To be granted a CDL medical card and be qualified for operating a commercial motor vehicle, one must pass the DOT physical and medical requirements. You would be easily granted a medical examiner’s certificate if you do not have disqualifying medical conditions like diabetes, sleep apnea, and epilepsy. Your prescription glasses and hearing aid must be updated, and your blood pressure must be 140/90 and below. Qualified drivers can help prevent CMV-related fatalities and injuries, according to the the Federal Motor Carrier Safety Administration (FMCSA).
Unfortunately, sometimes drivers do fail their DOT physical. A medical examiner may determine that you do not have the required fitness to complete your job safely. If this happens to you, don’t worry. You have options. Let’s explore what you can do next.

Reasons Drivers Fail a DOT Physical

The DOT physical covers all areas of your basic health. There are certain areas that you should pay particular attention to. You don’t have to be the picture of perfect health to pass. However, you do have to be in good health in all these areas to pass.


Obviously, if you can’t see well, there’s no reason why you should be on the road, much less driving a commercial vehicle. You can wear your glasses during your DOT physical. You aren’t required to have perfect eyesight to pass your test. If you wear glasses and you do fail the vision section of your DOT physical, it’s probably because your prescription is outdated. Your medical examiner will refer you to a vision specialist. Then, you can get a more accurate prescription before you take the test again.
Statcare offers the vision test to commercial drivers who need to pass the DOT physical. Don’t worry about traveling to a different location or waiting weeks to get a new appointment. We’ll take care of everything while you’re at our locations to make your exam process quick and convenient for you. With the correct prescription glasses, you can then retake the DOT physical. Hopefully, with more successful results.


Similarly to the vision test, you will need to take a hearing test, but you don’t have to rely on your natural hearing. If you have a hearing aid, you are free to use it during the DOT physical. During the test, the medical examiner will check to see whether you can hear a forced whisper from five feet away. Drivers who can’t hear the whisper will be given an Audiometry Test at no extra charge. If have hearing loss, you will need to take additional hearing tests to pass the DOT physical. Just like with vision tests, Statcare staff will guide you to an Audiologist for the hearing section of your DOT physical. Once that is completed successfully, Statcare staff can generally take care of you the same day. That means that you can get back to work as soon as possible.

Other Conditions

During the DOT physical, the certified medical examiner will also look into your heart health, diabetes, and sleep apnea. They might also check for other brain conditions like epilepsy or strokes. These conditions require more than the use of a simple accessory to improve. If you have any of these conditions, you may be at risk of failing your DOT physical.
If you have diabetes and you’re having a difficult time getting your blood sugar levels under control, you could fail the DOT physical. You might still be able to get a short-term certification so that you can take a couple weeks to get your diabetes under better control. Use this time to visit specialists, talk to your doctor, and make healthier choices. Once you feel ready, come back into your local Statcare location and one of our staff will test you again.
The same scenario is true for heart conditions, weight problems, and other neurological issues. If you don’t take care of these issues, you may not pass.  Unfortunately, some cases may be too severe and our staff won’t be able to issue you a short-term medical certification. Depending on your specific situation, your doctor may be able to give you time to get a new medication or improve your health. This can help you keep your job and get back on the road as soon as possible.

Short-Term Medical Certification

Short-term medical certifications are exactly what they sound like. Certified medical examiners give them to commercial drivers who could not pass their DOT physical. They allow you to extra time to get these medical conditions under control. Most short-term medical certifications are valid for three months. You are only allowed to have one short-term medical certification at a time.
A normal medical certification is valid for 24 months. However, if you receive a short-term medical certification, you must get a DOT physical every year. It might sound like a hassle now, but remember, the goal of the DOT physical is to keep you safe while you’re on the road. A yearly checkup ensures helps you control current medical conditions. It also helps you stay on top of future medical problems.
If you have a short-term medical certification, you have three months to provide that you are fit to perform the duties of your job. Otherwise, you won’t pass the DOT physical. This means that your commercial driving license will become invalid. To avoid a revoked license (and a loss of your job) make sure that you put your health first. Those who are given the extra time to get their medical condition under control should use it wisely. Don’t wait until the last two weeks to make changes. Implement new, healthier habits immediately so you can stay on the road.

Getting a Second Opinion After Failing the DOT Physical

No medical examiner wants you to fail the DOT physical. We all understand how important your job is to you. We also understand that your safety and the safety of others is at stake if we don’t adhere to the strict standards set by the Department of Transportation.
Because the DOT physical is a standardized medical exam, each medical examiner should arrive at the same conclusion. No matter what location you take the test, what time of day it is or your relationship to that doctor, the results should be the same. However, the Department of Transportation does allow for drivers to get a second opinion if they think something went wrong during their exam that cause them to fail their DOT physical. All pass or fail results are submitted into a federal database by the DOT medical examiners.
We don’t encourage you to “shop” around for a more lenient medical examiner, however. You likely won’t find one. Statcare doctors are especially concerned with a fair, quality exam. Not only do we want you to stay safe while on the road, we’re also doing our part to keep our neighborhood streets and highways safe, too.

Tips to Pass The Dot Physical

The best way to avoid failing a DOT physical is to take care of your health. Listen to your doctor’s advice and make the healthy choices we all know we should be making. That may include eating right, stretching after driving long distances, and taking a break during a long haul to get your heart rate up. You don’t have to be in perfect health to pass a DOT physical, but it never hurts to stay on top of your health as much as possible.
In addition to keeping an eye on your general health, if you have specific medical concerns, bring them up during your DOT physical exam. Make sure that you arrive at your appointment with all of your necessary paperwork. If you have a note from your primary care doctor, or a specialist, regarding your current condition, bring it to your appointment. Give your medical examiner all the information about your health and fitness upfront so that they have no reason to fail you.
You’re also welcome to come into any Statcare location to talk to one of our doctors on staff about any medical concern you’re having before your DOT physical. If you notice that you’re experiencing a change in your health, before or after the exam, we encourage you to stop by our urgent care. Let our trained medical staff determine what might be wrong and the ways to treat you. Don’t feel like you have to wait until your next DOT physical to take control of your health. Our Statcare doctors are always ready and willing to help you.

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