DOT Medical Exam Procedures

1) You will fill out the DOT MCSA-5875

Remember to bring in your old DOT medical card, current driver's license, and current medication list. Information regarding CPAP, recent heart surgeries including heart attacks. Download Current MCSA-5875

2) We will collect a small urine sample.

Make sure you drink plenty of water before you arrive. A small urine sample is necessary to test for glucose, protein, blood, and specific gravity of your urine. The DOT requires us to check for Diabetes, kidney function, and other possible systemic conditions. Diabetes type 2 control medications like metforamin, glipizide, glucophage, ...etc will limit the expiration timeframe to 1 year. If you take insulin a waiver must be presented otherwise you will be disqualified.

3) Vital signs will be recorded.

Height, weight and eye chart will be assessed next.  You must have at least 20/40 acuity in each eye with or without correction (eyeglasses or contacts) and at least 70 degrees of peripheral vision on the horizontal meridian in each eye. You must also be able to recognize and distinguish standard traffic signal colors: red, green, and amber.  Monocular vision is disqualifying, including use of contact lenses when one lens corrects distant visual acuity and the other lens corrects near visual acuity.

4) Blood pressure & pulse will be assessed.

Your blood pressure must be less than or equal to 140/90 to be qualified as a driver for up to 2 years.  If your blood pressure is more than 140/90 but less than 180/110, you may qualify for a shorter interval. Any driver taking medication for high blood pressure limits the expiration time frame to one year.

5) Hearing will be assessed.

A forced whisper voice at 5 feet or more with or without hearing aid is required to pass this test. Otherwise, you must undergo a formal hearing test with an audiometer and pass. 

6) Physical Examination by Dr. Nilles

Dr. Nilles will then go over any issues you marked yes to on your medical history. He will then check your abdomen for any issues involving enlarged liver, enlarged spleen, masses, bruits, hernia, significant abdominal wall muscle weakness  hernias. From there, he will check your lungs and your heart using a stethoscope, as well as checking your carotid artery pulse. Then, he'll take a look in your ears, to take a peek at your eardrum/tympanic membranes. After this he will check your reflexes, basic strength and general range of motion. If you blood pressure was originally high (above 140/90), he will recheck using a sphygmomanometer (manual blood pressure) for a completely accurate reading.