DOT Physical Exams - Twilight, PA

Twilight, PA DOT Physical - What You Need to Know

A DOT physical is an all-encompassing medical check mandated by the Department of Transportation for every commercial motor vehicle (CMV) driver. This assessment is crucial to verify that professional drivers are physically, mentally, and emotionally prepared to operate large vehicles safely on public roads. Conducted by a certified medical examiner from the National Registry of Certified Medical Examiners, passing this exam grants drivers a DOT medical certificate (also known as a DOT medical card), required to keep a valid CDL license in accordance with FMCSA regulations. If another DOT agency regulates you and you need help finding out which DOT physical you require, please 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: Vision worse than 20/40 in each eye (even with correction), difficulty in recognizing traffic signal colors, or hearing deficiency affecting a forced whisper at a 5-foot distance.
• Blood Pressure & Heart Disease: Hypertension (≥180/110 mmHg) not under control, recent heart attack or stroke, uncontrolled angina, or a defibrillator implant lacking approval.
• Diabetes: Poorly managed diabetes with recurrent low blood sugar or complications disrupting safe driving.
• Sleep Apnea & Respiratory Concerns: Untreated sleep apnea causing daytime sleepiness, or serious lung disease affecting oxygen levels.
• Neurological Disorders: Seizure disorders (exceptions allowed), conditions leading to loss of consciousness, dizziness, or uncontrolled tremors.
• Substance Abuse: Present illegal drug use, alcohol addiction, or misuse of medications affecting driving.
• Psychiatric & Cognitive Disorders: Severe psychiatric disorders not under control (e.g., schizophrenia, recent bipolar episodes) or cognitive decline influencing decision-making and response times.

Some conditions may cause temporary disqualification till medical approval or documentation is provided (e.g., managed blood pressure, diabetes handled well). Others, like untreated seizure disorders or unapproved implanted defibrillators, are typically considered permanently disqualifying under FMCSA standards.