CDL training navigator

Permit, physical, required training, endorsements, schools and how to pay for it. Read these in order and you will know what each step costs and why it exists.

← All guides

The DOT physical and medical card

Before you drive a commercial vehicle you need a medical examiner's certificate, usually called a med card. The exam must be done by an examiner listed on FMCSA's National Registry of Certified Medical Examiners. A regular family doctor does not count unless they are on that registry.

What the exam covers

  • Vision: at least 20/40 in each eye, with or without glasses or contacts.
  • Hearing: a forced whisper at five feet, with or without a hearing aid.
  • Blood pressure, pulse and a urine sample that screens for medical conditions.
  • Your medical history and current medications.

Good to know

  • A clean exam is good for up to 24 months. Some conditions, such as high blood pressure, get a shorter card.
  • Bring your glasses, hearing aids, medication list and any records from specialists.
  • Get the physical before you pay for school. If something needs treatment first, you want to know now.
  • The DOT physical is not the drug test. Employers run a separate pre-employment drug test.