What to expect at a DOT physical

The whole exam usually takes 30–45 minutes. Here's each step, in order, so nothing catches you off guard.

1. 1

   Paperwork and health history

   You fill out a health history form listing conditions, surgeries, and medications. Be honest — the examiner cross-checks it during the exam.

2. 2

   Vision test

   You need at least 20/40 in each eye with or without correction, plus a 70° field of vision in each eye. Bring your glasses or contacts if you use them.

3. 3

   Hearing test

   You must detect a forced whisper at 5 feet in at least one ear, or pass an audiometry test.

4. 4

   Blood pressure and pulse

   High blood pressure is the most common reason for a shortened card. If yours runs high, rest a moment and ask for a re-check.

5. 5

   Urinalysis

   A simple urine sample screens for protein, blood, and sugar — signs of conditions like diabetes or kidney issues. It is not a drug test.

6. 6

   Physical examination

   The examiner checks your eyes, ears, mouth, throat, heart, lungs, abdomen, spine, neurological function, and extremities.

How to prepare

• Bring a photo ID and a written list of your medications and prescribing doctors.
• If you have high blood pressure, take your medication as usual and avoid caffeine beforehand.
• If you use a CPAP for sleep apnea, bring your compliance/usage report.
• If you have diabetes, bring recent lab results (such as your A1C) and any required forms.
• Wear your glasses or contacts and bring your hearing aids if you use them.