DOT Physicals

What Are They?

These physicals are required by FAMSHA and the Department of Transportation for anybody with a Commercial Driver’s License (or CDL). Standard regulations obligate drivers to get a physical either yearly or once every two years. These exams help ensure their own safety as well as the safety of other drivers on the road. Omnis Integrative Medicine uses certified medical examiners to administer DOT physicals to fully comply with regulations.

How Are DOT Physicals Administered?

The certified medical examiner will review a detailed health history and review vital signs. They will listen to the patient’s heart and lungs, and examine his or her abdomen and skin. Vision, hearing and other exams will be performed as well.

To ensure your exam and certification are expedited, patients should call us to schedule an appointment and gather paperwork and health history information including the following:

  • Employer paperwork
  • Valid driver’s license / Employee ID badge
  • List of current medications and dosage
  • List of past surgeries and history of medical conditions
  • List of allergies
  • Bring glasses, contacts or hearing aids to the appointment

Please review our DOT Physical Requirements for a full list of conditions that may require additional tests and information from you.

DOT Physical Requirements

Please review the following requirements and be prepared to provide additional history and documentation as needed:


Your blood pressure MUST BE below 140/90 on the day of your exam or you may not qualify for certification.

Diabetes Type I (Insulin-Requiring)

If you have diabetes type I and require insulin, you may receive certification, but are prohibited from driving a CMV unless you obtain a Diabetes Exemption (see for instructions).

Diabetes Type II (Non-Insulin-Requiring)

Please be prepared to provide:

  • Blood work results completed within the last three months (including HbA1c).
  • A letter from your primary care physician or podiatrist stating that you do not have diabetic neuropathy.
  • Eye exam results within the last 12 months with a statement from the eye doctor or your primary care physician that you do not have diabetic retinopathy.

Sleep Apnea

Current sleep apnea patients will need a compliance report printed out from the company who rents your CPAP machine to you. If, at the time of your exam, risk factors for sleep apnea are identified, you may be given a shorter certification period and may be required to obtain a sleep study prior to your next recertification.

Coronary Disease

If you’ve suffered a heart attack, had an angioplasty or have had stents implanted, please be prepared to provide the following:

  • A copy of your most recent stress test (within last 1-2 years).
  • A copy of ECHOcardiogram or nuclear stress test results (within last 1-2 years) showing ejection fraction over 40 percent.
  • A recent letter from cardiologist outlining your medical history and current medications and stating you are fit to drive a commercial vehicle from a cardiological standpoint.

Blood Thinner (Warfarin/Coumadin)

Bring recent INR and clearance letter from your prescribing doctor.

Coronary Disease (Post-CABG)

Please be prepared to bring:

  • A copy of a recent stress test if it has been more than five years since your surgery.
  • Echocardiogram report and a letter from your cardiologist, as indicated above.

Seizure Disorder, Brain Tumor, or Stroke

You must not be taking any seizure medications, and you must be seizure free for five years. You cannot be certified if you are on medications for an active seizure disorder. Please bring a letter from your neurologist (brain and nerve specialist) outlining your medical history, current medications, and stating that you are fit to drive a commercial vehicle from a neurological standpoint.

Permanent Loss of Use in Arm or Leg

Bring an overview of the injury from your physician, and if you have any work restrictions due to the injury, you may need a Skilled Performance Examination in order to qualify.

Chronic Medical Conditions Requiring Medication

If you have a chronic medical condition requiring ongoing medication, please provide a letter from your primary care physician or prescribing physician that states:

  • The stability of your condition on the medication.
  • That there is no recent change in medication dosage.
  • That you have the ability to safely operate a commercial motor vehicle while on the medication.

Other Medication

You will not be certified if you are taking methadone, Suboxone, or long-acting or transdermal narcotic medications. Any sedating or sleeping medications will need a note and medical records from your treating physician regarding safety of driving a DOT vehicle while taking these medications. Anti-anxiety or depression medication will require a letter from the prescribing physician indicating you are on a stable dose and free of side effects.