Ultimate DOT Physical Requirements Checklist: Passed in Charlotte, NC (Vision, BP, Diabetes, Apnea)

Ultimate DOT Physical Requirements Checklist

Table of Contents

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
Driver’s License/ID: Current, valid government-issued ID.
Medication List: A **complete list of all prescription medications** (including dosage and prescribing doctor’s contact).
Corrective Devices: Your eyeglasses, contact lenses, and/or hearing aids.
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.

Deep Dive: FMCSA Standards for Each Major Condition

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

FMCSA Sleep Apnea Requirements (CPAP compliance, BMI, neck circumference)
DOT Physical Diabetes Requirements (Insulin-Treated Diabetes Mellitus MCSA-5870 form)
DOT Physical Vision & Hearing Standards (20/40 acuity & forced whisper test rules)
DOT Physical Blood Pressure Standards (Stage 1, 2, and 3 certification periods)
DOT Physical Heart Condition Requirements (Stent, Pacemaker, Implantable Devices)
DOT Physical Neurological Requirements (Seizure-free periods and stroke waiting times)
DOT Physical Mental Health Requirements (Psychosis, Bipolar, and disqualifying medications)

Official FMCSA Resources & Regulations

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

Official Rules: FMCSA Medical Requirements for Drivers
The Regulation: 49 CFR 391.41: Physical Qualifications for Drivers
Verify Certification: National Registry of Certified Medical Examiners
Download Forms: Medical Examination Report and Forms (MCSA-5875/5870)

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