DOT Physical Exams in Dripping Springs, TX – Everything You Need to Know
If you’re a commercial driver in Texas, passing your DOT physical exam is more than just a box to check—it’s your ticket to staying on the road. At Evolve Chiropractic in Dripping Springs, we provide FMCSA-certified DOT medical exams that are quick, affordable, and designed to keep you compliant while helping you protect your health.
Whether you’re an experienced driver, just starting your CDL journey, or a trucking school sending in new students, this guide covers everything you need to know about the DOT exam—requirements, timelines, disqualifying conditions, and what to expect when you visit us.
What Is a DOT Physical Exam?
A DOT (Department of Transportation) physical is a federally mandated health exam required by the Federal Motor Carrier Safety Administration (FMCSA) for all commercial motor vehicle (CMV) drivers.
The goal: Ensure that every driver is physically and mentally fit to operate a commercial vehicle safely.
DOT exams must be performed by a Certified Medical Examiner (CME) listed on the FMCSA National Registry—just like Dr. Jackson Humphrey here at Evolve Chiropractic.
Who Needs a DOT Exam?
You must have a valid DOT medical certificate if you:
Drive a vehicle weighing 10,001 lbs or more for interstate commerce.
Operate a vehicle designed to transport 16 or more passengers (including the driver).
Transport hazardous materials requiring a placard.
Even intrastate drivers in Texas often require DOT certification depending on employer or state rules.
What’s Included in a DOT Exam?
During your DOT physical at Evolve Chiropractic in Dripping Springs, you can expect:
1. Medical History Review
We’ll discuss your health history, surgeries, medications, and any chronic conditions.
2. Physical Examination
FMCSA guidelines require us to check:
Height & Weight – to help calculate BMI
Blood Pressure & Pulse Rate – critical for DOT clearance
Vision Test – must be at least 20/40 in each eye (with or without correction) and have a 70-degree field of vision in each eye
Hearing Test – must hear a forced whisper from 5 feet away, or pass with a hearing aid
Urinalysis – screens for underlying health issues such as diabetes or kidney disease (not a drug test)
How Long Is a DOT Medical Card Valid?
2-Year Certification – If you meet all health requirements with no restrictions.
1-Year Certification – If you have a condition that needs regular monitoring, such as:
Hypertension (controlled with medication)
Diabetes (controlled without complications)
Heart disease history
Sleep apnea (with compliant CPAP use)
Blood Pressure Standards for DOT Certification
FMCSA blood pressure categories:
Normal: Less than 140/90 → 2-year card
Stage 1 Hypertension: 140-159 / 90-99 → 1-year card
Stage 2 Hypertension: 160-179 / 100-109 → 3-month temporary card (must lower BP for renewal)
Stage 3 Hypertension: 180+/110+ → Disqualified until blood pressure is controlled
Different if currently taking blood pressure medication (automatic 1 year)
Common Medications Leading to a 1-Year Card
You may still drive, but you’ll likely receive a 1-year certification if taking:
Blood pressure medication
Insulin or certain oral diabetes medications
Heart disease medications (beta blockers, nitrates, etc.)
Sleep apnea CPAP therapy
Common Disqualifying Conditions
The FMCSA has strict disqualification rules to protect drivers and the public. You may be temporarily or permanently disqualified if you have:
Uncontrolled hypertension
Uncontrolled diabetes with risk of hypoglycemia
Epilepsy/seizure disorders
Severe vision or hearing loss not correctable with aids
Current substance abuse
Recent heart attack or major cardiovascular event without clearance
Waiting Periods for Certain Conditions
Some conditions require a minimum waiting period before returning to driving:
Heart attack: 2 months with clearance
Coronary artery bypass: 3 months
Stroke/TIA: 1 year (varies by severity)
Major surgery: Until medically cleared and stable
Sleep Apnea & CPAP Usage Standards
Drivers with obstructive sleep apnea can maintain certification if they:
Use CPAP at least 4 hours per night, 70% of nights
Provide a compliance report from their CPAP machine at each exam
Show no signs of daytime sleepiness
How to Prepare for Your DOT Exam
Bring a valid driver’s license and current medical certificate (if applicable)
Bring a list of medications with dosages and prescribing doctor info
Wear your glasses, contacts, or hearing aids if needed
Drink water before the exam (urinalysis required)
Take medications as prescribed the day of your exam
DOT Exams at Evolve Chiropractic – Dripping Springs, TX
At Evolve Chiropractic, DOT exams are:
Fast – most appointments under 15 minutes
Affordable – below-market rates for trucking school students
Convenient – on-site or mobile testing available for schools and fleets
We’re trusted by local CDL drivers, trucking companies, and driving schools across Central Texas.
About Dr. Jackson Humphrey
I’m Dr. Jackson Humphrey, FMCSA Certified Medical Examiner and owner of Evolve Chiropractic.
Doctor of Chiropractic – Palmer West College of Chiropractic, Pi Tau Delta Honors Society
Certified Chiropractic Sports Practitioner
Certified Personal Trainer
Former NCAA National Champion Swimmer
Dedicated to keeping drivers healthy, safe, and on the road
So… if you need your DOT Exam
If you’re due for your DOT physical—or need a re-certification—don’t wait until the last minute. At Evolve Chiropractic in Dripping Springs, we make the process easy, affordable, and stress-free, while ensuring you meet all FMCSA requirements.
✅ Same-day appointments available
✅ Paperwork completed on the spot
✅ Mobile testing for schools & companies available - call for information & details
Call us today at 512-829-5216 or book online to get your DOT physical done right—the first time. Keep your career moving forward, and let us help you stay certified, healthy, and safe.
