Ultimate DOT Physical Requirements Checklist

Medically Authored & Reviewed By:
Dr. Lemuel P. Byrd, Jr., FMCSA Certified Medical Examiner.

Updated: November 2025 | Verifiable Credentials: View Profile

Passing your DOT physical starts with preparation. Use this ultimate checklist to ensure you meet all FMCSA standards for vision, blood pressure, sleep health, and chronic conditions before your exam with Dr. Byrd in Charlotte, NC.

Quick Checklist: What to Bring to Your DOT Exam

  1. Driver’s License/ID: Current, valid government-issued ID.
  2. Medication List: A **complete list of all prescription medications** (including dosage and prescribing doctor’s contact).
  3. Corrective Devices: Your eyeglasses, contact lenses, and/or hearing aids.
  4. Specialist Clearance: Any required paperwork for conditions listed in the table below (e.g., CPAP compliance reports, cardiologist letters).

Mandatory Specialist Paperwork Summary

If you have any of the following chronic conditions, you must bring the corresponding paperwork to avoid a “Determination Pending” status.

Health Condition Mandatory Documentation Required
Insulin-Treated Diabetes FMCSA MCSA-5870 form (completed by treating provider within 45 days) & most recent A1C results.
Sleep Apnea (CPAP User) CPAP Compliance Report (30-90 days minimum data showing 70% usage for 4+ hours/night).
Heart Condition (Stent, Pacemaker, Heart Attack) Cardiologist Clearance Letter confirming stability and recent Stress Test/Echocardiogram results (within 1-2 years).
Neurological Condition (Stroke, Seizure) Neurologist Clearance Letter confirming symptom-free waiting period and safety to drive.
Psychiatric Conditions (Bipolar, Severe Depression) Psychiatrist Clearance Letter confirming stability and non-impairing medication use.

Click on the topic below to view the detailed FMCSA requirements, disqualifying standards, and specific waiting periods for each condition.

Official FMCSA Resources & Regulations

All certification standards are governed by the U.S. Federal Motor Carrier Safety Administration.

Ready to Pass Your DOT Physical in Charlotte?

Ensure all your paperwork is in order and get certified quickly and easily.

Call Dr. Byrd Now: (704) 544-3494

Cost: $70 | Location: 8415 Pineville-Matthews Road, Suite 102, Charlotte, NC 28226