A DOT medical card is typically valid for up to two years, but it may be shorter if you have certain medical conditions. We can help determine how long your medical card will be valid for during your visit.

Yes, you can renew your DOT card at any time before the expiration date.  We recommend scheduling a few weeks in advance to avoid last-minute stress.

1. Vision requirements not met

2. Hearing requirements not met

3. Certain medical conditions

• Epilepsy/seizure disorders (unless seizure-free and off meds for 10 years, or FMCSA exemption granted).
• Severe heart disease (e.g., recent heart attack, uncontrolled arrhythmias, untreated heart failure).
• High blood pressure ≥ 180/110 until controlled.
• Insulin-treated diabetes without proper monitoring or FMCSA exemption.
• Severe lung disease or oxygen dependency.
• Untreated or unstable sleep apnea.

4. Drug & Alcohol Use

5. Psychiatric or Neurological Disorders

6. Missing Limbs or Significant Physical Impairments

7. Medical Device Dependencies

8. Failing to Provide Required Documentation

Many conditions don't mean an automatic permanent disqualification - if you get treatment, control your condition, or get a federal waiver/exception, you can often requalify.

Yes, if a medical condition could affect your ability to drive safely, the examiner may temporarily or permanently disqualify you until the condition is managed or treated.

Yes! HealthCARE Express locations offer combined DOT physical and drug/alcohol testing for convenience.

The DOT physical follows FMCSA guidelines and typically includes:

• Vision test – You need at least 20/40 vision in each eye (with or without corrective lenses).

• Hearing test – Ability to hear a forced whisper at 5 feet or better.

• Blood pressure and pulse check – To ensure your cardiovascular health.

• Urinalysis – To check for medical conditions like diabetes.

• General physical exam – Checking heart, lungs, abdomen, neurological health, and musculoskeletal system.