FMCSA Required Occupational Screening

DOT Physical
Examination Guide

An updated Department of Transportation (DOT) medical exam is required by the Federal Motor Carrier Safety Administration for most commercial motor vehicle operators. The goal is to confirm that a driver can meet the physical and mental demands of the job, operate safely for long stretches, and protect the public.

30-45mAverge Exam Time
ImmediateMedical Card Print
100%FMCSA Compliant
DOT Physical Examination
FMCSA Form MCSA-5876
Standard Health Vitals

Approved Examination Matrix

✓ Vision test 20/40
✓ Hearing whisper test
✓ Blood pressure checks
✓ Vitals & urinalysis
Medical Baseline

What Is a DOT Physical Exam?

A Department of Transportation (DOT) physical is a highly structured, mandatory health evaluation regulated by the Federal Motor Carrier Safety Administration (FMCSA). A typical visit includes a medical history review, vital signs, vision and hearing checks, a focused physical exam, and overall health guidance. Our certified medical examiners complete a urinalysis to screen for underlying medical conditions.

The goal is to confirm that a driver can meet the physical and mental demands of the job, operate safely for long stretches, and protect the public. We ensure that service is fast, reliable, accurate, and cost-effective.

Our certified medical examiner reviews your medical conditions to ensure sleep apnea, high blood pressure, diabetes, cardiac defects, or vision loss are actively and safely managed. Our clinicians provide guidance and follow-up care to help you meet FMCSA standards — many drivers appreciate our guidance and advice.

Quick Examination Facts

Required by:FMCSA Federal Law
Standard Validity:Up to 24 Months
Who needs it:All CDL Holders (10,001+ lbs)
Appointment:Recommended, Walk-ins Welcome
Issued by:Registered Medical Examiner
Target Driver Profile

Do You Need a DOT Physical?

YES — If you operate vehicles that:

  • Possess a gross vehicle weight rating exceeding 10,001 pounds.
  • Are designed to transport 15 or more passengers (including driver).
  • Are transporting hazardous cargo requiring placard warnings.

Renewal reminders:

  • If your current 1-year or 2-year medical card is expiring within 30 days.
  • If you have recently suffered a major injury, stroke, or heart event.
  • If you require periodic checkups for medical condition waivers.
Checklist Prep

What to Bring to Your Appointment

Failing to bring these crucial documents can delay your screening process. Prepare these in advance!

Government-Issued ID

A valid commercial driver's license (CDL), standard driver's license, passport, or state photo ID card.

Medications List

A written catalog of all current prescription medicines, dosage sizes, and prescribing doctor info.

Corrective Glasses/Contacts

Bring your prescription glasses or contact lenses if you require them for driving safety checks.

Hearing Aid Devices

If you require hearing aids to communicate or pass acoustic whisper tests, make sure to bring them.

Specialist Clearances

Form MCSA-5870 (for insulin-dependent diabetes), cardiac stress test logs, or sleep apnea compliance logs if relevant.

Clinical Walkthrough

What Happens During Your Exam

1

Check-in & Paperwork

Verify your ID and fill out Section 1 of the official MCSA-5875 FMCSA form outlining your historical health background.

2

Vision Performance Test

We test visual acuity in each eye and together (minimum 20/40 is required) as well as horizontal peripheral vision.

3

Auditory Hearing Test

Examiner tests if you can perceive a forced whispered voice in your better ear at a distance of not less than 5 feet.

4

Blood Pressure & Vitals

We capture your resting pulse rate and blood pressure. A reading below 140/90 is the standard target.

5

Urinalysis Checking

A quick sample is collected and screened on-site for blood, sugar, or protein content to rule out hidden medical issues.

6

Physical Screening & Cert

Our certified examiner completes your bodily assessment, enters results, and prints your medical card.

Detailed Context

DOT Physical Questions Answered

Yes! If your pressure is 140-159 / 90-99, you can qualify for a 1-year certificate. Readings of 160-179 / 100-109 qualify for a 3-month temporary certificate. Over 180/110 requires deferral and immediate management.
If you are diagnosed with obstructive sleep apnea, you must bring a printed compliance report from your CPAP machine covering the past 30 to 90 days. The report must demonstrate usage of at least 4 hours per night on 70% of days.
No, the standard DOT physical exam urinalysis is only a chemical check for protein, sugar, and blood indicators of disease. However, employers can request a separate drug panel collection concurrently.
Under the revised FMCSA rules, you can be certified if your treating clinician fills out the Form MCSA-5870 showing your condition is stable and controlled. This form is valid for up to 45 days prior to your physical.
If you fail to meet certain standards immediately, our examiner will guide you on the exact remedial steps, specialist clearances, or exemptions (like vision or hearing waivers) you need to qualify.
Absolutely. Many drivers manage their hypertension with prescription medications. You will be evaluated based on your controlled pressure reading on exam day (which must be under 140/90).
We use the standard forced whisper test. If you cannot hear a forced whisper in at least one ear from 5 feet away, we will perform a formal audiometer hearing test to determine if you meet compliance.

Keep Your CDL Valid & Compliant

Schedule your mobile physical screening in under 2 minutes. Walk out with your card same-day.

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