DOT Physical Information

Appointment Preparation

  • To expedite the process, use THIS LINK to download, print and complete the required forms. Note, that only pages 1 and 2 of the medical examination report form need to be filled out. 
  • The required forms are also available in the office. If you are unable to complete them ahead of time, please arrive 10 minutes early to allow yourself ample time for review and completion. 
  • Bring a form of government issued photo identification with you to your appointment. Examples include driver’s license, CDL, passport, etc. Faxed or photo copies of ID will not be accepted.
  • Do not consume any caffeine or nicotine 30 minutes prior to your appointment. These substances will have unfavorable effects on blood pressure. 
  • Bring copies of any pertinent medical records, test results and federal waivers, as these will be useful to the medical examiner.
  • Wear a single layer, loose fitting shirt or top that allows the examiner access to your upper arms, chest, back and abdomen. 
  • Try to get as much rest as you possibly can the day prior to your exam and consume plenty of water.

Exam Flow

Visual Acuity

Height and Weight

Blood Pressure

Hearing Test

Physical Exam

The vision screening is administered with a standard Snellen eye chart. Each eye is tested and then both eyes together. The current standard is at least 20/40 in each eye, with or without correction. You will also be asked to distinguish between red, green and amber colors. 

Upon entering the exam area, you will be prompted to step onto a digital scale to check your weight. Next, your height will be measured using a stadiometer. There are no minimum or maximum height and weight requirements specified by FMCSA.

While seated, the examiner will inquire about any “YES” answers provided on pages 1 and 2 of the medical examination report form. Your blood pressure will be measured and recorded along with pulse rate and rhythm. A second reading is optional and will be recorded if necessary.

A  forced whisper hearing test will be administered while seated on the exam table. The current standard states that the driver must be able to first perceive a whispered voice at no less than 5 feet, with or without hearing aids. At this time, the examiner will also check your horizontal field of vision. 

The physical exam is comprehensive, but generally includes auscultation of the heart, lungs and abdomen, eye and ear exam, and assesses your strength, reflexes and range of motion. All findings are recorded on page 3 of the medical examination report form. 

Urinalysis vs. Urine Drug Screening


Urine Drug Screening

  1. Required as part of the physical exam for all interstate commercial motor vehicle drivers
  2. Performed with a dipstick and detects different body system abnormalities
  3. Medical examiner report form specifically requests values for protein, blood and sugar found in urine
  4. NOT diagnostic. Only reveals a need for further testing
  5. Performed in office with immediate results
  1. Generally required only for drivers who operate commercial motor vehicles greater than 26,001 lbs. GVWR , or transporting more than 16 passengers, including the driver, or placarded hazardous materials on public roadways 
  2. Checks for 5 illicit drug families, including marijuana, opiates, amphetamines and methamphetamines, and Phencyclidine (PCP)
  3. Collected in office and sent to testing facility with chain of custody form
  4. Results are returned with 24-48 hours

Exam Completion

  • Once the medical examination report is completed, Dr. Anderson will review your health history and examination results. If qualified, A completed medical examiner’s certificate will be signed, laminated and issued to you before leaving the office. The examiner’s certificate, or medical card, may be valid for up to 2 years from the date of examination.
  • Drivers who present with medical conditions that require periodic monitoring may receive certificates only valid for 1 year, or 6 months from the examination date. 
  • In rare cases, a one-time 3 month certificate may be issued. In this instance, the driver must resolve or control the underlying issue within the given time frame in order to remain qualified to drive.
  • If the decision is made that you are not qualified, you will not receive a medical card. You will be provided with a detailed explanation of why you do not meet the standards and instructions for how to proceed.