Tips For DOT Physical

At Chiro Stop we do
DOT Physical Exams and
DOT Drug Alcohol Testing.

Quick, accurate, and hassle free.

No appointment necessary. Walk-ins are welcome, or
call 801-972-2332 to guarantee a time that works for you.

Parking for 135 trucks at Sapp Bros. I 80 Truck Stop, in Salt Lake City, Utah.

DOT Doctor

Your DOT doctor at Sapp Bros. truck stop is Dr. Kenn Seals. Most drivers just call him “Doc”.

He’s been here at Sapp Bros. truck stop, in Salt Lake City,  working with commercial drivers for more than ten years so he understands the importance of you passing your DOT physical exam for your CDL.

Our goal at Chiro Stop is twofold: To support you in protecting your livelihood, and to help you with improved lifestyle choices for your health and for your life.

We do our best to help you prepare for your DOT physical exam and make your CDL medical certification as hassle free as possible.

DOT Physical Exam: Things to Plan in Advance:

If you have a medical condition you’re going to need some paperwork:

  • Diabetic Condition – Bring a list of medications and name of  prescribing doctor.
  • High Blood Pressure – Bring a list of medications and name of prescribing doctor.
  • Heart Condition – If you’ve had a heart attack or cardiovascular disease, you’ll need to bring a copy of your last stress test.
  • Sleep Apnea – Bring a copy of your latest sleep test results, if you have one.
  • Medications – List all the prescription medicines you take, including strength and dosage. If you regularly take over-the counter medications, such as antacids or allergy pills, list them, too.
  • Contact information – Have names and phone numbers of your doctors in case you need to call and have them fax missing information.

DOT Physical Exam: Things To Do to Manage Your Blood Pressure:

  • Make sure you don’t run out of your prescribed blood-pressure medication.
  • Remember to take your  medication on schedule. If you forget, most doctors recommend taking your medication as soon as possible.
  • If you’re significantly late taking your medication, tell the doctor conducting the DOT physical you forgot to take your regular medication. If your blood pressure is too high, ask to have it rechecked later that day – or even the following day.
  • Cutting back on caffeine and nicotine can help improve your blood pressure.
  • Reducing the amount of salty foods you eat and avoiding adding salt to your food can also help to lower your blood pressure.
  • The week before your DOT physical exam, cut back on coffee, sodas, energy drinks, potato chops, etc, and don’t add salt to your food. Also reduce your use of nicotine as much as possible. Doing this can help lower your blood pressure reading.

The Day of the DOT Physical Exam:

  • Remember to bring the medical records you’ve prepared in advance, including your list of medications.
  • Remember to bring eye glasses (it’s surprising how many people forget this).
  • Drink water. Come with a need to pee.

Getting Past ‘White Coat’ Syndrome:

  • First off, we understand that this is a very real concern for some drivers.
  • Secondly, we work with drivers all day long. We understand that passing your DOT physical exam is important to your continued career and your livelihood, and we’re here to do everything we can to help you.
  • Lastly, we work in a truck stop and you won’t find a white coat in our facility.

Frequently Asked Questions:

CDL and Health Related Articles:

High Blood Pressure: Commercial Driver Risk?

Obstructive Sleep Apnea: Commercial Driver Risk?

Questions or Comments:

If you have a question about the DOT physical requirements, please leave it in the space below. Doctor Kenn will answer it as soon as possible. Visit this web page again soon to see our response. Your comments are also welcome.

Leave a comment


  1. Trucker Doc

     /  August 24, 2016

    Get a medical release form from your primary doctor explaining the small findings of blood in your urine. If lab work was done, take those results with you too. That should be a good start with the CME.

  2. Steven P

     /  August 23, 2016

    Will I pass DOT physical with small trace of blood in my urine had test done and kidneys and bladder is fine no signs of stones or infection

  3. Trucker Doc

     /  August 19, 2016

    Every one of the issues you are presenting with will raise serious questions.
    So make sure you have as much information available about your conditions on hand before you ever go for the DOT exam. And before you even begin the examination ask for an interview with the examiner and explain your condition and situation, along with your meds list. That should save you time and money right up front.

