Texas

DOT Physical Examination in Texas

DOT physicals are required medical examinations for commercial motor vehicle drivers, conducted by FMCSA-certified medical examiners.

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756+ providers across Texas

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A DOT Physical Examination is a comprehensive medical evaluation required by the Federal Motor Carrier Safety Administration (FMCSA) for all commercial motor vehicle (CMV) drivers. This examination ensures that drivers meet the physical qualifications necessary to safely operate commercial vehicles on public roads.

The DOT physical is conducted by licensed medical examiners listed on the FMCSA National Registry. Upon successful completion, drivers receive a Medical Examiner's Certificate (MEC) valid for up to 24 months, depending on their health status.

BlueHive connects employers with our nationwide network of over 20,000 certified DOT medical examiners, ensuring your drivers can complete their physicals quickly and conveniently at locations near their routes or homes.

Who Needs This

  • CDL drivers operating vehicles over 10,001 lbs
  • Drivers transporting hazardous materials
  • Drivers operating vehicles designed for 16+ passengers
  • Interstate and intrastate commercial drivers
  • Fleet managers and transportation companies

How It Works

  1. 1

    Health History Review

    Complete review of past surgeries, medications, and medical conditions.

  2. 2

    Vision and Hearing Tests

    Verify you meet federal requirements for visual acuity (20/40) and hearing.

  3. 3

    Blood Pressure and Pulse Check

    Monitor cardiovascular health indicators. BP must be below 140/90 for 2-year certification.

  4. 4

    Urinalysis

    Checks for underlying health issues like diabetes, not a drug test.

  5. 5

    Physical Exam

    Covers heart, lungs, spine, limbs, and neurological function.

  6. 6

    Certification

    If passed, driver receives a Medical Examiner's Certificate (valid up to 2 years).

About DOT Physical Examination in Texas

BlueHive partners with certified occupational health providers across Texas to deliver dot physical examination services with same-day scheduling, digital results, and compliance support. Texas's key industries—including Energy, Healthcare, Technology—rely on these services to maintain workforce compliance and safety.

What's Included

  • FMCSA National Registry certified examiners
  • Results uploaded rapidly
  • Electronic Medical Examiner Certificate (MEC)
  • Compliance tracking and expiration alerts
  • Same-day appointments available
  • 20,000+ provider locations nationwide

Pricing

Pricing for dot physical examination in Texas varies by provider and service requirements. Contact BlueHive for a custom quote tailored to your organization.

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Texas Compliance Snapshot

Cannabis Status
CBD Only
Employer Drug Testing
Employers may still test for cannabis

Cannabis laws change frequently. Always consult qualified legal counsel for current Texas requirements.

DOT Physical Examination Providers in Texas

756 verified providers offer dot physical examination across Texas.

404 accept walk-ins163 offer telehealth629 accepting new patients

Top Cities

Houston (86)San Antonio (54)Austin (25)Dallas (20)Fort Worth (16)El Paso (13)

Texas Regulatory Intelligence

7

Regulatory Risk: 7/10

Status: Active · Updated Mar 2026

Texas does not have a state OSHA plan, so federal OSHA standards apply. The state's CUBI Act regulates biometric data collection, and enforcement activity has been increasing. OSHA enforcement actions in Texas focus on construction fall protection and hazardous exposure. Texas does not restrict pre-employment cannabis testing.

Recent Updates

FMCSA Medical Examiner Certification Requirements

medium

Certified Medical Examiners must maintain active registration in the National Registry and complete periodic training and testing for recertification. Examiners who fail to recertify are removed from the registry.

DOT Physicals·Effective 2025-01-01·Source

Employer Checklist

  • Verify DOT physical and drug testing compliance for CDL drivers

Codes & Regulations

Regulatory Framework

FMCSA regulations (49 CFR Part 391); Required every 2 years, or more frequently if health conditions require monitoring

Frequently Asked Questions

Where can I get a dot physical examination in Texas?

BlueHive partners with certified occupational health providers across Texas. Enter your zip code on our location finder to see clinics near you offering dot physical examination services.

How much does a dot physical examination cost in Texas?

Pricing for dot physical examination through BlueHive starts at $85. Actual cost may vary by provider and location in Texas. Contact us for a custom quote.

How do I schedule a dot physical examination in Texas?

You can schedule through BlueHive in three easy steps: 1) Submit your request online or call us, 2) We match you with a certified provider near your Texas location, 3) Get your appointment—often same-day or next-day availability.

Are DOT testing requirements different in Texas?

DOT drug and alcohol testing follows federal regulations (49 CFR Part 40) which are uniform across all states, including Texas. However, Texas may have additional state-specific drug testing laws for non-DOT employers. BlueHive ensures compliance with both federal and Texas state requirements.

How does FMCSA Medical Examiner Certification Requirements affect dot physical examination in Texas?

Certified Medical Examiners must maintain active registration in the National Registry and complete periodic training and testing for recertification. Examiners who fail to recertify are removed from the registry. Status: effective. Employers should review the source documentation for full details. BlueHive monitors Texas regulatory changes and updates employer compliance workflows accordingly.

What is Texas's regulatory risk level for dot physical examination?

Texas has a elevated regulatory risk score of 7/10 for occupational health compliance. Texas does not have a state OSHA plan, so federal OSHA standards apply. The state's CUBI Act regulates biometric data collection, and enforcement activity has been increasing. OSHA enforcement actions in Texas focus on construction fall protection and hazardous exposure. Texas does not restrict pre-employment cannabis testing. Employers should maintain current policies and work with providers who track state-specific requirements.

How long is a DOT physical valid?

A DOT physical certificate is typically valid for 24 months. However, drivers with certain medical conditions may receive a certificate valid for a shorter period, requiring more frequent examinations.

What disqualifies you from passing a DOT physical?

Common disqualifying conditions include uncontrolled high blood pressure (Stage 3: ≥180/110), vision that cannot be corrected to 20/40, hearing loss below required thresholds, insulin-dependent diabetes (without exemption), certain cardiovascular conditions, and use of disqualifying medications like methadone.

Why Employers Choose BlueHive

  • 20,000+ provider locations nationwide
  • One platform for scheduling, results, and compliance
  • Digital results with real-time tracking
  • Dedicated compliance support team

Already Have a Provider?

Many employers switch to BlueHive when they outgrow single-clinic relationships or need a nationwide network. BlueHive works alongside your existing providers or replaces fragmented vendor relationships with a single, unified platform.

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