Appointment-focused
Call to schedule a time that works for you.
DOT physicals
DOT physicals by appointment.
Family First Chiropractic is compliant with all FMCSA and NRCME guidelines for DOT physicals.
FMCSA & NRCME compliantBy appointment
We use Pass My Physical software
Guideline compliant
Our process follows FMCSA and NRCME requirements.
Clear next steps
We will help you understand what to bring to your appointment.
What Does the DOT Physical Include?
The exam typically takes 30 to 45 minutes and covers a structured set of health assessments designed to ensure you can safely operate a commercial vehicle. Your provider will review your medical history and conduct the following:
- Vision test — both eyes checked for acuity; visual field and color recognition assessed
- Hearing test — evaluated with or without hearing aids
- Blood pressure and pulse rate check
- Urinalysis — to screen for underlying medical conditions such as diabetes or kidney disease
- Physical examination of the heart, lungs, abdomen, spine, and extremities
- Neurological function assessment — reflexes, coordination, and speech
- Review of current medications and any documented health conditions
If you are found medically qualified to drive, your provider will complete and sign the Medical Examiner's Certificate. If a condition is identified that requires follow-up before certification can be issued, your provider will let you know what documentation or treatment is needed.
What to Bring to Your DOT Physical
Coming prepared helps your visit go smoothly and reduces the chance of needing to return. Bring the following to your appointment:
- A valid government-issued photo ID (driver's license or passport)
- A complete list of current medications, including dosages and the prescribing provider's name
- Documentation of any known medical conditions — letters from your treating physician are especially helpful for conditions like sleep apnea, hypertension, diabetes, or heart disease
- Glasses, contact lenses, or hearing aids if you use them — you must bring these to the exam
- Records of any recent surgeries or hospitalizations
If you have been treated for insulin-dependent diabetes mellitus and are seeking an exemption to operate a CMV, your treating provider will need to complete the FMCSA MCSA-5870 form. You can download the MCSA-5870 form directly from the FMCSA or through our DOT physical page.
How Much Does a DOT Physical Cost?
DOT physicals at Family First Chiropractic are $100. Because DOT physicals are classified as occupational exams rather than medical treatment, they are not covered by health insurance. Payment is due at the time of service.
Please note: the exam fee is charged regardless of the outcome. If you are found medically unqualified during the examination, the fee is non-refundable. If a disqualifying condition is identified, your provider can discuss what steps — such as treating a condition or obtaining a waiver through the FMCSA — may allow you to become qualified in the future.
Common Reasons Drivers Are Disqualified — and What You Can Do
Failing a DOT physical doesn't always mean a permanent disqualification. Many conditions can be managed or documented in a way that still allows certification. Common reasons drivers do not pass include:
- Uncontrolled high blood pressure — treatment and documentation of controlled readings may resolve this
- Cardiovascular conditions — a cardiologist letter may be required
- Untreated or poorly managed sleep apnea — treatment compliance documentation is key
- Vision that does not meet FMCSA standards without correction — corrective lenses must be worn while driving
- Hearing that does not meet standards without correction — hearing aids are permitted
- Diabetes requiring insulin — the FMCSA insulin exemption program may apply; the MCSA-5870 form is required
- Recent substance use or a history of drug or alcohol-related offenses
If you have a medical condition you are concerned about, bring documentation from your treating provider. Our medical examiners review all submitted records as part of the evaluation and will tell you clearly what, if anything, needs to be addressed before a certificate can be issued.
How Often Do I Need a DOT Physical?
Most commercial drivers are required to renew their DOT medical certification every two years. However, if you have a medical condition that requires monitoring — such as hypertension or diabetes — your medical examiner may issue a shorter certification period (for example, one year or six months) to allow for follow-up before the next renewal. The certification period is determined by your medical examiner based on your individual health profile.
Non-DOT Physicals Also Available
In addition to federally required DOT physicals, Family First Chiropractic offers non-DOT employment physicals for employers and workers in industries that require occupational health screenings but are not subject to FMCSA regulations. These exams are commonly required for:
- Pre-employment physical exams for new hires
- Return-to-work clearances after illness or injury
- Annual or periodic occupational health screenings
- Construction, manufacturing, and industrial job requirements
- School bus drivers and other non-CDL transportation roles
- Any employer-mandated physical not governed by FMCSA rules
Non-DOT physicals are tailored to your employer's requirements. Call us to discuss what your specific exam needs to include and we'll make sure you're properly cleared for the job.
Call to Schedule a Non-DOT Physical