Commerical medical, LLC


FMCSA-Compliant DOT Physicals


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What the DOT/CDL Medical Exam Covers



1. Medical History Review:
You’ll complete a questionnaire covering past surgeries, illnesses, medications, and any chronic conditions (e.g., diabetes, heart disease, epilepsy)

2. Vision
Must meet 20/40 in each eye (with or without corrective lenses). Peripheral vision requirement is typically 70°. Must distinguish traffic signal colors

3. Hearing
Hearing Must hear a forced whisper at 5 feet in at least one ear, with or without hearing aids.


4. Blood pressure & pulse:
Optimal: ≤ 140/90 mmHg. If elevated, certificate may be issued for less than 24 months (e.g., 3, 6, or 12 months)


5. Urinalysis:
Checks for indicators like glucose, protein, and red blood cells to screen for underlying issues (e.g., diabetes, kidney disease). It’s not a drug test.


6. Physical exam:
Evaluation includes: General appearance Limb function and mobility Respiratory & cardiovascular systems Neurological checks (reflexes, coordination)


7. Additional condition-specific checks:
Sleep apnea: May require a neck circumference or BMI check if flagged, a sleep study or CPAP compliance report (at least 90 days of use at ~70%) is necessary.
Diabetes: Stable cases (even insulin-treated) are allowed with proper documentation like HbA1C records. Cardiac, neurological issues, epilepsy, amputations, etc., may require specialist clearance, extra testing, or Skill Performance Evaluation (SPE) for physical impairments.



Certification Duration



A standard medical card is valid up to 24 months. Drivers with certain conditions (e.g., high BP, sleep apnea) may receive shorter certifications (1 year or less). Exams are required annually or more frequently as needed.


What should you bring to the exam?


List of current medications (include dosages & prescribing doctor).

Medical records: such as recent HbA1C, BP logs, CPAP usage.

Vision/hearing aids: bring your glasses, contacts, and/or hearing aids.



Commercial Medical, LLC



(512) 632-7864

13001 State HWY 71 #103Bee Cave, TX 78738​