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Does a DOT Physical Include a Drug Test“Does a DOT physical include a drug test” is a recurring question asked by CMV drivers. Most CMV drivers are required to take a DOT physical exam every 2 years to maintain their DOT medical certificate and CDL. For many, the DOT physical is extremely stressful, since it can determine the fate of their careers. Being prepared and knowing what to expect from your DOT physical can make all the difference.

For Drivers Wondering if a DOT Physical Includes a Drug Test, FastMed Offers Answers

What will my DOT physical evaluate?

The objective of a DOT physical is to evaluate whether or not a driver is healthy enough to operate a commercial motor vehicle. A driver with health issues like sleep apnea, diabetes, poor vision and high blood pressure could be hazardous if their medical conditions become unmanageable while driving. The job of a DOT physical is to keep unsafe CMV drivers off the road, making a safer road for everyone.

Does a DOT physical include a drug test?

CMV drivers are required to pass a drug test. However, sometimes the drug test is administered separately from the DOT physical.

What drugs will I be tested for?

The medical examiner will take urine samples that test for marijuana, cocaine, opiates, phencyclidine and amphetamines/methamphetamines.

What if I fail the drug test?

Failing any portion of the DOT physical exam could cause your DOT medical certificate to be denied. On top of that, if a driver tests positive for drugs, he/she could lose his CDL and be required to meet with a substance abuse professional.

What if I refuse to take the drug test?

According to the FMCSA website, refusing to take a drug test is generally treated the same as testing positive and could follow the same consequences.


 FastMed has DOT physical exams starting at $85! Our team offers the best healthcare for the best price and works with your schedule. FastMed knows that health needs are not always planned, which is why we are open nights, weekends, and on holidays, when other offices are closed. FastMed is there for you every day of the year, no appointment needed.

About FastMed

FastMed is a leading provider of high-quality, convenient, affordable, and compassionate healthcare in 34 counties across North Carolina. FastMed serves both urban and rural communities across the state with a wide range of care options, including preventive, telemedicine, occupational health, and primary and urgent care. FastMed is one of the few urgent care providers in the nation that has earned The Joint Commission’s coveted Gold Seal of Approval® for quality, safety, and infection control in ambulatory healthcare. For more information, visit www.fastmed.com.

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