  4. Bigz

     /  August 18, 2016

    I also take gabapentin to help with nerve pain I also had a blood clot and takes xerelto plus a triglycerides medication and and trazadone plus pain med what are my chance of passing the physical and get my cert.

  5. Bigz

     /  August 18, 2016

    I have to take oxycontin and oxycodone will I have to get a doctor to fill out a realise form to get past the physical and such

  6. Trucker Doc

     /  July 22, 2016

    Once fully healed and recovered, then get a medical release form from your doctor. With the release form in hand at the time of the DOT examination, you should do just fine.

  7. Doug

     /  July 21, 2016

    I recently (2 months ago) had an attack of diverticulitis and it was dabilitating for several days. After I was properly diagnosed, it took another 10 days of meds and 3 days of liquid diet in order to calm everything down. A follow on colonoscopy confirmed the presence of diverticula.

    Also, I take a prescribed stimulant drug (Vyvanse 40 mg) for attention deficit disorder on a daily basis.

    With my medical conditions, do you think I would be able to pass my physical to obtain a CDL with a bus endorsement?

  8. Trucker Doc

     /  July 12, 2016

    The examining office should provide the driver with a copy of the medical certificate and the long form. That means they are qualified.
    If they are not qualified, they will not get a new medical card, and the medical examiner should tell the driver what conditions disqualify the driver so they know what measures to take to get qualified.

  9. mK

     /  July 11, 2016

    I am an admin and just recently started working with a company that is fairly new to DOT Physicals, most of our employees have never had one and are now required to get one. There seems to be a lot of misunderstanding between the patients and the doctors when they leave about whether or not they are now qualified. What are some questions you would recommend our employees ask before they leave the physicians office so they are clear as to if they are qualified or if they need additional clearance from their private medical provider?

  10. Trucker Doc

     /  June 6, 2016

    Should not be an issue. Have her doctor fill out a medical release form and take it with when she goes for her examination. The CME will have the information that he needs to make a final decision.

  11. Brandie

     /  June 4, 2016

    My mother wants to get her CDL to drive with me, but is worried that she won’t be able to get her medical card because she had her thyroid removed 12 years ago and is on medication for it.

  12. Trucker Doc

     /  May 31, 2016

    It is recommended that you take this medication at the same time each day. If it binds with sugar and you expel that excess, then you need to bring your most recent A1c test results. If it works like metphormine, then you should have your diabetes under control, just watch what you eat before hand.

  13. Terry

     /  May 30, 2016

    I failed the blood sugar test last year because I ate that morning and was taking Farxiga. This year I know to fast but should I delay taking Fariga until after the exam?

  14. Trucker Doc

     /  April 18, 2016

    You would want to check with your state drivers license department. As a class A interstate driver, you would not qualify as a fit for duty driver. But the state may have stipulations that allow you to driver intra-state only as a class A driver.

  15. Ricky w

     /  April 15, 2016

    I’m on peritoneal Dialysis in Newa Jersey… And i have class A cdl….Can i still get a DoT medical card?

  16. Trucker Doc

     /  April 12, 2016

    Depends on the length of time that you have been using these medications. Also what the existing diagnosis is. Have a medical release form from your doctor explaining your situation and medication usage. That should be all you need for the CME doing the examination.

  17. Anonymous

     /  April 11, 2016

    I take 40 mg of paxil every day and 1mg of xanax at bedtime every day both for anxiety will this be a problem passing dot medical for first time

  18. Trucker Doc

     /  April 8, 2016

    No, it just poses a series of new questions to confirm that you have “changed your evil ways” and that you are a “good boy” now.

  19. salvador

     /  April 7, 2016

    the new form that is cumming out form mcsa 5875 is questioning if i ever failed or had a positive drug test. if i did come out postive in the past and mark yes is it disqualifying.

