Last reviewed Oct 26, 2026. General information, not legal advice.
A DOT medical card shows a commercial driver is physically qualified to drive. You get one by passing a DOT physical.
Who needs one
Most drivers of commercial vehicles in interstate commerce need a medical card, including CDL drivers. Some non-CDL drivers of heavier vehicles need one too.
Who can do the exam
Only a medical examiner listed on the FMCSA National Registry can do a DOT physical. A regular doctor’s note does not count.
How long it lasts
A medical card can be good for up to two years. The examiner may give a shorter card if a condition needs to be watched, such as high blood pressure.
What to bring to your physical
- Your driver’s license
- Glasses, contacts or hearing aids if you use them
- A list of your medicines
- Records from your doctor for conditions like diabetes, heart issues or sleep apnea
After the exam
- CDL holders send their medical card information to their state licensing office.
- Give a copy to your employer for your driver qualification file.
- Put the expiration date on your calendar.
Book a physical
We set up DOT physicals with a National Registry examiner. Physicals start at from $99 (Estimate, confirmed at booking; last updated Oct 27, 2026).