St. Michael's Health Clinic

Certified DOT and Non-DOT Physical Exams

Certified DOT Examination

The US Department of Transportation™ has established some minimum qualifications in order for you to be able to operate a commercial motor vehicle (CMV), as defined in the Federal Motor Carriers Safety Regulations™. These qualifications, and the requirements to pass your physical exam, are listed below.

Basic DOT Qualifications

1. Minimum age of 21 years is required to drive on the interstate.

2. Ability to read and speak English sufficiently enough to converse with the general public, understand highway traffic signs and signals in the English language, respond to official inquiries, and make entries on reports and records.

3. By reason of experience, training, or both, you must be able to safely operate the type of commercial motor vehicle you drive.

4. Have a valid CDL issued by one state or jurisdiction, and cannot hold more than one driver’s license.

5. License cannot be suspended, cancelled, or revoked, or CDL holder is not disqualified to drive a commercial motor vehicle, under the rules in Section 391.15.

6. Must have successfully completed a driver’s road test and have been issued a certificate of driver’s road test in accordance with Section 391.31, or have presented an operator’s license or a certificate of road test, which the motor carrier that employs you has accepted as equivalent to a road test in accordance with section 391.33.

7. Have prepared and furnished the motor carrier that employs you with the list of violations or the certificate as required by Section 391.27.

8. Physically qualified to driver a commercial motor vehicle in accordance with Subpart E, Physical Qualifications and Examinations of 49 CFR 391.

Physical Exam Requirements:

1. You must have 20/40 correctable vision in each eye. Glasses or contact lenses are acceptable ways of correcting a driver’s vision.

2. Diabetes controlled through diet or oral medication is permitted. FMCSA revises its regulations to permit individuals with a stable insulin regimen and properly controlled insulin-treated diabetes mellitus (ITDM) to be qualified to operate commercial motor vehicles (CMVs) in interstate commerce. Previously, ITDM individuals were prohibited from driving CMVs in interstate commerce unless they obtained an exemption from FMCSA. This rule enables a certified medical examiner (ME) to grant an ITDM individual a Medical Examiner’s Certificate (MEC), MCSA 5876, for up to a maximum of 12 months. To do so, the treating clinician (TC), the healthcare professional who manages, and prescribes insulin for, the treatment of the individual’s diabetes, provides the Insulin-Treated Diabetes Mellitus Assessment Form (ITDM Assessment Form), MCSA-5870, to the certified ME indicating that the individual maintains a stable insulin regimen and proper control of his or her diabetes. The certified ME then determines that the individual meets FMCSA’s physical qualification standards and can operate CMVs in interstate commerce.

3. Your blood pressure must meet the following criteria: 140-159/90-99 for a three-month temporary certificate at the examiner’s discretion. Blood pressure ranges between 160-179/100-109 and greater than 180/110 is disqualifying.

4. Prescription medication to control blood pressure is permitted. You will receive a one-year certificate.

5. Blood sugar levels must be under 180 for a finger stick test, or under 8% for an A1C test.

6. Use of medications vary – to find out more please see your physician, contact your local DOT office, or visit

7. If you have a current diagnosis of cardiac insufficiency, collapse, congestive cardiac failure, or any other cardiovascular disease you will be required to provide the Medical Examiner with a stress test performed within the last 12 months, along with a release from your physician stating that you can drive a commercial motor vehicle without restrictions.

8. Those who require insulin must be cleared by you PCP not the Medical Examiner. You must bring in Form MCSA-5870.


Blood Pressure Medications

If your are on Narcotics: bring these. Whoever prescribed this will have to clear you to drive while using this scheduled drug.

Diabetics: Bring a copy of your most recent HgA1c. Cannot be more than 6 months old. Insulin use bring in MCSA-5870.

OSA: Bring a print out showing you were compliant with use.