  20. Scott

     /  March 10, 2016

    Can a Medical Examiner force you to turn over your medical records from your personal doctor?

  21. Trucker Doc

     /  February 17, 2016

    Any protein in the urine should be looked intro. Protein in the urine means that somewhere in the system the body is, potentially, diseased and is breaking down. There are a few very simple test done by your doctor to make sure that nothing else is going on. Drivers may have trace protein at times, due to rougher roads and bad suspension, but as a normal, there should not be any portion in the ua sample.

  22. Ricardo b

     /  February 15, 2016

    I went for my dot physical and the doc said I had too much protein in my urine. What’s too high or what’s the limit.

  23. Trucker Doc

     /  February 5, 2016

    Most strip examinations are breaking in at 140. Each company may use different strips so color may be different, ours shift from light blue to brown.
    There should never be any sugar in the urine, so your doctor needs to know that you still have some spill-over and it needs to be brought under better control.

  24. John

     /  February 4, 2016

    I just went for my new physical card. They tell me my sugar in the urine is to high. I’m under doctors care for high sugar in my blood. My question is what level is the max in urine? And what color on a test strip would it be? Thank you.

  25. Trucker Doc

     /  January 20, 2016

    Make sure you have a medical release form from your doctor. He will need to understand the role of a CMV operator before he starts saying you can drive. The list of medications will cause questions and the reasoning behind the entire list of medications are going to cause questions too. So be prepared before you go, have all the information in hand and then go to the DOT examiner.

  26. Lynn

     /  January 19, 2016

    May I get a class a cdl if I have asthma that is treated with inhalers, take sotalol which controls my bp and hr and take armour thyroid for hypothyroidism? Desperately needing to get my first cdl!

  27. Trucker Doc

     /  December 14, 2015

    The examination paperwork will ask on the first page whether you you have any surgeries, so answer yes. Then explain to the examiner when you had the surgery and that you have no limitations or restrictions and you should be OK. As long as you can perform the duties of a CMV operator you will be good to go if that is the only issue.

  28. Walter

     /  December 4, 2015

    Hey Doc, I ruptured a disc in my back 10 years ago. I’ve had several nerve blocks since then but I haven’t had any back problems in the last 2 or 3 years. Should I report that to the medical examiner? I’m not sure that I can find all my paperwork from that long ago…?

  29. Trucker Doc

     /  November 10, 2015

    It will start with, how long ago were you diagnosed? Do you have your sugar under control? How are you handling the medications and dietary changes? is there sugar in your urine? There is no magic number, but having answers to these questions and a copy of a medical release form from your doctor will be a good start.

  30. Joe

     /  November 9, 2015

    I recently found out i had diabetes. Just started taking medication for it. My DOT physical is up forever renewal what would be the sugar reading i need to be at to pass my physical?.. If you can give me the highest number allowed?
    Thanks in advance

  31. Trucker Doc

     /  November 1, 2015

    That will depend on what the conditions were and when your doctor released you.

  32. john

     /  October 31, 2015

    If I had past medical conditions but don’t take meds or see any Dr now would I pass physical unless something comes up during physical

  33. Trucker Doc

     /  October 19, 2015

    Get your condition under control before you try to retake the DOT examination.

  34. Kalag

     /  October 15, 2015

    Hi All. Need some advice in my case. Thanks in advance for any help. I went to renew my DOT physical card 2 months ago and was told that glucose levels in my Urine are very high. So the examiner gave me 3 month valid card with Renal Glycosuria treatment mentioned in the report. Later in the week I went to my primary physician and got complete physical done. Blood sugar levels and everything else was normal, but urine sugar levels were high. My physician recommended diet change and exercise and I have retest next week. My doctor will refer me to kidney specialist if sugar levels came high again in urine. My DOT physical is due for renewal first week of November. So should I just go for DOT to some other MRO but not the last one ? Or should I wait for me to be referred to specialist and prescribed medicine so I can show that I am being treated ?

