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Do You Need a Department of Transportation (DOT) Physical?

Jul 2, 2025 | Your Health

If you’re a commercial driver or thinking about becoming one, chances are you’ve heard the term “DOT physical.” But what exactly is a DOT physical, and do you really need one?

This mandatory medical exam, regulated by the Federal Motor Carrier Safety Administration (FMCSA), plays a crucial role in ensuring that drivers are physically, mentally, and emotionally fit to safely operate commercial motor vehicles. Whether you’re renewing your commercial driver’s license (CDL) or entering the field for the first time, understanding the who, what, and why of DOT physicals can help you stay compliant and confident on the road.

Jen Mora, Occupational Health Nurse Practitioner (NP) at Stoughton Health, provides important information about this exam.

What Does the DOT Physical Involve?

During the DOT physical, a comprehensive review of one’s medical history is conducted, including questions about past surgeries, health conditions, and other relevant issues. The exam also includes vision and hearing tests, a blood pressure check, a urinalysis, and a physical assessment of the heart, lungs, and limbs.

Per Mora, not just any healthcare provider can perform the exam. They must have a certification to prove they have had specific training in conducting the DOT physical. “You have to take a review class and pass an exam to do the testing,” she states. Eligible providers can be found through the FMCSA website.

Reasons a Driver Might “Fail” the DOT Physical Examination

Certain health conditions—such as poor vision, hearing loss, uncontrolled high blood pressure, heart issues such as an irregular heartbeat, sleep issues, or unmanaged diabetes—can disqualify someone from passing a DOT physical, as they pose serious safety risks while operating a commercial vehicle.

“We don’t want someone to have a drop in blood sugar while they are driving. This could make them become disoriented or lose control of their vehicle. Epilepsy or seizures would be another condition that would be problematic,” explains Mora. “Also, if someone has untreated sleep apnea, that would disqualify them. If a driver is not sleeping well, that’s going to make them tired on the road.”

What’s Needed for the DOT Exam?

Individuals need to bring to the appointment proof of identification, such as a photo ID. Mora notes that Stoughton is a great place for drivers to turn to due to its ease of scheduling and availability. “I would choose Stoughton Health because our occupational health department is typically able to get people in for their appointments within a week or so, while also providing personalized, exceptional care.”

To learn more about Stoughton Health DOT exams and other Occupational Health and Wellness Services, please go to https://stoughtonhealth.com/health-services/occupational-health-and-wellness-services/.

 

 

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