What is a DOT physical? 

What will make you fail a DOT physical? 

Get the answers to these and other popular DOT physical questions so you can prepare for yours.


If you want to drive large commercial vehicles for a living you’ll need a CDL (commercial driver’s license) and a valid DOT medical card. This card can only be obtained once you have successfully passed a DOT physical, which you’ll need to have again every 1-2 years for the duration of your career.

Finally, A Better Way to Manage DOT Physicals 
While the process of getting your DOT physical and medical card is straightforward, many people feel confused about the requirements they have to meet to pass. Below, we’ll talk you through each aspect of the physical, what standard you need to meet to pass, and links to further resources where you can find out more about the requirements for each element of the DOT medical exam.


What is a DOT physical?
The DOT (Department of Transportation) physical is a medical examination you must undergo before being permitted to drive commercial vehicles for a living. This physical ensures you are fit enough to meet the demands of your job and can operate large vehicles or vehicles with passengers without putting yourself or anyone else at risk.


Do I need a DOT physical?
You are required to have a DOT physical exam if:

You transport hazardous materials You operate a vehicle that carries more than 15 people You are paid to operate a vehicle that carries more than 8 people You operate a vehicle with a gross combined weight of more than 10,000lbs


What does the physical exam consist of?


The DOT exam will include the following:

Physical examination - The doctor will check your eyes, ears, mouth, throat, heart, lungs, abdomen, spine, extremities, and neurological system for signs of any potential problems, impairments, or injuries. Vision test - While you don't need perfect 20/20 vision to pass a DOT physical, you will need to have a minimum 20/40 visual acuity in both of your eyes, even with contact lenses or glasses. You will also need a minimum peripheral vision of 70" in both of your eyes. Hearing test - You must be able to hear a "forced whisper" from five feet away, with or without hearing aids. Blood pressure check - Many people wonder, "Can you pass a DOT physical with high blood pressure?" The answer is yes, but only if it is below a certain limit. You can find out the current limitations in this Foley blog article. Urine test - While many assume the urine test in a DOT physical is a drug test, it doesn't check for drug use. The DOT physical urine test is simply to look for underlying conditions, such as diabetes. Sleep apnea test - If you report having symptoms such as drowsiness during the day, headaches in the morning, gasping while sleeping, or heavy snoring, you may need to undergo a sleep apnea test.
As well as a range of other health indicators that can indicate that there is a problem that may put you at risk while operating a commercial vehicle.

How do I prepare for a DOT physical?
If you’re fit and in good health, there’s very little you need to do to prepare. The DOT exam is simply a check-up by a doctor to ensure you are fit enough to operate such a large vehicle.

If you’re overweight, are recovering from a bigger health issue, or are having a serious health issue managed by a doctor, you may want to make additional preparations. Whether or not you need to make any changes before your CDL DOT physical or bring anything with you will depend on your circumstances and current level of health.

If you are currently managing any health issues, make sure your prescriptions and medications are up to date, you’ve recently had a vision test and have the right corrective eyewear, and the same for your hearing if you suffer from hearing loss.

It’s good practice for anyone getting ready for their DOT physical to cut back on processed foods, alcohol, and smoking to ensure they’re in good health at the time of their physical.NEW CSA Score Webinar - Reserve Your Spot Now!


What do I need to bring?
You need to bring:

Your medical records, if your exam is being carried out by a new doctor Medical records from any specialists you see, such as a sleep apnea specialist Your most recent laboratory reports if you have diabetes or a similar condition Your glasses, contact lenses, or hearing aids if you require them to drive A list of any prescription medication you take, including what dose you take and when
You may also want to bring the DOT physical medical examination report form with you so you can fill it out ahead of time at home. You can find that form here and in the forms section at the end of this article.


What are the DOT physical requirements?
Vision Requirements
To pass the vision test, you need to have 20/40 vision in each eye either with or without glasses, a field of vision of 70 degrees or more in each eye, and be able to differentiate between red, green, and amber.

If you do not meet these standards but meet all other standards of the DOT Physical, you may be able to apply for an exemption.

To find out more about the DOT physical eye exam, see our guide here. 


