If you operate a commercial motor vehicle (CMV), a DOT physical exam is not optional. It is a federal requirement enforced by the Federal Motor Carrier Safety Administration (FMCSA) and is essential for maintaining a valid Medical Examiner’s Certificate. Without a current certificate, drivers cannot legally operate a CMV in interstate commerce.
Whether you are a driver preparing for an upcoming exam or an employer managing compliance across a fleet, understanding what DOT physical exams involved in 2026 helps prevent delays, expired certifications, and unexpected downtime.
Who Needs a DOT Physical Exam?
A DOT physical exam is required for drivers who operate a vehicle that meets any of the following criteria:
- A gross vehicle weight rating (GVWR) of 10,001 pounds or more
- A vehicle designed to transport 16 or more passengers, including the driver
- A vehicle transporting hazardous materials that require placarding
These requirements apply to truck drivers, bus drivers, and other commercial operators engaged in interstate commerce. Some states also apply similar standards to intrastate drivers depending on local regulations and employer policies.
What Happens During a DOT Physical Exam?
DOT physical exams follow a standardized process set by the FMCSA and must be performed by an FMCSA-certified medical examiner. The exam confirms that drivers are medically qualified to safely operate a commercial vehicle.
A typical DOT physical exam includes a medical history review, vision and hearing testing, blood pressure screening, urinalysis (not a drug test), and a physical examination evaluating cardiovascular, neurological, and musculoskeletal health.
State-level DOT regulations and some employers may also require a 5-panel drug test, which can be added to any DOT physical.
How Long Is a DOT Physical Valid?
Once a driver passes a DOT physical exam, the Medical Examiner’s Certificate is typically valid for up to 24 months. A shorter certification period may be issued if a driver has a condition such as high blood pressure or sleep apnea that requires monitoring.
Tracking expiration dates is critical, as an expired certificate can place drivers out of service until compliance is restored. Your organization could also be at risk of fines and penalties.
Where Can I Get a DOT Physical Exam?
Finding a convenient location for DOT physical exams can be challenging, especially when managing multiple drivers. Mobile Health provides DOT physical exams and DOT drug testing through more than 6,500 clinics nationwide, with next-day appointment availability and driver self-scheduling through our Patient Portal.
For employers managing large fleets or multiple locations, on-site DOT exams allow drivers to complete physicals without extended travel or lost drive time. Mobile Health can streamline DOT exams to get your drivers on the road faster.
Simplify DOT Compliance with Mobile Health
Managing DOT physical exams across a fleet involves tracking certifications, coordinating appointments, and ensuring records are available during audits. Mobile Health’s Client Portal provides real-time visibility into exam results and upcoming expirations, helping employers stay proactive.
DOT physical exams are a required part of fleet compliance, but they do not need to be complicated. Contact Mobile Health to streamline your DOT physical exam program for 2026.
