DOT physical providers

What are DOT physicals?

Federal law requires drivers of commercial motor vehicles (CMVs) to receive regular physical examinations. The official name for these exams is “Department of Transportation Medical Examinations,” but it’s often shortened to “DOT physicals.” DOT physicals are designed to detect physical, mental, and emotional issues that can impact a CMV driver’s ability to safely spend long hours on the road. Because there are so many regulations for commercial drivers, the Federal Motor Carrier Safety Administration (FMCSA) only allows certified medical examiners (CMEs) to perform DOT exams. ETMC First Physicians has several providers at different locations across East Texas to help you with this.

 The following providers are certified by the Federal Motor Carrier Safety Administration to perform Department of Transportation (DOT) physical exams.

704 N. Davis
Carthage, Texas 75633
(maps & directions)

580 N. Frankston Highway
Frankston, TX 75763
(maps & directions)

Grand Saline
801 N. Waldrip St.
Grand Saline, TX 75140
(maps & directions)

Gun Barrel City
100 Municipal Drive
Ste. 300
Gun Barrel City, TX 75156
(maps & directions)

300 Wilson St.
Second floor
Henderson, TX 75652
(maps & directions)

1220 N. Pacific St.
Mineola, TX 75773
(maps & directions)

2701 U.S. Highway 271 N.
Pittsburg, TX 75686
(maps & directions)

What drivers should expect for the exam

A DOT exam will include an evaluation of an person’s vision, hearing, blood pressure/pulse rate, and overall physical ability. It will also test for illegal drugs. If drivers take any medications, they’ll need to bring a complete list to the exam, including the doses and doctors’ information. Any drivers that require corrective vision or hearing need to bring their eyeglasses, contacts, or hearing aids. If drivers suffer from any other medical condition, they may be required to bring additional information. Drivers do not need to abstain from eating before their dot physical exam.

What drivers should bring to a DOT physical exam

All drivers
Bring a complete list of ALL of your medications, including the doses and your doctors’ names and addresses. You may want to complete page one of the exam (driver’s portion) to save time at the center.

Drivers who require eyeglasses, contact lenses, or hearing aids
Bring your glasses, contacts, or hearing aids. You will be required to pass a vision and hearing test.

Drivers who have high blood pressure
Your blood pressure MUST be below 140/90 on the day of your exam or you may not qualify for a DOT card.

Drivers who have diabetes
Your blood sugar should be controlled. Bring the most recent results of a lab test called a Hemoglobin A1C (HgAIC) and your blood sugar logs or other records related to your diabetes.

Drivers who have nighttime sleep disturbance (sleep apnea) and use a CPAP machine
Bring a reading from your machine documenting your proper use of the machine; a letter from your sleep specialist may also be required. Bring at least 90 days of data, but data from the past year is best.

Drivers who have heart-related issues, (including the use of stent, valve replacement, pacemaker, open-heart surgery, cardiac bypass surgery, or heart attack)
At minimum, bring a letter from your cardiologist (heart specialist) that outlines your medical history and current medications and indicates you are safe to drive a DOT vehicle. You may also need to bring the results of a recent stress test, ECHO cardiogram, or other testing completed within the past 1-2 years.

Drivers who have suffered a stroke, a brain tumor, seizure disorder, or bleeding in the brain
Bring a letter from your neurologist (brain and nerve specialist) that outlines your medical history, current medications, and current neurologic and psychiatric state.

Drivers who have experienced the permanent loss of use in an arm or a leg
Bring an overview from your physician of the injury and if you have any work restrictions due to the injury. You may need a Skilled Performance Examination in order to qualify for your DOT card.

Drivers who are taking any medications that may cause sedation or sleepiness or controlled substances (includes narcotics, sleeping pills, anxiety medication, ADHD medication)
You will most likely need a note and medical records from your treating physician regarding the safety of driving a DOT vehicle while using these medications.

Drivers who are taking the blood thinner Coumadin (Warfarin)
Bring a recent INR (blood level and clearance) letter from your doctor.

If you are uncertain if you will qualify for a DOT card, you may want to schedule a visit with your primary or specialty physician BEFORE your re-certification date. Each physical examination, just like each DOT applicant, is unique. The above are guidelines only, and not meant to be all inclusive or as a guarantee of passing the exam. Additional testing or/information may be required by your DOT examiner.