Hearing Requirements
To pass your hearing test, you must be able to hear a harsh whisper in your best ear, at no less than 5 feet, with or without a hearing aid. If you fail this basic hearing test, you’ll be referred for an audiometry test which will further determine if you are safe to drive.

In most cases, you’ll be able to get a hearing correction device and then pass your DOT physical. If you need a hearing aid, you must wear it at all times while driving.

You’ll only fail the hearing test if you are completely deaf and cannot pass the whisper test even with hearing aids.


Blood Pressure Requirements
High blood pressure is an extremely common health problem, and the DOT medical exam uses it as a key health indicator.

If your blood pressure is 140/90 or below, you’ll pass the DOT physical blood pressure requirements with flying colors. Between 140/90 and 179/109, you may need to have a medical exam more frequently or be given a temporary medical card and be asked to reduce your blood pressure within a 3-month period.


What medical conditions can impact your ability to pass a DOT physical?
There are a handful of health issues that are DOT physical disqualifying conditions, meaning that if they are out of control or too severe for you to operate a large commercial vehicle safely, you will not be able to pass the DOT physical.

These conditions are:

Diabetes Hernias High BMI (Obesity) Sleep Apnea
Find out more about how to pass the DOT physical with a medical condition here, or click the links above to learn more about the individual conditions and their physical requirements.


What do they do in a DOT physical?
Your medical examiner will first talk through your medical history with you and any ongoing treatment you have. They’ll then take your height and weight, so they can calculate your BMI, and check your blood pressure, vision, and hearing.

They’ll do a general assessment of your physical health, look at your skin, check your reflexes, and examine you for hernias.

You’ll also submit a urine sample that will be analyzed to calculate your blood sugar levels and a few other health markers.

In most cases, the DOT exam will end there and you’ll get your medical certificate. However, if your medical examiner found something they believe warrants further testing, or if the requirements of the physical demand it, you may be referred on for another test before you can get your certificate.


How much does a DOT physical cost?
The DOT physical price varies depending on where you get it, and if you are fronting the cost, or if the company you work for will cover part or all of the cost. 

We value our hard working CDL drivers and have set our fee lower than our local competitors at $100


Do DOT physicals include a drug test?
The DOT physical does not specifically test for drugs. The urine sample you give as a part of your DOT physical checks your blood sugar levels. Some employers will require you to submit a urine sample for a DOT drug test, but the DOT physical itself will not look for legal or illegal substances.


What will make you fail a DOT physical?
If you have extremely high blood pressure, high blood sugar, an untreated hernia, or uncorrected vision or hearing, you may fail the DOT physical.

What happens if you fail the DOT physical?
Failing your medical exam is never good news, but it’s also rarely the end of your driving career. In most cases, failing your physical simply means you need to make some lifestyle changes and improve your health so you can safely get back on the open road.

Remember that the DOT physical isn’t trying to catch you out – it looks at your overall well-being and considers if you may have a major health episode in the near future that would jeopardize the safety of yourself and others. If you fail a DOT physical, work with your doctor to get your health back on track so you can get back on the road.


Where can I find the DOT physical forms?
You need to fill out a medical examination report before or when you start your physical.


Generally, the DOT physical is straightforward and nothing to worry about. The medical examiner merely needs to ensure you are fit and healthy enough to operate a large commercial vehicle. We have plenty of information for each medical condition and how they affect your ability to pass the DOT physical, so if you have any concerns, make sure you read those guides to put your mind at ease. 

Advice For A Healthy New Year

There is no better time to rejuvenate your health than the start of a new year. So don't let your resolution to eat more nutritiously fall by the wayside. Just a few simple changes in your diet and lifestyle can have a positive impact on your health— and can also prevent you from experiencing a variety of health problems in the future— according to the American Chiropractic Association (ACA).

"In my own practice, I urge my patients to stop smoking, eat a balanced diet, drink plenty of water, exercise regularly and augment their balanced diet with appropriate nutritional supplements," explains Dr. Juanee Surprise.

