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Obtaining a CDL medical certificate is a critical requirement for commercial drivers in the United States. Before you can legally operate a commercial motor vehicle (CMV), you must undergo a physical for truck drivers conducted by a certified medical examiner. This health screening ensures that you are physically fit to safely handle the demands of driving a commercial vehicle. In this guide, we’ll break down everything you need to know—from eligibility to renewal timelines—to keep your driving credentials in good standing.
A CDL medical certificate, also referred to as a DOT medical card, is a document that verifies you’ve passed the Department of Transportation (DOT) medical examination. It confirms that you meet the physical health requirements necessary to safely operate a commercial vehicle. This certificate is a mandatory part of holding a Commercial Driver's License (CDL).
Driving a heavy vehicle for long hours is demanding. The physical for truck drivers ensures that drivers do not suffer from medical conditions that could impair their ability to operate a vehicle. Conditions like uncontrolled high blood pressure, vision impairments, or sleep disorders can jeopardize road safety if left unchecked.
The CDL physical for truck drivers includes a series of checks and tests such as:
Vision Test – You must have at least 20/40 vision in each eye (with or without corrective lenses).
Hearing Test – You should be able to hear a forced whisper from at least five feet away.
Blood Pressure Measurement – Hypertension needs to be under control to pass.
Urinalysis – Used to detect underlying medical conditions like diabetes.
General Physical Exam – Includes evaluation of the lungs, heart, spine, neurological system, and more.
Typically, a CDL medical certificate is valid for 24 months, but drivers with certain health conditions may be given a certificate that expires in a shorter time frame. It’s important to monitor your certificate’s expiration date and schedule your renewal well in advance to avoid any disruptions in your driving eligibility.
You must renew your certificate before it expires. Start the renewal process about 45 days in advance. Many certified examiners now offer digital transmission of the results to your state’s licensing department, making the process more efficient.
Common disqualifying conditions include:
Uncontrolled diabetes
Epilepsy or history of seizures
Severe cardiovascular disease
Poor vision or hearing that cannot be corrected
Use of certain prescription medications that impair alertness
Drivers may request a medical exemption in some cases, but this requires documentation and approval by the Federal Motor Carrier Safety Administration (FMCSA).
A valid CDL medical certificate is essential for commercial drivers to remain in compliance and ensure safety on the road. The physical for truck drivers plays a key role in identifying potential health issues and confirming your fitness for duty. By understanding what to expect, maintaining good health, and staying on top of renewal dates, you can keep your driving career on track with confidence.
Any individual operating a commercial motor vehicle (CMV) in interstate commerce must have a current CDL medical certificate.
Get a good night’s sleep, stay hydrated, avoid caffeine before the exam, and bring a list of medications, if any.
Yes. You can be disqualified if you have certain medical conditions that pose safety risks. However, treatment or exemptions can sometimes help you meet the requirements.
You may be disqualified from driving a CMV until you obtain a valid medical certificate. Always renew it before the expiration date.
Yes. The medical examiner will provide a copy, and you should always keep it with you while driving.