  35. Trucker Doc

     /  October 5, 2015

    FMCSA regs state that any driver that is taking HBP medication shall be issued a one year card, so that the examiners and primary doctors can monitor you more frequently. It’s a safety issue with a progressive condition.

  36. Jesus

     /  October 4, 2015

    If I am taking medication for high blood pressure, and if go & get my phisical done & my blood pressure is normal,I want to know why I don’t get a two year dot card, because in New Mexico, with one year dot card,they only issue a driver license for one year, thanks

  37. Trucker Doc

     /  September 28, 2015


  38. Brad

     /  September 22, 2015

    Do you have to get your blood drawn to pass a DOT physical?

  39. Trucker Doc

     /  August 12, 2015

    Not in and of itself, but you will want to take a medical release form from you primary doctor explaining your medications, their effects and your need for these medications. That will answer most of the CME’s questions before you get started.

  40. Ronnie

     /  August 11, 2015

    Doc, I was diagnosed with rheumatoid arthritis about 4 years ago. I spoke with DOT back then and told me. I had nothing to worry about since they do physical/movement tests to ensure your mobility. My RA doctor has but me on medicine presdnisone, naproxen and hydroxychloroquine this year and due DOT exam in 2 months. I have no side effects and full mobility. Will this disqualify me?

  41. Trucker Doc

     /  July 6, 2015

    Just have the note and the prescription in hand when the MRO calls to see what medications you are on. You should not have any problems.

  42. Jay

     /  July 6, 2015

    I am prescribed a.d.d medication adderall by a doctor which is Amphetamine I have a prescription and note from my doctor am automatically disqualified for a DOT license because I am required to take a drug test

  43. Trucker Doc

     /  May 27, 2015

    Some of these medications are going to raise questions. Your best bet is to have your prescribing doctor fill out a medical release form for you before you go for your examination. Your PCP should explain each medication, it’s dosage and it’s need.
    This will answer most of the questions that the CME will have and you have it all up front before you get there.

  44. Sherrie

     /  May 27, 2015

    i am currently on some medication that i am not sure if it is ok to take and pass my DOT physical.
    my question is see medication list and let me know if any of these would keep me from passing the physical.
    cyclobenzaprine 10mg PRN
    busiprone 10mg prn
    clonazepam 0.5 mg prn
    trazadon. 25mg at night when needed
    metphormin. mg?
    farxiga mg?
    lucinipril 10MG 2 x’s daily
    would any of these keep me from passing the physical?
    my Regular physician did not know she does not do DOT
    would any of these keep me from passing

  45. Trucker Doc

     /  May 8, 2015

    Like so many things in the FMCSA guidelines, methadone is seen as a heroine replacement medication.
    So if you feel that your properly prescribed medication is what you need, then have your prescribing medical doctor fill out a medical release form for you and take it with you when you go for your next DOT examination. If your primary care physician feels that there is nothing else that will work, then he will need to explain himself to the DOT examiner and assume part of the safety risk. And as far as other medications that drivers take that are considered, by you, to be worse, they have to go through the same exact process.

  46. chris

     /  April 30, 2015

    what test does dot use to check for methadone and why is it not allowed I know truckers that are on worse medication and still drive.

  47. TOM

     /  April 16, 2015


  48. Trucker Doc

     /  March 20, 2015

    There is no drug testing during the DOT physical. The urine test done during the examination is to determine proper kidney function.
    Drug testing is done separately from a DOT physical, and is an employer responsibility to get done.

  49. josh

     /  March 15, 2015

    I have to renew my Cdl health card and take the physical. I am not driving for a company or driving at all right now but want to keep it current to keep my options open. Will they give me a drug test when I go for the physical ? Please respond soon because I have to have it done before April 2, 2015

  50. Trucker Doc

     /  February 28, 2015

    Best bet is to get a medical release form completed by your doctor stating that he has taken you off your medications, because you don’t need them anymore.
    The CME should ask if you are taking any over the counter micro-nutrients. Tell him what your taking and why. Should be good to go after that.

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