DOT Physical Exams - Chapel Hill, NC

Chapel Hill, NC DOT Physical - What You Need to Know

A DOT physical examination is a detailed health check mandated by the Department of Transportation (DOT) for all commercial motor vehicle (CMV) operators. This test confirms that drivers have the physical, mental, and emotional capability to safely manage large vehicles on public highways. Conducted by a certified medical examiner (CME) listed in the National Registry of Certified Medical Examiners (NRCME), passing the examination grants drivers a DOT medical certificate, also known as a Medical Examiner's Certificate or DOT medical card, necessary to uphold a valid CDL license as per FMCSA standards. If another DOT agency regulates you and you require guidance on which DOT physical you need, 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: Vision worse than 20/40 with correction, inability to differentiate traffic signal colors, or hearing loss stopping a forced whisper audibility at 5 feet.
• Blood Pressure & Heart Disease: Uncontrolled hypertension (≥180/110 mmHg), recent angina attack, stroke, or implanted defibrillator without approval.
• Diabetes: Poorly managed diabetes with recurrent low glucose episodes or complications like neuropathy affecting driving.
• Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing drowsiness, or severe lung disease limiting oxygenation.
• Neurological Disorders: Epilepsy or seizures (unless exempt), conditions causing sudden consciousness loss, dizziness, or uncontrolled tremors.
• Substance Abuse: Present use of illegal substances, alcohol dependency, or prescription medication misuse affecting driving ability.
• Psychiatric & Cognitive Disorders: Severe psychiatric disorders like schizophrenia or bipolar disorder and cognitive impairments impacting judgment and reaction speed.

Certain issues might cause temporary disqualification until medical clearance is provided (e.g., regulated blood pressure). Others, such as untreated seizures, are generally regarded as permanently disqualifying by FMCSA standards.