncontrolled tremors.
• Substance Abuse: Current use of illegal substances, alcohol dependency, or misuse of prescribed drugs impairing driving.
• Psychiatric & Cognitive Disorders: Severe uncontrolled mental illnesses (e.g., schizophrenia, bipolar disorder with recent incidents) or cognitive difficulties affecting decision-making and reaction speed.

Temporary vs. Permanent Disqualification

Certain problems may temporarily disqualify you until you provide medical clearance (e.g., controlled high blood pressure, diabetes management). Others, such as untreated seizures or implanted defibrillators, are often considered permanently disqualifying based on FMCSA rules.