Keep Your Commercial Drivers Compliant with Department of Transportation (DOT) Physical Exam Services

Ensure compliance with Federal Motor Carrier Safety Administration (FMCSA) regulations and improve road safety with our comprehensive DOT physical exam services.

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Why Choose Acuity DOT Physical Exam Services?

A DOT physical exam is required for people who drive commercial vehicles (CMVs). To ensure the safety of the public, FMCSA rules mandate that drivers are physically, mentally, and emotionally fit to perform this demanding role.

Acuity offers comprehensive DOT physical exams – whenever and wherever they are needed, 24×7.

We provide responsive, flexible, and scalable FCSMA-compliant programs that are tailor-made for an employer’s unique requirements and the risks associated with employees’ jobs. Our cost-effective solutions are backed by robust, centralized health analytics for ease of case management, including real-time exam tracking and reporting, data management and transmission, physician medical review services, and more.

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What We Do

  • General DOT medical exams
  • DOT physical ability tests
  • DOT psychological tests
  • DOT drug and alcohol testing
  • Fit-for-duty exams
  • Independent health exams
  • Medical surveillance and monitoring
  • Behavioral health exams and clinical counseling

Meets all Federal Motor Carrier Safety Administration (FMCSA) requirements

Acuity keeps employers and their fleets compliant with FMCSA mandatory drug testing requirements.

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Thousands of certified medical examiners and testers

A network of more than 11,000 healthcare providers, including certified testers in 50 states and U.S. territories.

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Convenient and efficient scheduling

A seamless, integrated program management process backed by 24/7 customer service, from exam scheduling to real-time tracking.

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What is a DOT Physical Exam?

A DOT physical exam is used to screen CMV drivers, also known as safety-sensitive employees, to determine if they are healthy enough to perform their roles. DOT medical exams are mandated by the FMCSA and help keep the nation’s roads safe. A driver must participate in a physical to maintain a valid commercial driver’s license (CDL). The exam is valid for 24 months.

DOT physicals are performed by a medical examiner who checks:

  • Vision
  • Hearing
  • Blood pressure and heart rate

And performs:

  • Urinalysis
  • Physical examination (eyes, skin, general appearance, lung and chest function, neurological indicators, limbs, etc.)

The examiner also inquiries about the employee’s medical history, tobacco, alcohol, and drug use, and current health problems. A sleep apnea study may be ordered.

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Benefits of Regular DOT Physical Exams

Employers are required to conduct regular DOT physical examinations to ensure that healthy employees can continue to work and maintain compliance with FMCSA rules.

DOT physicals are especially important in detecting chronic conditions that can impede an individual’s ability to perform work-related tasks. They also provide a medical baseline that is used to track an employee’s health or injuries over time.

Periodic CMV driver screening also lowers risks and saves money by reducing accidents and absences.

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Our Services

With over 48 years of industry experience and certified by the FMCSA, Acuity is one of the nation’s leading providers of DOT physical exam services to federal, commercial, and international clients.

Acuity focuses on people, experience, performance, and understanding customers’ unique goals and objectives. We deliver DOT medical services tailored to each organization’s needs, risks, and compliance requirements.

Our diverse client-focused pre-placement evaluations are customized to meet any configuration, including dispersed workforces. And our exam management services make it easy for organizations to maintain overall employee health, increase productivity, and comply with regulations.

We streamline and manage the exam process with proven program management expertise, mobile and onsite medical services, and state-of-the-art technology. Our repeatable processes consistently yield positive and predictable outcomes.

From exam scheduling through real-time tracking to physician medical review and determination reporting, our centralized data-driven process is seamless, integrated, and backed by 24/7 customer care.

Acuity’s physical exam provider network includes more than 11,000 healthcare providers in 50 states and the U.S. territories. We perform more than 200,000 medical exams annually in the U.S. alone and can quickly ramp up to manage even the most widespread DOT physicals for work programs.

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Frequently Asked Questions

What does a DOT physical consist of?

A DOT physical exam is conducted by an FMCSA-certified medical professional. During the assessment, the professional will evaluate an employee’s:

  • Physical abilities (vision, hearing, etc.)
  • Medical history and lifestyle
  • Strength and stamina (especially if the position involves operating heavy equipment or machinery)
  • Mental and behavioral health (such as the ability to handle the psychological pressures of the job)
  • Functional limitations
  • Drug and alcohol use

A job applicant may also be asked to undertake a sleep apnea test.

What happens if an employee fails a DOT physical exam?

If a CVL driver fails a DOT physical exam their CDL license is downgraded to a regular driver’s license and they are no longer legally permitted to operate a commercial vehicle.

How long is a DOT physical exam valid?

A DOT physical exam is valid for 24 months. If the examiner chooses to monitor a driver’s condition, a medical examiner’s certificate may be issued for less than 24 months.

DOT Physical Exams – Partner with Acuity International


DOT physical exams are an important part of maintaining occupational health and safety and compliance with FMCSA requirements. A DOT medical exam also helps CVL drivers understand and proactively manage their own health.

Acuity focuses on people, experience, performance, and understanding your unique goals and objectives.

We combine our DOT physical exam services with advanced technology and a widespread provider network to give organizations 24/7 access to scheduling, exam status notifications, case management reporting, and more.

Contact us to learn how our DOT physical exam team can help you maintain a healthy workforce.