2025
What Are The New DOT Physical Requirements For 2025
Electronic
Submission
Starting June 23, 2025, medical examiners must submit MEC information electronically to the National Registry of Certified Medical Examiners (NRCME), which transmits it to state licensing agencies within 72 hours. Drivers no longer need to submit paper copies to the state after this date but should carry a hard copy of the MEC
High
Blood Pressure
The FMCSA provides specific certification guidelines based on blood pressure readings:
Stage 1 (BP 140-159/90-99): Eligible for a 1-year certification.
Stage 2 (BP 160-179/100-109): May receive a one-time 3-month certification; if BP is reduced below 140/90 within this period, a 1-year certification can be issued.
Stage 3 (BP ≥180/110): Disqualified until BP is controlled below 140/90; upon control, may be certified at 6-month intervals.
Exemptions and Waivers
Vision and Physical Impairments: Drivers not meeting vision or limb standards may qualify with a Vision Evaluation Report or SPE certificate. Intrastate Waivers: Some states, like Massachusetts, offer intrastate waivers for certain conditions, allowing drivers to operate within state lines. Diabetes: ITDM drivers can drive interstate with proper documentation and management.
Medical
Certification
Forms
The Medical Examination Report (MER) Form MCSA-5875 and Medical Examiner’s Certificate (MEC) Form MCSA-5876 have an updated expiration date of 06/30/2025, extended from 03/31/2025. Drivers and examiners should ensure they use the latest forms.
Disqualifying
Conditions
Uncontrolled high blood pressure or diabetes. Severe vision or hearing impairments not corrected. Active substance abuse or use of Schedule I drugs. Unstable heart or lung conditions. Certain neurological or psychiatric disorders. Physical impairments without an SPE certificate
Further
Questions
If you have specific conditions or need further clarification, please provide details, Always consult a certified medical examiner or your state’s Department of Motor Vehicles for personalized guidance.
Our
Expert
DOT Physicals Boise
Dr. Omar Anguiano, has been performing dot physicals for 11 years, and practices in Boise Idaho.
