Preparing for Your DOT Physical Exam

Important General Requirements

• Make sure to arrive 15 minutes prior to your scheduled appointment.
• If you are on any prescription medications, bring the medications with you.
• Please bring with you your Company ID and current DOT medical qualification card.
• If you wear prescription contacts, make sure you wear them and bring an extra pair of glasses for the exam
• If you have hearing aid(s), bring them with you to the exam and an extra power source

Medical Conditions to Consider for Appointment
To ensure that your DOT physical can be completed in a timely manner, please bring with you ANY documentation related to the medical conditions listed below.

Heart Disease

  • If you take blood thinners such as Coumadin (warfarin), bring documentation that your INR has been regulated for at least the last month (if taking blood thinners for a cardiac condition you must also bring a clearance note from your cardiologist stating you can safely operate a commercial motor vehicle).
  • If you have been diagnosed with heart disease, heart attack, or other cardiovascular condition bring a copy of your recent cardiac stress test results completed within the past 2 years along with clearance note from your cardiologist stating you can safely operate a commercial motor vehicle.
  • If you have had heart surgery (valve replacement, bypass, angioplasty, stent) bring a letter from your cardiologist clearing you to drive a commercial vehicle. You must also bring a copy of your most recent cardiac stress test results.
  • If you have a pacemaker, bring documentation of annual pacemaker check.  (An implanted defibrillator device is disqualifying).
  • If you are taking blood pressure medication or if your blood pressure is greater than 140/90 during the exam, you do not qualify for a 2 year DOT card and will be issued a card of less than 2 years


  • If you have diabetes, you are required a letter from your treating physician. Bring documentation of A1c performed less than 6 months ago. You will also need to bring a log of fasting blood sugars performed in the past month prior to your appointment. If your diabetes is not under good control and you test positive for glucose (sugar) in your urine you may need to undergo further testing and obtain clearance from your PCP or endocrinologist.

Behavioral Health

  • If you have been diagnosed with a nervous or psychiatric disorder, bring a letter from your psychiatrist clearing you to drive a commercial vehicle
  • If you have adult ADHD or depression and are being treated for this we need a consult from your treating primary care provider or mental health provider BEFORE your CDL exam.


  • If you have been diagnosed with seizures or epilepsy, bring documentation from your treating provider that you have been seizure free WITHOUT taking seizure medication for 10 years.
  • If you have had a stroke, seizure, traumatic brain injury, or TIA you will require a neurology consult BEFORE your CDL exam.

Sleep Disorders

  • All individuals with Sleep Disorders/Obstructive Sleep Apnea should be referred to a clinician with relevant expertise as OSA diagnosis precludes unconditional certification.  A driver with an OSA diagnosis may be recertified annually, based on demonstrating compliance with treatment (minimally acceptable compliance with Positive Airway Pressure (PAP) treatment consists of at least 4 hours/day of use on 70% of days.  Optimal treatment efficacy occurs with 7 or more hours of daily use during sleep.  The driver does not report excessive sleepiness during the major wake period indicates OSA being effectively treated. 

Any conditions that could impact your DOT medical clearance should be discussed and forthcoming. Bring any pertinent documentation.


Physician Referral Line 1-800-INSPIRA (800-467-7472) Copyright © 2018. Inspira Health Network. All rights reserved.Pencil
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