Short answer
Common reasons include uncontrolled blood pressure (180/110 or higher), vision or hearing below the standards without an exemption, epilepsy or recent seizures, and some uncontrolled heart or respiratory conditions. Many conditions can still qualify with documentation or a shorter certificate.
USA DOT Physical Exam: Quick Facts
- Regulated by
- FMCSA (49 CFR 391.41–391.49)
- Who can examine
- Certified medical examiners on the National Registry
- Max certificate
- 24 months
- Typical cost
- About $75–$150 (varies by clinic and location)
- Time needed
- About 30–60 minutes
- Forms
- MCSA-5875 (report) · MCSA-5876 (certificate)
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Disclaimer: This guide is for general information and is not medical advice. Coverage, prices and requirements change and vary by provider and location. Confirm details with your provider, insurer or the agency listed in the sources. Read our editorial policy.