The DOT physical exam is considered a “Medical Fitness for Duty” exam for the demands of the job required of any commercial driver, not just the driver’s current job duties. The medical examiner’s role is to determine if a CMV driver’s health meets FMCSA standards.

The examining doctor has these two questions foremost in mind when conducting the physical exam:

  1. Can the driver safely meet the physical and mental demands of the job today, and for the period for which the medical card will be issued?
  2. Does the driver have any past or current medical conditions, which may impact the ability to meet the demands of the job now or in the future?

The DOT physical is an extensive medical examination to determine if you are qualified to safely operate a commercial vehicle. The best way to understand the DOT Physical Examination is to relate the medical requirements to the demands of your job as a commercial driver.

What would cause me to fail a DOT physical?

Any condition that would cause a loss of ability to control, operate, or drive a commercial vehicle safely – loss or impairment of limbs, poor visual or auditory acuity, insulin-controlled diabetes, high blood pressure, heart disease, respiratory dysfunction, epilepsy, mental disorder, use of certain drugs, alcoholism.

The DOT physical is an extensive examination. Any disease, disorder, injury, or medication could cause you to fail if they present a risk to public safety.

When I do my DOT physical do I have to get completely naked?

No. There is no reason to get naked. Loose clothing will suffice for the examining physician to be able to complete all aspects of the DOT physical exam.

Who pays for the DOT Physical Examination? Me, my employer, my insurance?

There is no set answer here.
Sometimes the driver pays.
Some companies will pay for it, some will not. So check with your company because some require that you use their company doctor.
Some insurance companies treat this exam as preventative health care and will not reimburse for it. Sometimes the driver will pay and may submit the receipt to their insurance for reimbursement if the insurance will pay.

If I don’t have medical insurance can I still get a DOT physical?

Yes. You do not need medical insurance to get a DOT Physical.