Whether you’re getting your first CDL medical exam or renewing your DOT physical card, knowing what to expect can help you pass without issues. Here’s everything truck drivers need to know about the DOT physical examination in 2026.
What the DOT Physical Examiner Will Check:
Vision Requirements
- 20/40 vision in each eye (with or without correction)
- 70-degree field of vision in each eye
- Ability to distinguish traffic signal colors
Hearing Standards
- Must hear a “forced whisper” at 5 feet
- Or pass an audiometric test showing adequate hearing
Blood Pressure Guidelines (FMCSA Standards)
- Stage 1 (140/90 or less): 2-year certification
- Stage 2 (140-159/90-99): 1-year certification
- Stage 3 (160-179/100-109): One-time 1-year cert if treated
- Stage 4 (180+/110+): Disqualified until controlled
Common Conditions That May Affect Your CDL Medical Card:
- Diabetes (especially if insulin-dependent - requires exemption)
- Sleep apnea
- Heart conditions
- Epilepsy/seizure disorders
- Vision problems
Tips to Pass Your DOT Physical:
- Bring all current medications and dosages list
- Get a good night’s sleep before the exam
- Avoid caffeine the morning of your appointment
- Bring glasses/contacts if you use them
- Have your doctor’s contact info ready for any conditions
Where to Get Your DOT Physical:
Only certified medical examiners on the FMCSA National Registry can perform CDL physicals. You can search for providers at the FMCSA website.
Has anyone had issues with their DOT physical? What tips would you add for new drivers preparing for their first CDL medical exam? Share your experiences below!
Need Help with DOT Compliance?
Vertical Identity offers comprehensive DOT compliance services including drug & alcohol testing, MVR reports, Clearinghouse queries, and ongoing compliance management for truckers and fleets.