DOT PHYSICAL - What do I need to bring with me?

(In addition to this list, please download, complete, and print the form below.)

  1. Driver's License

  2. Form of Payment (Cash or Credit Card)

  3. Medication List

  4. List of Surgeries and/or Medical Conditions

  5. The name of your Primary Care Doctor

  6. If you are Diabetic: an A1C test that is less than 90 days old and under 10.0%

  7. If you are using a CPAP/BiPAP or have been diagnosed with Obstructive Sleep Apnea: a printed CPAP/BiPAP compliance report, a minimum of 30 days and must show 70% compliance.

  8. If you have a history of: Heart Attack, Cardiac Bypass Surgery/CABG, Cardia Stents, A-Fib (Atrial Fibrillation), or Ventricular Arrhythmias you will need a Cardiac Stress Test or Echocardiogram that is less than 2 years old. Please bring in a printed copy of the report. There are some other less common heart conditions that may require further testing so please call us with any questions.

  9. If you have COPD: you may be required to have a Medical Clearance letter from your Pulmonologist depending on the severity of your case. 

  10. If you suffer from a Mental Disorder you may be required to provide a medical clearance letter from your doctor stating your diagnosis/disorder. Please be aware that some mental disorders and some medications used to treat mental disorders (benzodiazepines, hypnotics, neuroleptics, tricyclic antidepressants) will result in Disqualification. 

  11. If you have or have had a Substance Abuse problem: you may be required to provide a medical clearance letter from a Substance Abuse Professional (SAP) and/or letter of completion regarding completed drug/alcohol/substance treatment program. Certain medications used to help treated substance abuse may result in a disqualification (Methadone, Suboxone, Naltrexone, Antabuse).

  12. Any other questions regarding a medical condition or what you may need to bring, please feel free to call us at 262-898-8491.

You may also want to download,

fill out, and print the below DOT exam driver's portion.

PLEASE BRING COMPLETED FORM WITH YOU

Call us today 262-898-8491

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