To prepare for a DOT physical appointment, make sure to bring a complete list of medications, get a good night’s rest, eat light before the exam, and stay hydrated. These DOT physical appointment tips help drivers pass their exams efficiently and avoid delays caused by missing information or preventable health flags.
Why DOT Physicals Matter
More than 3.5 million commercial drivers are currently operating across the U.S., and each one must successfully complete a DOT physical exam to be legally allowed to drive a commercial motor vehicle (CMV). Administered under the Federal Motor Carrier Safety Administration (FMCSA), the exam ensures drivers are physically and mentally fit to handle long hours on the road.
These exams are required every two years—sometimes more often if there are health issues to monitor. That’s why knowing how to prepare for a DOT physical appointment is more than just helpful—it’s essential to keeping your license valid and your career on track. For a full breakdown of what to expect and how to stay compliant, check out our article DOT Physical Renewal Process: What Drivers Need to Know.
What to Bring to Your DOT Physical
Arriving at your DOT physical exam with the right paperwork and documentation speeds up the process. Forgetting just one thing can delay the issuance of your Medical Examiner’s Certificate (MEC).
Make sure to prepare with the following:
- A valid government-issued photo ID
- Your current driver’s license (if applicable)
- A complete list of medications you take, including dosages and reasons for use
- Glasses, hearing aids, or contacts if you wear them
- Medical records for chronic conditions (e.g., diabetes, high blood pressure)
- CPAP compliance reports (if you use one for sleep apnea)
- Most recent A1C levels if you’re diabetic
- Any medical exemption letters from FMCSA, if applicable
How to Prepare for a DOT Physical Exam
Preparation starts a few days in advance. DOT medical examiners look for stable vital signs and no immediate health risks that could impair your ability to drive safely. Here’s what you can do to prepare:
Get Enough Sleep
Lack of sleep affects blood pressure and heart rate. Poor rest can raise red flags during your exam.
Avoid Salt and Caffeine 24 Hours Before
These can spike your blood pressure. Stick to light meals and hydrate with water instead of coffee or energy drinks.
Bring Detailed Medical Documentation
Especially if you’re managing chronic conditions like diabetes or hypertension. Bring logs, reports, or clearance notes from your specialist.
Don’t Skip Meals
Some drivers think fasting improves results. It doesn’t. Fasting may lower your blood sugar too much and create another set of problems.
Common Medical Conditions That May Require Documentation
It’s not just about passing or failing. Some health conditions require extra paperwork or follow-up to get cleared. Here are the most common:

What Does a DOT Physical Include?
Knowing what to expect makes the whole experience much smoother. Here’s a breakdown of what your examiner will check:
Vision Test
- You must have at least 20/40 vision in both eyes, with or without correction.
- You also need at least 70 degrees peripheral vision in the horizontal meridian.
Hearing Test
- You must be able to hear a forced whisper from at least 5 feet away or pass an audiometry test.
Blood Pressure and Pulse Rate
- Expect readings below 140/90 mmHg to qualify without restrictions.
- Higher levels may result in a temporary certificate or follow-up.
Urinalysis
- Tests for glucose, protein, and blood, mainly to screen for underlying conditions like diabetes or kidney disease.
Physical Exam
Covers:
- Heart and lung sounds
- Neurological function
- Spine and limb health
- Balance and coordination
- Abdominal issues
What Disqualifies You from Passing a DOT Physical?
Several factors can cause immediate disqualification. The most common include:
- Uncontrolled high blood pressure
- Vision worse than 20/40 (uncorrected or uncorrectable)
- Blood sugar levels out of range for diabetics
- Heart conditions without clearance
- Active drug or alcohol abuse
- Use of certain medications not cleared by a physician
If any of these are a concern, it’s crucial to get ahead of the issue before your appointment.

Need a DOT Physical? Visit a Trusted Provider for Urgent Care in New York
Get fast, reliable DOT physicals and more at Centers Urgent Care. Whether you’re a seasoned driver or just getting started, our certified medical examiners make the process straightforward. We understand the importance of these exams in keeping your CDL active and your career on the move.
We offer high-quality urgent care services for both adults and children at multiple locations. If you’re looking for DOT physicals or urgent care in New York, don’t hesitate to contact us today or walk in—no appointment needed.