Dot Examination

DOT Exams at Complete Chiropractic

Department of Transportation (DOT) physical exams are required for many commercial drivers to ensure they meet federal health and safety standards. At Complete Chiropractic, DOT exams are performed according to current DOT and FMCSA guidelines to help drivers maintain certification and stay compliant.

DOT exams are designed to determine whether a driver is medically qualified to safely operate a commercial motor vehicle.

What Is a DOT Physical Exam

A DOT physical exam is a medical evaluation required by the Federal Motor Carrier Safety Administration for commercial drivers. The exam reviews overall health, medical history, and specific physical requirements that impact driving safety.

What the Exam Includes

A DOT exam typically includes a review of medical history, height and weight, blood pressure, vision and hearing screening, urinalysis, and a physical examination. All components are completed according to DOT requirements.

Drivers should be prepared to discuss their medical history, as accurate information is important for proper certification.

Certification Length

Certification length depends on exam findings and medical history.

Important Medical Documentation

Certain medical conditions require additional documentation.

Drivers who use a CPAP machine for sleep apnea must bring a current compliance report to their DOT exam. The report must show at least 70 percent compliance, typically defined as using the machine for a minimum of four hours per night on at least 70 percent of nights. Without this documentation, certification may be delayed or limited.

Drivers who use insulin must have their treating provider complete the Insulin-Treated Diabetes Mellitus Assessment Form, also known as the MCSA-5870. This form must be completed prior to the DOT exam and submitted at the time of the visit. The form can be found here:

https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/2025-04/Insulin-Treated%20Diabetes%20Mellitus%20Assessment%20Form%20MCSA-5870_508.pdf

All drivers should bring a complete and up-to-date list of medications, including dosages and any recent changes. It is important to document all medications accurately, as certain medications may require additional clarification or documentation.

Preparing for Your DOT Exam

Drivers should bring a valid driver’s license, any required medical paperwork, glasses or hearing aids if used, and documentation for medical conditions when applicable. Drivers should also be prepared to provide a urine sample during the exam. Being prepared helps the exam go smoothly and reduces the risk of delays.

Frequently Asked Questions

Who needs a DOT physical exam?
Commercial drivers who operate vehicles requiring DOT certification must complete a DOT exam.

How long does a DOT exam take?
Most DOT exams are completed in a single visit. However, if required documentation is missing, a blood pressure re-check is needed, or additional medical information or a provider note is required, a follow-up visit may be necessary to complete the certification.

Do you issue DOT medical certificates?
Yes. When drivers meet DOT requirements, certification is issued according to federal guidelines.

Can medical conditions affect certification?
Yes. Certain conditions may affect certification length or require additional documentation.

The Bottom Line

DOT exams are an important requirement for commercial drivers. At Complete Chiropractic, DOT physicals are performed according to federal guidelines with careful attention to documentation and individual medical history. Being prepared and bringing the appropriate paperwork helps ensure a smooth exam and timely certification.

If you need a DOT exam in Sioux Falls, South Dakota, our office is available to answer questions and help guide you through the process.