Important Regulations to Be Aware of Before Arriving:
As of this month, there are some significant changes to the D.O.T exam. The biggest of these is that we can no longer amend exams or place the decision on hold. If you have a medical condition that requires regular monitoring by a specializing physician, documentation supporting clearance to drive is required AT THE TIME OF THE EXAM. In the past, we could choose status “Pending Determination,” gather the clearing documentation, then meet with the driver at a later date and update the form with new information clearing the driver to drive. We could then alter the expiration date. It worked well.

After 04/20/2016, we will now have to make a decision at the time of the exam – pass, short-term pass, or fail, and to immediately report that to the FMCSA. The driver is required to gather documentation supporting control of their medical condition and return for an entirely new exam. This will require repeat exam and repeat charges. It’s ridiculous, and I’m not happy about it either. If the driver has a current health card,

Here are examples of the changes:

That means another visit and another charge. I’d hoped the FMCSA would change this ruling, but they’re sticking to their guns.

What to bring to your D.O.T exam:

  1. Everyone 
    • List of medication and diagnoses. Driver’s license.
  2. Diabetic
    • Recent Hemoglobin A1c printout
  3. Sleep Apnea 
    • Compliance printout from your CPAP’s compliance chip
  4. High Blood Pressure
    • Your BP must be <140/90 at your exam. If you bring a medical note showing it in that range within the 30 days before your exam, we’ll accept that.
  5. Past Heart Attack
    • Cardiologist release (with exercise tolerance test within the last 2 years)
  6. Past Coronary Bypass
    • Cardiologist release (with exercise tolerance test within the last 1 year once 5 years post-surgery)
  7. Past Angioplasty/Stent
    • Cardiologist release (with exercise tolerance test within the last 2 years)
  8. Pacemaker
    • Documentation confirming pacemaker vs defibrillator and routine pacemaker checks
  9. Corrective Vision
    • Wearing eyeglasses or contacts
  10. Hearing aid 
    • Wearing hearing aid