The exam is federally regulated by DOT and has specific qualifications that must be met for the candidate to drive. You will be asked to fill out a questionnaire about your health history. Your blood pressure, vision and urine will also be checked, and additional urine may be collected for drug testing. A physical exam also will be completed by a medical provider according to the DOT guidelines.
The details of the physical qualifications of drivers can be found in 49 CFR 391.41 of the Federal Motor Carrier Safety Administration regulations.
You can help avoid delays and improve odds of a successful outcome by following these suggestions:
The DOT standard for blood pressure is no higher than 140/90. Any reading above this standard will result in disqualification or withholding medical clearance until the blood pressure is below this level.
If you have diabetes controlled by medication and diet, bring a statement from your physician that says:
If you have had a heart attack (MI), by-pass (CABG), angina (chest pain) or angioplasty (stents), bring a note from your cardiologist that your disease is stable, without symptoms, and you have had a negative treadmill exercise stress test through Bruce Stage II or equivalent since your incident or within the last year, whichever is most recent.
If you have a sleep disorder, bring a note from a sleep disorder specialist listing medications and devices used to treat the disorder. The note should state that your condition is stable and you are not at risk for excessive daytime sleepiness and can safely drive a school bus or commercial vehicle.