DOT Physical Exams - Competition, MO

Competition, MO DOT Physical - What You Need to Know

A DOT physical is an extensive health assessment mandated by the Department of Transportation (DOT) for all commercial motor vehicle (CMV) operators. This examination verifies that drivers are physically, mentally, and emotionally equipped to handle large vehicles on public roadways safely. A certified medical examiner (CME), listed in the National Registry of Certified Medical Examiners (NRCME), conducts the DOT physical. Success in the exam grants drivers a DOT medical certificate, or Medical Examiners Certificate, often referred to as a DOT medical card, necessary to uphold a valid CDL license per FMCSA guidelines. If you're subject to another DOT agency's regulation and require help identifying the required DOT physical, 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?

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: If vision is worse than 20/40 per eye (corrected) or unable to discern traffic lights; hearing cannot detect a forced whisper at 5 feet.
• Blood Pressure & Heart Disease: Unmanaged hypertension (≥180/110 mmHg), a recent heart episode or stroke, uncontrolled angina, or having an unsanctioned defibrillator.
• Diabetes: Unregulated diabetes with frequent hypoglycemia or complications like neuropathy or vision issues that hinder safe driving.
• Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing drowsiness or severe lung disease impairing oxygen levels.
• Neurological Disorders: Epilepsy/seizure disorders (without exemptions), conditions causing sudden consciousness loss or uncontrolled tremors.
• Substance Abuse: Current use of illegal substances, alcohol dependency, or misuse of prescription drugs that hinder driving abilities.
• Psychiatric & Cognitive Disorders: Severe uncontrolled mental illness (e.g., schizophrenia, bipolar with recent episodes) or cognitive issues affecting reaction time and judgment.

Under FMCSA rules, some issues may result in temporary disqualification while addressing them with medical documentation (e.g., controlled hypertension). Others, like untreated seizures or defibrillators, are considered generally permanently disqualifying.