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DOT Process

Union Hospital Center for Occupational Health strives to make the DOT physical process easy for you.
 
To expedite the physical and clearance process, please prepare for your DOT or Bus Driver Physical by reviewing the grid below. Click on the link to the form required and take it to your treating physician PRIOR to your Occupational Health appointment.
 
Our goal is to get you cleared and keep you driving. Compliance with your treatment plan and completion of required documentation will help avoid holds. Please bring all the required documentation to your physical appointment.
 
 
**Please note the following information is intended to be a guideline. Our goal is to equip you with the information needed to reduce unnecessary holds. This is not meant to be a complete list of all requirements. We cannot guarantee that you will receive your certification on the day of your visit.**

 
 

Condition
 

Driver To Do's
 

Required for Clearance
 

Link to Required Form
 
General Medical Condition (any medication prescribed, any cardiovascular/neurological disease or condition other than those listed below) Compliance with treatment plan. Send list of medications with physical. Completion of DOT General Medical Clearance form by treating physician. Compliance with treatment plan. Completed DOT General Medical Clearance form. Click Here
Sleep Apnea Consistent use of CPAP machine. Compliant with treatment plan. Obstructive Sleep Apnea (OSA) Form completed and signed by sleep specialist or treating physician. Consistent use of CPAP machine. Compliant with treatment plan. Completed OSA form. Click Here
and
Click Here
High Blood Pressure Send medication list with physical form. Compliant with treatment plan from physician, including taking medication as prescribed. Completion of DOT High Blood Pressure Clearance form.

Controlled blood pressure at time of physical. At least two separate readings on two subsequent dates that are
< 140/90. Completed DOT High Blood Pressure Clearance form.

Click Here
High Blood Sugar/Diabetes Compliance with treatment plan. Send medication list with physical. Recent A1C lab test (within 3 months of physical date). Completion of DOT Blood Sugar Clearance form by treating physician. Documented compliance by CPC. Click Here
Insulin-Treated Diabetes Compliance with treatment plan. Send medication list with physical. Recent A1C lab test (within 3 months of physical date). Completion of DOT Blood Sugar Clearance form by treating physician.

Recent A1C <9% plus completed Blood Sugar Clearance form. Completion of Insulin-Treated Diabetes form no more than 45 days prior to DOT Medical Exam.

Click Here
Psychiatric Condition Compliance with treatment plan. Send medication list with physical form. Completion of DOT Psychotropic Clearance form by treating physician.

Compliance with treatment plan. Completed DOT Psychotropic Clearance form.

Click Here
Pain Medication/Other Substance Abuse Compliance with treatment plan. Send medication list with physical form. Completion of Substance Abuse Clearance form by treating physician or substance abuse professional. **Typically DOT does not allow bus drivers to operate a school bus while taking narcotics.** Compliance with treatment plan. Completed Substance Abuse Clearance form. Click Here
Cardiac/PCI/Rhythm Control Clearance Compliance with treatment plan. Send medication list with physical form. Recent treadmill test post-procedure. Completion of Cardiac/PCI/Rhythm Control Clearance form by treating physician.

Compliance with treatment plan. Negative treadmill test 3-6 months post-procedure or at least every other year per DOT recommendations. Completed Cardiac/PCI/Rhythm Control Clearance form.

Minimum of 2 month waiting period post-acute MI. Will require full review of health history and may include hold.

Click Here
Other disqualifying conditions: Monocular vision, someone with an implantable cardioverter-defibrillator (ICD), someone taking narcotics, methadone, medical marijuana, or anti-seizure medication for the prevention of seizures.    

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