DOT Physical Exams - Texas
In Texas we have 895 testing locations in the state of Texas. We offer drug and alcohol testing for employment, probation and DOT requirements. Additional services include DOT consortium enrollment, DNA Testing and background checks. Order your tests and services online or call (800) 221-4291.
Locations, All Cities, All States
FMCSA | FAA | USCG | FTA | FRA | PHMSADOT Physical Exam Locations | CDL Medical Card Near You
Enter your zip code to find nearby test centers
Texas DOT Physical - What You Need to Know
A DOT physical is a thorough health assessment mandated by the Department of Transportation for all commercial vehicle operators. This evaluation confirms that drivers are fit in all aspects to safely handle large trucks on public highways. Certified medical professionals on the National Registry conduct the exam. Success results in a DOT medical certificate, crucial for maintaining a valid CDL as per FMCSA. Need more details? 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?
Vision Test
Urinalysis
Physical Examination
DOT Testing | DOT Breath Alcohol | DOT Consortium Services | MVR Reports Also Available
What is checked in a DOT Physical?
- Review of health history & meds
- Checking vision (glasses ok; must meet standards)
- Testing hearing (via whisper or audiometry)
- Monitoring blood pressure & pulse
- Examining physical systems
- Urinalysis (for glucose, protein, specific gravity)
Completion in Texas might allow for a Medical Examiner's Certificate (MEC) up to 24 months. Certain conditions may call for shorter certification or additional specialist documents.
Who needs a DOT Physical?
To legally drive commercially in Texas, you need a valid DOT medical card if you:
- Hold a CDL (class A, B, or C) for interstate jobs
- Operate vehicles over 10,001 lbs. across state lines
- Transport more than 8 hired guests or 15 unpaid
- Carry placarded hazardous goods per DOT
- Work with DOT-governed employers like FMCSA, FAA, FRA, FTA, or USCG needing medical checks
What to bring with you to a DOT Physical?
- Government ID photo
- Eyewear & prescriptions
- Current medication details
- CPAP usage data (if needed)
- Doctor approvals (for heart, apnea, diabetes)
- Recent A1C/blood pressure logs if watched
Be prepared in Texas for your appointment.
What happens if I fail a DOT Physical?
- Without a medical card
- Face temporary barring
- Doctor-referred treatment needed
- FMCSA exceptions for specific conditions
- Notifying your employer
- Next steps: fix health issues and retake exam
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Vision less than 20/40 (with aid), trouble identifying signal colors, or hearing deficiency for a whisper at 5 feet hinder driving.
- Blood Pressure & Heart Disease: High blood pressure (≥180/110 mmHg), recent cardiovascular events, or implanted devices may disqualify.
- Diabetes: Unmanaged diabetes with frequent hypo events or complications like neuropathy may affect driving ability.
- Sleep Apnea & Respiratory Issues: Untreated conditions causing drowsiness or severe lung impairments could disqualify.
- Neurological Disorders: Seizure disorders or conditions causing unconsciousness affect eligibility unless exempted.
- Substance Abuse: Current illegal substances, alcohol dependency, or misuse of meds compromise safe driving.
- Psychiatric & Cognitive Disorders: Severe mental illness or cognitive decline that affects decision-making may result in disqualification.
Temporary vs. Permanent Disqualification: Some medical issues may result in a temporary ban until cleared by a physician. Others, like untreated seizure disorders, usually lead to permanent disqualification as per FMCSA standards.
Accredited Drug Testing has 895 drug testing centers in 2,696 TX cities.
Please select a city from the list below to find drug test centers in Texas.
DOT Consortium
Join our DOT consortium for hassle-free compliance, random testing management, and reliable driver safety solutions.
Frequently Asked Questions
Customer Reviews
ADT is truly the best
Where do I start?!! ADT is truly the best!! I had the pleasure of speaking with Tori today! She was excellent, professional and truly went above and beyond in her kind, compassionate care and commitment to providing me with the best service possible. I was in such a time crunch, but I was able to call, order the test, pay for it over the phone and get the test I needed within the hour. Not only did this put my mind at ease, they saved my job!! I am forever grateful for this team of hard workers, that care, with such great work ethics! Thank you from the very bottom of my heart!!! If you need a drug, alcohol, etc… screening, this team will be your lifesavers!!
Sarah Patterson - 4/8/2025
phone support has been excellent
I have used ADT several times. Their phone support has been excellent, both when putting in the orders and when asking for help to interpret results.
Tee Ess - 12/19/2024
quick to assist
They are very quick to assist with your orders and they helped when I needed to find a new testing facility.
Gary Matkin - 2/19/2025