What to bring to your DOT physical

Every driver

• Photo ID and your current medical certificate, if renewing.
• Glasses or contacts if you use them; hearing aid if you use one — you are certified in the corrected state you arrive in.
• A complete medication list: name, dose, schedule, prescriber. The list, not the bottles.
• Your health history, reviewed before you go — the form's questions are known in advance (the exam guide in this section walks them).

If any of these are yours, add the packet

• Blood pressure: medication list with start dates; two-week home log if your readings run near the line.
• Insulin: form MCSA-5870 completed ≤45 days before the exam + at least 3 months of glucose records + eye record.
• Vision (one eye below standard): form MCSA-5871 completed ≤45 days before the exam + 3 years of stability evidence.
• Heart history: event and procedure records, cardiology evaluation (ejection fraction, exercise tolerance), device or INR records where they apply.
• Brain/seizure history: neurology records with event type and dates, medication history.
• Sleep apnea: sleep study report + CPAP compliance download (30–90 days).
• Any controlled or sedating medication: the completed 391.41 CMV Driver Medication Form from your prescriber.

The night-before rule

Assemble the file the night before, originals in one folder, copies in another. If the examiner keeps a document, your file stays complete. The kit (§2) expands each packet into what the document must say and who must sign it — the checklist gets you to the door; the packets get you through it.

Federal source: forms MCSA-5870 / MCSA-5871 / MCSA-5875; 49 CFR 391.41–391.49 · Rules checked October 2026

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