Medically reviewed by Dr. Lemuel Byrd, FMCSA Certified Medical Examiner | Last updated: January 23, 2026
TL;DR: DOT Physical Thyroid Disorders
DOT physical thyroid disorders are generally certifiable when properly treated and stable. Hypothyroidism on levothyroxine and hyperthyroidism controlled with medication, surgery, or radioactive iodine can be certified with documentation of normal thyroid function tests. Thyroid medications do not cause impairment. Bring recent TSH/T4 results to your exam. At Charlotte DOT Exam Center, our FMCSA-certified examiners have extensive experience evaluating this condition. Call 704-544-3494. $70 flat rate.
Understanding Thyroid Disorders and DOT Physical Certification
Thyroid Disorders affects many commercial drivers and requires careful evaluation during the DOT physical examination. The Federal Motor Carrier Safety Administration establishes guidelines under 49 CFR 391.41 that medical examiners follow when evaluating drivers with this condition.
At Charlotte DOT Exam Center, our FMCSA-certified medical examiners have extensive experience evaluating drivers with thyroid disorders. We understand the documentation requirements, certification criteria, and medical standards that determine whether you can be certified for commercial driving. This comprehensive guide covers everything you need to know about DOT physical thyroid disorders certification requirements.
The American Thyroid Association provides additional resources for understanding this condition. According to the FMCSA Medical Advisory Criteria, proper management of this condition is essential for commercial driving safety.
How Thyroid Affects Driving
The FMCSA regulations provide specific guidance for evaluating thyroid disorders in commercial drivers. Medical examiners assess whether your condition could affect your ability to safely operate a commercial motor vehicle.
Key factors in the evaluation include your current symptoms, treatment effectiveness, medication side effects, and risk of sudden incapacitation. The examiner reviews your medical history, current treatment plan, and any specialist documentation you provide.
Understanding these requirements helps you prepare appropriately for your DOT physical and gather the documentation needed to support your certification. The NIH MedlinePlus Thyroid Diseases provides additional medical information about this condition.
Hypothyroidism Certification
This aspect of thyroid disorders evaluation is critical for determining your certification eligibility. The medical examiner carefully assesses this factor during your DOT physical examination.
Documentation from your treating physician or specialist significantly supports your certification. Bring recent test results, medication lists, and any clearance letters from specialists involved in your care.
Most drivers with well-managed thyroid disorders can be certified for commercial driving. The key is demonstrating that your condition is properly controlled and does not pose a safety risk while operating a commercial vehicle.
Hyperthyroidism Certification
Understanding the specific requirements and potential complications related to thyroid disorders helps you prepare for your DOT physical. This section covers important considerations that affect certification decisions.
Related conditions may also be evaluated during your examination. For example, drivers with this condition often have associated conditions like Charlotte DOT Exam Center that are also assessed during the DOT physical.
The certification decision considers your complete health picture, not just individual conditions. Managing all related health factors supports successful certification.

Thyroid Medications
This section addresses specific aspects of thyroid disorders management that are relevant to commercial driving. Proper management of your condition is essential for maintaining your CDL certification.
Work closely with your healthcare providers to optimize your treatment. Regular monitoring and medication compliance demonstrate your commitment to safe driving and support continued certification.
If you have questions about how your specific situation affects certification, contact Charlotte DOT Exam Center before your appointment. We can advise what documentation would be helpful for your evaluation.
Graves’ Disease
Proper preparation for your DOT physical examination significantly improves your certification outcome. Gathering appropriate documentation and ensuring your condition is well-controlled before your appointment supports successful certification.
Bring all relevant medical records, including recent test results, medication lists, and specialist letters. Complete documentation helps the medical examiner make an informed certification decision during a single visit.
Continue your regular treatment regimen leading up to your examination. Do not make medication changes immediately before your DOT physical without consulting your treating physician.
Thyroid Surgery
Certificate duration for drivers with thyroid disorders varies based on condition stability and overall health status. Well-controlled conditions typically receive longer certification periods.
The standard maximum certificate duration is two years. Drivers with well-managed conditions and no other health concerns may receive this maximum duration. Conditions requiring closer monitoring may receive one-year certificates initially.
Your certification duration may change over time as you demonstrate sustained stability. Consistent follow-through with treatment and monitoring supports longer certification periods at subsequent examinations.
Frequently Asked Questions
Can I get a CDL if I have hypothyroidism?
Yes, hypothyroidism treated with thyroid hormone replacement medication does not disqualify you from commercial driving. Bring documentation of your thyroid function tests showing adequate treatment.
Will my thyroid medication disqualify me?
No. Thyroid medications including levothyroxine, methimazole, and propylthiouracil do not cause impairment and are compatible with commercial driving certification.
Do I need to see an endocrinologist before my DOT physical?
Not necessarily. Many thyroid conditions are managed by primary care physicians. What matters is having documentation of your thyroid function and treatment, regardless of which physician provides it.
Can I drive commercially after thyroid cancer treatment?
Yes, many thyroid cancer survivors continue commercial driving after treatment. Bring documentation showing your cancer status and stable thyroid function on replacement therapy.
What if my thyroid levels are not well-controlled?
Work with your treating physician to optimize your thyroid treatment before your DOT physical. Poorly controlled thyroid function with symptoms affecting alertness or cardiovascular function may delay certification.
How often will I need DOT physicals with a thyroid condition?
Most drivers with stable, well-controlled thyroid conditions receive two-year certificates. Your thyroid condition alone typically does not require more frequent certification.
Schedule Your DOT Physical Today
Charlotte DOT Exam Center provides comprehensive DOT physical examinations for commercial drivers with thyroid disorders throughout the Charlotte metropolitan area. Our FMCSA-certified medical examiners understand the certification requirements for this condition and work to make your examination as smooth as possible.
Charlotte DOT Exam Center
8415 Pineville-Matthews Road, Suite 102
Charlotte, NC 28226
Phone: 704-544-3494
Price: $70 flat rate
Walk-ins Welcome
Hours:
Monday–Friday: 8:30 AM – 5:00 PM
Saturday: 8:30 AM – 12:00 PM
Contact us to schedule your appointment. We recommend calling in advance if you have questions about what documentation to bring or if you have complex medical situations requiring additional evaluation.
