Everything California CDL Drivers Need to Know About DOT Physicals
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California CDL DOT Physicals
Everything California commercial drivers need to know about passing their DOT medical exam and maintaining their CDL. Get certified quickly and get back on the road safely.
Schedule Your DOT PhysicalWhat to Expect During Your Exam
Vision & Hearing
Drivers must have at least 20/40 acuity in each eye with or without correction, and be able to perceive a forced whisper at a distance of 5 feet.
Blood Pressure
Your blood pressure must be under 140/90. If you take blood pressure medication, remember to take it on the day of your exam and bring a list of your prescriptions.
Urinalysis
A standard urinalysis is performed to check for underlying medical conditions like diabetes or kidney disease. (Note: This is not a drug test unless specifically requested by your employer).
Physical Evaluation
Our FMCSA-certified medical examiners will check your general physical health, including your heart, lungs, spine, and neurological reflexes.
How to Maintain Your CA CDL
Prepare for Your Visit
Bring your driver's license, glasses/contacts, hearing aids, and a list of any current medications to your appointment.
Pass the Physical
Complete your exam with our certified medical examiner. Most healthy drivers are issued a Medical Examiner’s Certificate (MEC) valid for up to 2 years.
Submit to CA DMV
California requires CDL drivers to submit their valid Medical Examiner’s Certificate (Form MCSA-5876) to the DMV to maintain their active commercial status.
Educational & Knowledge Center
What conditions could disqualify me from getting a DOT card?
Certain cardiovascular diseases, uncontrolled diabetes, severe vision or hearing loss, epilepsy, and the use of certain medications (like narcotics, methadone, or amphetamines) can potentially disqualify a driver. However, many conditions are acceptable if they are properly managed, stable, and documented by a letter from your primary care physician.
What if I have Sleep Apnea?
If you have been diagnosed with Obstructive Sleep Apnea (OSA), you can still pass your DOT physical. However, you are required to bring a recent CPAP compliance report from your machine. The FMCSA generally requires proof that you use your CPAP machine for at least 4 hours a night on 70% of nights.
Can I pass if I have high blood pressure?
Yes, but your blood pressure must be under 140/90 at the time of your exam. If it is higher, you may be issued a shorter-term certificate (such as a 3-month card) to give you time to lower it with medication or lifestyle changes before being re-evaluated.
What is a Medical Variance or Exemption?
If you do not meet certain physical standards (such as vision, hearing, or insulin-treated diabetes), you might still be able to drive commercially by applying for a Federal or State Medical Exemption. If you operate under an exemption, you must bring your exemption paperwork with you to your DOT physical.
FMCSA Certified DOT Physical
Get your Medical Examiner's Certificate today.
- DOT Physical Exam Available
- Form MCSA-5876 (Medical Certificate) Included
- Same-Day Appointments Available
DOT Physical Exam FAQs
What should I bring to my DOT physical exam?
Please bring a valid driver's license, your current Medical Examiner's Certificate (if renewing), prescription eyeglasses or contacts (if worn for driving), hearing aids, and a list of all current prescription medications. If you have pre-existing medical conditions (like diabetes or sleep apnea), bring relevant medical compliance records or doctor release forms.
How long is a DOT Medical Examiner's Certificate valid?
A standard Medical Examiner’s Certificate (Form MCSA-5876) is valid for up to 2 years for healthy drivers. However, if you have managing health conditions such as high blood pressure, diabetes, or heart disease, the examiner may issue a 1-year or shorter certificate to ensure regular health monitoring.
Do I need to submit my medical card to the California DMV?
Yes. Commercial drivers holding a California CDL are required to submit their valid Medical Examiner’s Certificate (MCSA-5876) to the CA DMV to maintain active commercial status. You can submit your form online, by mail, or at a local DMV field office.
Does a DOT physical include a drug test?
A standard DOT physical requires a urinalysis, but this tests for kidney function, blood sugar levels, and protein—it is not a drug screen. However, many employers schedule a DOT pre-employment drug screen at the same time as the physical exam.
Schedule Your DOT Physicals
We will reach out to you after we receive your request form and prepare you for the DOT physical exam before you visit.
Please download the DOT physicals brochure to get ready for your DOT physical exam.

