Dept of Transportation (DOT) Physical & Certification

Commercial drivers are required by the Federal Motor Carrier Safety Administration (FMCSA) to complete a Department of Transportation (DOT) physical exam to ensure they are medically fit to safely operate a commercial vehicle. At Alohi Clinic in Waipahu, Hawai‘i, we make this process efficient, professional, and stress-free—so you can get back on the road quickly.

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How to Prepare for Your Appointment

To help your exam go smoothly, please bring:


  • A valid driver’s license or photo ID
  • A list of current medications, including dosages
  • Your corrective lenses (glasses or contacts) if required for driving
  • CPAP compliance report (30-day printout) if you have sleep apnea
  • Medical documentation for any existing health conditions (e.g., diabetes, heart disease, hypertension)
  • Avoid smoking or vaping at least 4 hours before your exam to help maintain optimal blood pressure readings
  • Do not urinate immediately before arrival — a urine sample will be collected on site

What to Expect During Your Exam

Your certified medical examiner will conduct a comprehensive health assessment to ensure you meet federal safety standards. The evaluation includes:

  • Vision and Hearing:
    Checking that your eyesight and hearing meet FMCSA standards, including visual acuity, peripheral vision, and the ability to detect a forced whisper.
  • Cardiovascular and Heart Health:
    Listening to your heart, reviewing your history, and assessing for any cardiovascular conditions that could affect safe driving.
  • Blood Pressure and Pulse:
    Measuring your blood pressure and heart rate to confirm they’re within a safe range for certification.
  • Musculoskeletal System:
    Assessing your strength, balance, and joint mobility to ensure you can safely perform driving-related tasks.
  • Neurological and General Physical Exam:
    Evaluating reflexes, coordination, and general health for any conditions that could interfere with safe vehicle operation.
  • Urinalysis:
    A standard urine test is performed to screen for blood, sugar, and protein levels—indicators of underlying medical conditions such as diabetes or kidney disease. (Note: This is not a urine drug screen.)

after your exam

If you meet all requirements, you’ll receive your Medical Examiner’s Certificate (MCSA-5876) the same day, valid for up to two years. If follow-up is needed, our team will guide you through the next steps to help you stay compliant and on the road.

Book your physical today!

Why Choose Alohi Clinic?


  • FMCSA-Certified Examiners: We follow official DOT guidelines to ensure full compliance.
  • Convenient Waipahu Location: Easy access for Leeward and Central O‘ahu drivers.
  • Efficient and Respectful Care: Minimal wait times and same-day certification for qualified drivers.
  • Experience You Can Trust: Our clinic has extensive experience completing physicals for local companies, independent drivers, and fleet operators.