How often do you need to renew your DOT medical card?
Most healthy drivers renew every 24 months. Drivers with conditions like high blood pressure, diabetes, or sleep apnea often receive shorter cards.
What changed in June 2025
- Examiners now submit results directly to FMCSA electronically.
- You no longer need to carry a paper card after 15 days.
- Your state DMV updates your CDL record automatically.
- If your record has not updated after 15 days, contact the clinic and DMV.
Step by step renewal process
- Book your exam at least 2 weeks before expiry.
- Gather your documents.
- Attend your exam.
- Examiner submits results electronically.
- Check your state DMV record after 15 days.
What to bring to your renewal exam
Bring photo ID, medication list, glasses or hearing aids, CPAP compliance if used, diabetes records, cardiology records if relevant, and payment.
Can you renew early?
Yes. Renewing early is smart if you run long routes or have a condition that may need extra documentation.
What happens if your medical card expires while driving?
You can be placed out of service and your CDL privileges may be downgraded until the medical record is updated. Find a renewal clinic quickly through clinic search.