Frequently asked questions
We often get questions primarily about medical conditions that may limit or prevent a person from getting clearance. Here is some basic information. Please call or text us for more information or details.
How long will my appointment be?
For DOT exams only, assuming you have all paperwork and can provide a urine sample, you will generally be out the door within 30 minutes with your paperwork in hand.
Will I have to provide a urine sample?
For all DOT medical exams, a urine sample is obtain and tested instantly for sugar, blood, and protein. We are screening for medical conditions, no drug testing performed on basic DOT exams
What is included in basic DOT physical?
DOT physicals require a detailed medical history that you will do on a electronic tablet in our office. You are expected to be thorough and truthful. You will be required to provide a very small urine sample. You will undergo physical exam checking joint mobility, basic functions, and looking for medical conditions that may impair your driving. You will have to pass a basic eye test and hearing test. You will remain clothed for your exam but may be asked to provide access to visually inspect areas of the body like lower legs, back, etc to examine for swelling, scars, etc.
What do I need to bring?
Bring Photo ID, glasses or contacts if you wear them, list of medications if you take them, hearing aid if you use them, interpreter if you need one, and enough urine in your bladder to produce a sample
Common Medical Conditions
Diabetes – There are 2 types of diabetes. Most common, by far, is type 2. This generally develops through unhealthy diet and lifestyle choices, but there can also be a strong genetic component. If you have diabetes, the FMCSA requires that you have an A1C within the last 3 months of your visit. (Please bring this with you). Depending on availability, these can be performed in office during your exam, with results in 5 minutes. (An extra $40 fee applies). An A1C over 10% indicates poorly controlled diabetes and may result in disqualification or shortened certification period. Importantly, if you are on insulin, the FMCSA requires that you provide a form 5870 filled out by the provider managing your insulin. Form must be filled out PRIOR to your appointment.
Hypertension – High blood pressure, greater than 140/90, puts a patient at risk for heart disease, kidney damage, stroke, blood vessel damage, vision loss, and many more issues. If your blood pressure is consistently elevated, it is important that you get this under control. Blood pressure can generally be easily managed with 1-3 medications provided by your primary care provider. If your blood pressure is too high at your DOT exam, you may get a shortened certification and require follow up.
Sleep Apnea – Sleep Apnea is a relatively common condition in which a person stops breathing in their sleep. This can be due to a central nervous system issue, but is most frequently caused by a physical obstruction of the airway. This is most frequently excess fat deposit in overweight individuals, but can also be enlarged tonsils, uvula, tongue, etc. C-pap is a device that helps to move air more effectively into the lungs by increased pressure. If you have been diagnosed with sleep apnea, depending on severity, the FMCSA requires that you provide proof of compliance, using your c-pap at least 4 hours per night for 70% of nights