Primary Care

DOT Medical Exam & Commercial Motor Vehicle Certification

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The Department of Transportation (DOT) exam is a mandatory health examination that commercial motor vehicle drivers must pass. The Federal Motor Carrier Safety Administration (FMCSA) mandates the DOT exam to determine whether an applicant is mentally, physically, and emotionally fit to drive a commercial motor vehicle.

The exam is performed and managed by a licensed health care provider, often collaborating with other health professionals.

Basic DOT Medical Requirements

20/40 correctable vision in each eye
No insulin-dependent diabetic conditions (diet/lifestyle-managed diabetes is eligible)
Blood pressure of 140 (systolic) over 90 (diastolic) or less for a 24-month certificate
No pre-existing conditions that inhibit safe operation of a commercial motor vehicle

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What's Involved

Cost

Not covered by medical insurance — typically $50–$300 depending on circumstances.

Validity

Certification is valid for up to 24 months, less if your blood pressure exceeds 140/90 or other health factors apply.

Physical Exam Form

FMCSA Form MCSA-5875 records your health history and exam results.

Related Forms

MCSA-5876 (Medical Examiner's Certificate), MCSA-5870 (Insulin-Treated Diabetes Assessment), MCSA-5895 (391.41 CMV Driver Medication Form).

Frequently Asked Questions

Who Can Perform My DOT Physical Exam?

The exam must be performed by a licensed medical examiner — this includes doctors of medicine (MD), physician assistants (PA), advanced practice nurses (APN), doctors of osteopathy (DO), and doctors of chiropractic (DC).

How Often Do I Need To Recertify?

Once you pass, you typically don't need to retest for 24 months, unless you develop a health condition that could compromise your ability to drive safely, or your blood pressure requires a shorter certification window.

Does Insurance Cover The Cost?

No — medical insurance does not cover the DOT physical exam fee. The applicant is responsible for the cost, generally $50–$300 depending on circumstances.

What If I Have Diabetes?

Applicants cannot have diabetic conditions that require insulin injections. If your diabetes is managed through diet and lifestyle changes, you can still apply for DOT certification.

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