The physical examination is required to help ensure that a person is medically qualified to safely operate a CMV. In the interest of public safety, CMV drivers are held to higher physical, mental and emotional standards than passenger car drivers.  We perform these physicals for $55 and you are seen by a FMCSA Certified Medical Examiner.


What to Expect


  • The driver will complete the first two pages of the Long Form (MCSA-5875) which can be found by clicking HERE.
  • A urine sample will be taken to check for protein, blood, and sugar.
  • Your height and weight will be measured.
  • A vision test will be performed. You must have a distant visual acuity of at least 20/40 with or without corrective lenses.
  • We will test your hearing. You must be able to perceive a forced whisper voice in one ear, at no less than five feet with or without hearing aids. If the hearing tests is failed, the medical examiner will refer you to have an audiometry test.
  • Your blood pressure will be obtained and must be under 140/90.
  • We will review your entire medical history, which includes your current medications.
  • A “Body System Check” will be completed as described on the Long Form (MCSA-5875).


What to Bring


  • Valid driver’s license.
  • The first two pages of the Long Form (MCSA-5875) completed or arrive 15 minutes earlier to complete this at the office.
  • Medication or medication list including all supplements.
  • Lab results to include your most recent A1c level if you are diabetic.
  • Compliance report if you have sleep apnea.
  • Corrective lenses and/or hearing aids, if applicable.
  • Partially full bladder for urine sample.
  • **Medical clearance letter from any physician or specialist regarding any chronic medical conditions; including: cardiovascular, mental, chronic pain, etc.





What are the vision requirements for a DOT Physical?

You must have a distant visual acuity of at least 20/40 with or without corrective lenses:


  • see at least 20/40 with both eyes together
  • see at least 20/40 with the right eye
  • see at least 20/40 with the left eye.


* Florida driving Intra-state is one eye 20/40

Can I wear contact lenses to do the vision test?


What if I have monocular vision?

Monovision is a disqualification for Inter-state driving. Monovision is allowed for Intra-state Florida driving.

What if I fail the vision part of the DOT Physical.

You will be put on hold until your vision is corrected.

Can I get a federal vision waiver?



What if I only have one eye?

You will be qualified for intra-state driving only. Meaning inside the State of Florida.



What is the effect on driver certification based on FMCSA hypertension stages?

A driver with a diagnosis of hypertension on treatment should have at least an annual certification.

A CMV driver with a Blood pressure (BP) 140/90 may be certified for 2 years.
First time BP elevated:
Stage 1 – BP 140-159/90-99 Certification Period 1 year
Stage 2 – BP 160-179/100-109 Certification Period 3 months as one time certification. Within the 3 months, if the blood pressure is below 140/90, the driver may receive 1 year certification.
Stage 3 – BP Reading >180/110 Disqualified. When the blood pressure is less than 140/90, the driver can be certified at 6 month intervals.

What if I’m on blood pressure medication?

Taking blood pressure medications will reduce your DOT medical card to one year if your blood pressure is under 140/90.

Why are the diagnosis and treatment of hypertension important?

These criteria are important because there is strong prospective, randomized clinical-trial evidence that hypertension markedly increases the risk of cardiovascular disease and that effective treatment reduces cardiovascular morbidity and mortality. To be certified to drive, the driver should have ongoing hypertension management and be free of side effects that may impair safe driving.  -FMCSA

What if I have “white coat syndrome”.

We will take multiple readings and try to make you feel relaxed as possible.



Can I have hearing Aids and pass the DOT Physical?

Yes please bring them with you to your DOT physical exam.

What are the hearing requirements for DOT Physical?

The driver must be able to perceive a forced whisper voice in one ear, at no less than five feet with or without the use of a hearing aid.

If the driver fails the whisper test, the medical examiner will refer the driver to have an audiometry test.

What are the hearing requirements for CMV drivers? (FMCSA)

A person is physically qualified to drive a CMV if that person: First perceives a forced whispered voice in the better ear at not less than five feet with or without the use of a hearing aid or if tested by use of an audiometric device, does not have an average hearing loss in the better ear greater than 40 decibels at 500Hz, 1000HZ and 2,000 Hz with or without a hearing aid when the audiometric device is calibrated to the American National Standard Z24.5-1951.

If I fail the hearing portion can I return to the office with hearing aids?

Yes as long as you meet DOT hearing standards and noted on your medical card.

Driver Exemption Programs

If I do use hearing aids will it be documented anywhere?

Yes on your medical card and long form.



I take medication for blood pressure can I get certified?

You can be certified for one year if your BP is under 140/90mmHg.

Can a driver be qualified if taking prescribed medical marijuana?

No. Drivers taking medical marijuana cannot be certified even if your state allows it.

What if I take insulin and my diabetes is under control?

Without a DOT Diabetes exemption waiver the answer is No, not for interstate driving.

You can be certified for intrastate driving, meaning you can only drive in Florida

I am on Metformin can I still get a medical card?

It will limit your DOT medical certificate to one year. Make sure your A1c is under 10.

Your A1c blood test must be current at the time of physical.

I take Keppra for convulsions can I get certified?

No. But you may apply for a federal waiver. To apply call 202-366-4001