DOT Physicals & MER Exams

FMCSA-compliant DOT physicals for commercial fleets, trucking companies, and EMS agencies - from California’s most experienced physician-led occupational health team.

Our clinic specializes in commercial driver health. We handle all required
documentation, assist with California DMV CDL Unit submission, and offer group scheduling for fleets that need multiple drivers certified efficiently.

Why Fleet Managers Choose FROST

NRCME-Certified Examiners

All FROST medical examiners are listed on the FMCSA National Registry of Certified Medical Examiners - a federal requirement since 2014 that not all providers meet.

We Handle All the Paperwork

We complete the MER (MCSA-5875) and MEC (MCSA-5876), provide your drivers with their certificate, and assist with California DMV CDL Unit submission. No paperwork left for you to figure out.

Group Scheduling for Fleets

Fleet safety managers can schedule multiple drivers in coordinated back-to-back appointments at our San Jose clinic. We work around your operational schedule to minimize downtime.

Bundle with DOT Drug Screening

Many employers require a separate DOT urine drug screen alongside the physical. FROST can conduct both on the same visit, streamlining compliance and saving your team a second appointment.

EMS and First Responder Expertise

FROST oversees the initial and annual compliance screening for over 5,000 EMS workers in California, including on-site mobile services for EMS agencies as part of broader CalOSHA compliance programs. Our team understands first responder health standards at a level no urgent care clinic can match.

Stanford-Trained Medical Leadership

Our Medical Director is a Stanford-trained, Board Certified Pulmonary Physician with decades of occupational and transportation medicine experience.

Key Components of a DOT Physical

The DOT physical has a number of required aspects. We test against all of these as part of our complete service package.

Visual acuity and hearing

At least 20/40 acuity in each eye with or without glasses/contacts and 70-degree peripheral vision. Ability to perceive a "forced whisper" from 5 feet or less.

Blood pressure

140/90 or lower. Higher readings may be OK but may require frequent monitoring and reduced duration of certification.

Urinalysis

A lab test to check for kidney diseases or underlying conditions like diabetes).

Physical exam

Covers general health, eyes, ears, mouth, throat, heart, lungs, abdomen, extremities, and nervous system.

Requirements

All employees should come to their exam fully prepared. Following these tips will help ensure the process is quick and efficient.

Preparing

Bring a valid driver’s license, list of current medications, and glasses/ hearing aids if needed.

Health

Be ready to discuss medical history, including surgeries, chronic illnesses, and heart health.

Our CLIA certified lab uses cutting edge technology to detect PFAS

Testing

Many employers require a separate DOT urine drug screen for marijuana and other substances.

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Note: Poorly controlled diabetes, unmanaged hypertension, active epilepsy, and certain cardiovascular conditions may result in disqualification or conditional certification. Drivers with managed conditions should bring complete medical records and current
medication lists to their exam. FROST examiners are experienced in evaluating complex medical histories and will explain all
options clearly.

Certificate Validity

The validity of the certificate depends on the results of the medical examination.

2 years

Standard certificate issued to drivers with no disqualifying conditions or monitoring requirements.

1 year or less

Issued when a condition requires periodic monitoring (e.g., controlled hypertension, managed diabetes). FROST will explain your specific situation and help you plan ahead for
renewal.

DOT Physicals Service Area

Serving the South Bay & Bay Area
FROST’s clinical office in San Jose serves commercial drivers and fleet accounts throughout the San Francisco Bay Area: San Jose, Santa Clara, Sunnyvale, Mountain View, Palo Alto, Fremont, Oakland, Hayward, Pleasanton, Campbell, Los Gatos, Milpitas, Morgan Hill, Gilroy, and more.
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For EMS agencies requiring on-site mobile compliance services, contact us to discuss scheduling.