DOT Physical Exams - Pembroke, NC

Pembroke, NC DOT Physical - What You Need to Know

A DOT physical is a thorough medical checkup mandated by the Department of Transportation (DOT) for all commercial motor vehicle (CMV) drivers. This examination verifies that professional drivers are physically, mentally, and emotionally capable of safely operating large vehicles on public roads. Conducted by a certified medical examiner (CME) listed on the National Registry of Certified Medical Examiners (NRCME), passing this exam grants drivers a DOT medical certificate (Medical Examiners Certificate, also known as a DOT medical card), essential to maintain a valid CDL license under FMCSA guidelines. For assistance in determining which DOT physical applies to you, especially if regulated by a different DOT agency, 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: Visual acuity worse than 20/40 in either eye (even with glasses), difficulty identifying traffic lights, or inability to hear a whispered voice within 5 feet.
• Blood Pressure & Heart Disease: Severe hypertension (≥180/110 mmHg), recent heart attack or stroke, unstable angina, or an unapproved defibrillator.
• Diabetes: Frequent hypoglycemic events or complications like neuropathy impacting driving safety from uncontrolled diabetes.
• Sleep Apnea & Respiratory Issues: Untreated sleep apnea resulting in daytime sleepiness or severe lung conditions affecting breathing.
• Neurological Disorders: Epilepsy or seizures (unless exempt), conditions causing sudden blackouts or involuntary tremors.
• Substance Abuse: Current illegal drug use, alcohol abuse, or misuse of prescription drugs affecting motor skills.
• Psychiatric & Cognitive Disorders: Severe mental health issues (e.g., uncontrolled schizophrenia) or cognitive deficits harming decision-making skills.

Some conditions may temporarily prevent certification until resolved with documentation (e.g., controlled blood pressure). Other issues, like unmanaged seizures, usually lead to permanent ineligibility under FMCSA norms.