DOT Medical Card
A current DOT Medical Examiner's Certificate is required for every CDL applicant and every commercial driver. The physical is governed by 49 CFR Part 391.
What the DOT physical covers
- Vision (corrected to 20/40 each eye, color recognition for red/green/amber)
- Hearing (forced whisper at 5 ft, or audiometric test ≤ 40 dB at 500/1000/2000 Hz)
- Blood pressure (≤ 140/90 for a 2-year cert; higher BP may shorten cert)
- Urinalysis (sugar, protein, blood)
- Medical history review
Source: 49 CFR Part 391 ecfr.gov · 49 CFR 391
Find a Certified Medical Examiner
The federal registry of approved examiners is at nationalregistry.fmcsa.dot.gov. Cost typically ranges $80-$200 depending on location.
FAQ
What is a DOT medical card?
A DOT medical card (Medical Examiner's Certificate, form MCSA-5876) certifies that you meet the federal physical qualifications to operate a commercial motor vehicle. It is issued by a Certified Medical Examiner.
How long is the medical card valid?
Up to 24 months. Drivers with certain conditions (e.g., monitored hypertension or diabetes) may be issued shorter certificates.
Where do I find a Certified Medical Examiner?
Use the FMCSA National Registry of Certified Medical Examiners at nationalregistry.fmcsa.dot.gov.