DOT Physical Guides for CDL Drivers

Plain English answers to every question about your DOT physical and medical card.

Common questions about these guides

Are these guides written by doctors?+

No. They're plain-English summaries of FMCSA rules and certified examiner guidance. For individual medical questions, talk to your doctor or an FMCSA-certified examiner.

How often are the guides updated?+

We review every guide whenever FMCSA publishes a rule change. The June 2025 NRII change is reflected in the renewal and 'what changed' guides.

Do the rules differ by state?+

DOT physical rules are federal — they're identical in every state. State DMVs only handle how the certificate is recorded against your CDL.

Can a guide tell me if I'll pass?+

Use the Will I Pass? checker for a personalized answer. The guides explain the rules; the checker applies them to your situation.

What if I have a question that isn't covered?+

Check the main FAQ page or call any clinic on the directory — most examiners will answer a quick eligibility question by phone for free.