DOT Physical Exams

A DOT physical is a medical examination required by the Federal Motor Carrier Safety Administration (FMCSA) for all commercial motor vehicle (CMV) drivers. The exam ensures drivers are physically and mentally capable of safely operating commercial vehicles. It must be performed by a medical examiner listed on the FMCSA National Registry of Certified Medical Examiners.

At Vertical Identity, DOT physical exams are just $119 through our nationwide network of over 20,000 testing locations. This is a competitive rate that includes the full FMCSA-compliant exam and your DOT medical card. Many clinics charge $150 or more, so our consortium members save money while getting convenient scheduling close to their zip code.

The DOT physical includes a comprehensive health history review, vision test (must have at least 20/40 acuity in each eye), hearing test (must perceive a forced whisper at 5 feet), blood pressure and pulse check, urinalysis for underlying medical conditions like diabetes, and a thorough physical examination of your heart, lungs, spine, and extremities. The examiner will also evaluate your neurological function and check for hernias.

A DOT medical card is typically valid for up to 24 months. However, if you have certain medical conditions such as high blood pressure, diabetes, or other health issues that require monitoring, the medical examiner may issue a card valid for a shorter period — sometimes as little as 3 months — with a requirement to return for re-evaluation.

No. The DOT physical and the DOT drug test are two separate requirements. The urinalysis during the physical checks for medical conditions like diabetes — not for drugs. However, FMCSA regulations require a pre-employment drug test before a driver can operate a CMV, and drivers must also be enrolled in a random drug testing program. At Vertical Identity, we can schedule both your DOT physical and drug test at the same location for convenience.

Common reasons for failing include blood pressure above 180/110, vision worse than 20/40 that cannot be corrected, hearing loss below the minimum standard, uncontrolled diabetes, epilepsy or seizure disorders, and certain cardiovascular conditions. Failing does not always mean the end of your driving career — many conditions can be treated or managed so you can pass on a future exam.