What Happens During a DOT Physical? A Step-by-Step Guide

If you're a commercial driver or plan to become one, passing a DOT (Department of Transportation) physical is a key step in getting and maintaining your Commercial Driver’s License (CDL). This federally mandated medical exam ensures that you’re healthy and fit enough to safely operate a commercial vehicle.

At Next Door Urgent Care in South Euclid, Ohio, our certified medical examiners are experienced in conducting DOT physicals in a professional, efficient, and driver-friendly environment. Here’s what you can expect—step by step.

Step 1: Prepare Your Paperwork

Before your appointment, you’ll need to bring:

• A valid photo ID

• Your current CDL (if applicable)

• A list of current medications

• Glasses or contacts if required for vision

• Medical records for chronic conditions (diabetes, heart issues, sleep apnea, etc.)

Filling out your Medical Examination Report (MER) Form in advance can save you time. If you're unsure what to bring, just call us—we’ll guide you.

Step 2: Medical History Review

You'll be asked to provide a detailed medical history, including:

• Past or current illnesses

• Surgeries or hospitalizations

• Any medications you take regularly

• Tobacco, alcohol, and drug use

• Any history of fainting, dizziness, or seizures

Honesty is key here—our job is to make sure you're safe to drive, not to disqualify unnecessarily.

Step 3: Vital Signs and Measurements

Next, the examiner will check your:

• Height and weight

• Blood pressure

• Pulse

• Vision (must be 20/40 or better in each eye with or without correction)

• Hearing (you must be able to hear a forced whisper from five feet away)

You’ll also provide a urine sample, which is used to test for signs of diabetes, kidney issues, or other underlying conditions—not drugs (unless your employer specifically requests it).

Step 4: Physical Examination

The physical exam checks all major body systems, including:

• Eyes, ears, throat, and mouth

• Heart and lungs

• Abdomen and digestive organs

• Spine, joints, and extremities

• Neurological reflexes

• Skin and general appearance

The goal is to ensure that you can safely operate a large commercial vehicle without risk to yourself or others.

Step 5: Discussion and Certification

After the exam, your provider will go over the results with you. If you meet all the DOT health requirements, you’ll receive your Medical Examiner’s Certificate (DOT Card), which is valid for up to 24 months. If there are any concerns—such as high blood pressure or vision problems—you may be certified for a shorter time or asked to return with additional documentation.

What If You Don’t Pass?

Failing a DOT physical doesn’t necessarily end your career. You may be able to correct the issue (e.g., getting new glasses or better controlling a chronic condition) and reapply. In some cases, you may qualify for a medical exemption or be eligible for a follow-up evaluation.

Get Your DOT Physical at Next Door Urgent Care

We know how important it is for commercial drivers to stay certified and on the road. At NDUC, we offer convenient scheduling, short wait times, and same-day appointments for DOT physicals. Let us help you meet the requirements—so you can focus on the road ahead.