DOT Physical Exams - Texas, WI

Texas, WI DOT Physical - What You Need to Know

DOT medical exams are thorough health evaluations mandated by the Department of Transportation for every commercial motor vehicle operator. These assessments ensure drivers are adequately fit physically, emotionally, and mentally to drive large vehicles safely on the roads. A licensed medical professional from the National Registry of Certified Medical Examiners must carry out this exam. Upon passing, drivers obtain a DOT medical certificate, essential for keeping a CDL valid following FMCSA guidelines. For questions about which DOT exam is necessary for your specific DOT agency, 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 below 20/40 in each eye (with correction), inability to detect traffic light colors, or hearing loss hindering the ability to hear a forced whisper at 5 feet.
• Blood Pressure & Heart Disease: Uncontrolled hypertension (≥180/110 mmHg), recent myocardial infarction, stroke, unchecked angina, or an implanted defibrillator without authorization.
• Diabetes: Inadequately controlled diabetes with frequent hypoglycemic events or complications (neuropathy, vision issues) affecting safe driving.
• Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing daytime drowsiness, or severe pulmonary disease impairing oxygen levels.
• Neurological Disorders: Epilepsy/seizure conditions (unless exempted), issues leading to sudden loss of consciousness, dizziness, or uncontrolled tremors.
• Substance Abuse: Ongoing illegal drug use, alcohol addiction, or misuse of prescribed drugs affecting driving abilities.
• Psychiatric & Cognitive Disorders: Severe uncontrolled mental health conditions (e.g., schizophrenia, bipolar disorder with recent episodes) or cognitive impairments hampering judgment and reaction speed.

Some conditions may cause temporary disqualification pending medical clearance or documentation (e.g., controlled blood pressure, diabetes control). Others, like untreated seizure disorders or having an implanted defibrillator, are generally deemed permanently disqualifying according to FMCSA policies.