Dr. Surprise and the ACA offer the following advice to help put your New Year's resolution into practice:

Lifestyle Changes

  • Get active! Try to exercise for 20-30 minutes at least 3-4 days a week.
  • Eat out more sparingly. Since food preparation methods in restaurants often involve high amounts— and the wrong types— of fat and sugar, give preference to home-cooked food.
  • Brown-bagging your lunch is also a good idea because you can control your fat and sugar content while adding nutritious fruits, vegetables and grains.
  • Limit your intake of alcohol, and quit smoking. Drinking alcohol excessively and/or smoking can hinder your body's ability to absorb nutrients from your food.

According to Dr. Surprise, "Younger people are starting to suffer from heart disease, not only because of our national diet of hamburgers and fries, but because of an epidemic of inactivity."

Dietary Changes

"We need to eliminate the traditional diet of coffee and doughnuts for breakfast; a hamburger for lunch—or no lunch; candy, cookies and soft drink for a snack; followed by a huge dinner with more protein than a person needs, few or no vegetables, and no water or fruit in the course of the day," explains Dr. Surprise. Keep the following dietary recommendations in mind as well:

  • Eat more raw foods. Cooking and canning destroys much of the nutrition in foods that can be eaten raw. With the exception of canned tomatoes— which can help prevent prostate cancer— fresh or frozen fruits and vegetables always have more natural vitamins and minerals than canned vegetables do.
  • Select organically grown foods when possible. They have lower amounts of toxic elements than foods that are not grown organically.
  • Eat whole foods. Much of the nutrition available to us in fruits and vegetables can be found in its skin, so don't peel it off and throw it away, unless it has been waxed or dyed.
  • Stay hydrated! Drink eight to ten 8-ounce glasses of water a day. (Coffee, tea, soft drinks and alcohol are diuretics/dehydrators. Don't substitute them for water.)
  • Consume 25-30 grams of fiber per day. Whole-grain breads and cereals, beans, nuts and some fruits and vegetables are good sources of fiber. High-fiber diets can help prevent digestive disorders, heart disease and colon cancer.

Vegetarian Diets

For those who are planning on going veggie in the New Year, research shows that a good vegetarian diet as part of a comprehensive health program can help prevent heart disease, cancer and other diseases. However, only consume moderate amounts of fried foods, hydrogenated fats and commercial meat substitutes. It's possible for a vegetarian to eat even more sugar and fat than a meat-eater by overloading on junk food.

If you are considering a vegetarian diet, keep the following tips in mind:

  • Don't rely on fruits and vegetables at the expense of grains and legumes. The repetition of fruits and vegetables can narrow your food choices, thus narrowing the variety of nutrients you consume.
  • Tiredness, malaise, and anemia can be signs of deficiencies. Those who have been on a vegetarian diet for some time should have their B12 and iron levels checked at least once a year.
  • Consume fortified foods or take supplements to obtain the nutrients you no longer get from animal-based products. The biggest problem with vegetarian diets and others is that you no longer consume important nutrients found in animal protein.

Before eliminating animal products from the diet, it is important to get information about how to do it right. Children, pregnant and breast-feeding women, and people recovering from illness should consult their doctor (e.g. DC, MD, DO).

Supplements

According to the U.S. Food and Drug Administration, dietary supplements are not perfect substitutes for conventional or even fortified foods. Nor can a person sustain good health by just taking vitamin and mineral supplements. But when taken properly, nutritional supplements can play an important role in achieving maximum health. If you are considering nutritional supplements, keep these important tips in mind:

  • Don't overlook nutrition. Since supplements are just that— an added source of nutrients— it is important to consume dark green vegetables, oils, nuts and seeds, which are sources of magnesium, fatty acids, and many other vitamins and minerals. Supplements are not an excuse to forget about eating right.
  • Since choosing the right nutritional supplements to suit your individual needs can be a complicated endeavor, consult a nutritional practitioner— such as a doctor of chiropractic— to determine what kinds of supplements are best for you.
  • Don't try to "self-prescribe." If you have symptoms such as headaches, chronic fatigue or cardiac problems, you need to seek professional advice— not the advice of a supplement store clerk.

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Monday
8:00 am - 1:00 pm 3:00 pm - 6:00 pm
Tuesday
3:00 pm - 7:00 pm
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