DOT Physical
Find a DOT-Certified Medical Examiner
Before you can get your CDL, you need a DOT physical from a certified medical examiner. All examiners must be on the FMCSA National Registry.
What Is a DOT Physical?
A DOT physical is a medical examination required by the Federal Motor Carrier Safety Administration (FMCSA) for all commercial motor vehicle operators. It confirms that you meet the minimum health standards to safely operate a commercial vehicle.
The exam must be performed by a licensed medical examiner who is listed on the FMCSA National Registry. Your regular physician can perform the exam only if they are certified and listed on the registry - otherwise, you must find a listed examiner.
What to Bring
- - Government-issued photo ID (driver's license or passport)
- - Complete list of all current medications and dosages
- - Prescription glasses or contact lenses if you use them
- - Medical records for any chronic conditions (diabetes, sleep apnea, etc.)
- - Your USDOT number if you're an owner-operator
How Long It Takes
Approximately 30–45 minutes
Typical Cost
$75 – $150 out-of-pocket
What They Check
Vision
At least 20/40 in each eye (with or without correction), adequate field of vision.
Hearing
Able to perceive a forced whispered voice in the better ear at 5 feet or more.
Blood Pressure & Cardiovascular
BP must be below 140/90 for a full 2-year certificate. Higher readings may get a shorter certificate.
Medical History
Conditions like sleep apnea, diabetes, epilepsy, and certain medications require additional review.
How to Get Your Medical Certificate
Find an examiner on the FMCSA National Registry
Search by zip code at nationalregistry.fmcsa.dot.gov. Only certified medical examiners on this list are authorized to issue a valid Medical Examiner's Certificate.
Schedule your appointment
Most examiners are available within a few days. Call ahead - some require fasting bloodwork, which affects scheduling.
Receive your Medical Examiner's Certificate (MEC)
If you pass, you'll receive a paper MEC (Form MCSA-5876) and a wallet card. Your examiner submits results to FMCSA electronically within 24 hours.
Official U.S. government site - nationalregistry.fmcsa.dot.gov
Next Steps Toward Your CDL
Find a Texas DPS Office
After completing your ELDT and getting your Medical Certificate, head to a DPS office to take your CDL knowledge test.
View DPS officesStart Your ELDT Training
Complete your FMCSA-required theory training online, on your schedule. Your certificate is submitted to FMCSA automatically.
Enroll Now - $1,500