About this service
A DOT physical evaluates whether a commercial driver meets the medical requirements that apply to their driving. Drivers often call it a CDL physical or a medical card exam. The federal DOT examination must be performed by a medical examiner listed on the FMCSA National Registry.
Call your chosen clinic before attending to confirm certified examiner availability and the requirements for your exam or renewal. Certification depends on the examiner’s assessment; a two-year certificate or same-day completion is not guaranteed.
What to Expect
A DOT exam with a certified medical examiner may include:
The examiner will explain the certification decision and any additional documentation needed.
- Review your medical history and medications
- Check vital signs, including blood pressure and heart rate
- Perform vision and hearing screening
- Conduct a physical exam evaluating strength, mobility, and overall health
- Review urinalysis results as required by DOT guidelines
- Determine certification status and length of certification
When to Visit
You should schedule a DOT physical if you:
Drivers with certain medical conditions may require more frequent certification or additional documentation.
- Need medical certification for commercial driving
- Need to renew an existing DOT medical certificate
- Have a certificate that is expiring soon
- Are required to complete a DOT exam for employment or compliance
Prepare for your DOT or CDL exam
Ask which current Medical Examination Report form (MCSA-5875) to use. The driver completes the health-history portion, and the medical examiner completes the examination and certification decision.
Tell the clinic about relevant medical conditions before your visit so staff can explain any additional records or forms needed. Follow the examiner’s instructions rather than assuming the general checklist covers every situation.
- Bring your driver’s license or another accepted photo ID and any employer instructions.
- Bring a current medication list, including doses, over-the-counter medicines, supplements, and relevant medical records.
- Bring glasses or contact lenses and hearing aids normally used for the examination.
- Confirm the form version, visit arrangements, and any additional documentation with the clinic.
Frequently asked questions
Who needs a DOT physical?
Certain commercial drivers need a DOT medical certificate. Check the requirements that apply to your driving and employer.
How long is a DOT physical valid?
DOT medical certificates may be valid for up to 24 months. The examiner may issue a shorter certificate when a condition needs more frequent monitoring.
What should I bring to my DOT physical?
Bring accepted photo ID, glasses or contacts and hearing aids if used, a medication list with doses, and relevant medical records. Ask the clinic about the current form and any additional documents before attending.
Can urgent care perform DOT physicals?
DOT exams must be performed by a certified medical examiner. Contact your chosen clinic to confirm examiner availability.
Does a DOT physical include employer drug testing?
The physical includes urinalysis for health assessment. Employer drug screening is a separate testing requirement. Bring your employer’s instructions and confirm which requested tests and collection arrangements are available.