DOT Physical Exam Guide 2026

Everything CDL drivers need to know

What Is a DOT Physical Exam?

A DOT physical exam is a mandatory medical examination for commercial motor vehicle drivers under FMCSA regulations (49 CFR Part 391).

Blood Pressure Requirements

StageReadingCertificate Duration
NormalBelow 140/9024 months
Stage 1140–159/90–9912 months
Stage 2160–179/100–1093 months
Stage 3180/110+Disqualified

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Vision & Hearing Requirements

CDL drivers must have at least 20/40 vision in each eye with or without corrective lenses, and a field of vision of at least 70 degrees. For hearing, you must perceive a forced whispered voice from at least 5 feet with or without hearing aids.

DOT Physical Renewal

Most CDL drivers renew every 2 years. Drivers with certain conditions like controlled hypertension may receive a 1-year certificate and must provide a copy to their state DMV within 7 days if operating interstate.

Common Questions

Can I fail for high blood pressure?

Stage 3 hypertension (180/110+) results in temporary disqualification. Stage 1 and 2 can still be certified.

Do I need to fast?

No fasting required. A urine sample is collected but no fasting needed.

How long is the certificate valid?

Standard certificates are valid for 24 months. Drivers with certain conditions may receive shorter certifications.

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