DOT Physical Exams

DOT physical exams at both OneSpotMD Charlotte clinics, open 7 days. The $140 evaluation includes required urinalysis; additional testing costs more. Certification depends on meeting the standards and having complete records. Confirm examiner availability.

DOT Physical Exams in Charlotte

Get your DOT physical at our Steele Creek or Plaza Midwood clinic, open 7 days. Same-day certification may be available if you qualify and all required information is complete. DOT exams are performed by medical examiners listed on the FMCSA National Registry; availability can vary. The exam usually takes 20–30 minutes; waiting or further evaluation can add time. Self-pay is $140 with the required DOT urinalysis included.

  • ✓ Open 7 days at Steele Creek and Plaza Midwood
  • ✓ $140 self-pay, DOT urinalysis included
  • ✓ Medical card the same day if you qualify
  • ✓ Reserve an arrival time or walk in; wait times vary
  • ✓ Employer-authorized exams can be billed to an established account

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Your visit
Visit timeUsually 20–30 min
Medical cardSame day when qualified and complete
BookingWalk in or save a spot
What you pay
Self-pay$140, urinalysis included
Employer accountBilled to employer
InsuranceGenerally self-pay

Who needs a DOT physical

Many drivers operating commercial motor vehicles in non-excepted interstate commerce need DOT medical certification, including qualifying:

  • CDL drivers whose operating category requires medical certification
  • Drivers of qualifying vehicles with a gross vehicle weight or gross combination weight rating, or actual weight, of 10,001 pounds or more
  • Drivers of vehicles that require hazardous materials placards
  • Drivers transporting 9–15 people for compensation or 16 or more people, including the driver, when covered by federal requirements

Some non-CDL drivers also need medical certification. Requirements and exceptions depend on the vehicle, type of operation and state rules; confirm with your employer or licensing agency.

What to bring to your DOT physical

Save time: download FMCSA’s driver health history form (MCSA-5875) and complete the driver information and health history section before you arrive. The medical examiner completes the examination and certification portions. No time? We can print one for you to fill out at the clinic. Then bring these to avoid a second visit:

  • Your driver’s license
  • A list of all your medications, with doses
  • Glasses or contact lenses, and hearing aids if you use them
  • Records for any condition your exam may ask about, such as a sleep study and CPAP report for sleep apnea
  • Clearance letters requested by your specialists (cardiology, neurology, others)
  • If you use insulin: the Insulin-Treated Diabetes Mellitus Assessment Form, completed by your treating clinician; the medical examination must begin within 45 days after that clinician signs the form

Bring required records before the exam. If the examiner uses determination-pending status, requested information or further evaluation must be completed within 45 days. Pending status does not extend an existing medical certificate.

What happens during your DOT physical

Your exam follows the federal FMCSA standards for commercial drivers. It includes:

  1. A review of the health history form you complete
  2. A vision test
  3. A hearing check
  4. Blood pressure and pulse
  5. A urinalysis required by DOT, checking specific gravity, protein, blood and sugar (it is not a drug test)
  6. A physical exam by the certified medical examiner

If you meet the standards and required information is complete, the examiner can certify you and reports the examination result to FMCSA. A same-day decision is not guaranteed. You can verify an examiner on FMCSA’s National Registry.

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DOT physical cost in Charlotte

How you pay What you pay
Self-pay $140: provider evaluation and DOT urinalysis; medical card if you qualify
Employer account Employer-authorized services are billed to an established account; confirm your authorization.
Health insurance Generally self-pay physicals

Your $140 covers your evaluation by the provider: health history, vitals, the DOT urinalysis and the physical exam. It pays for the evaluation, not a guaranteed card. If anything comes back outside the normal range, the provider may need medical records or extra testing, such as a fingerstick glucose or an EKG, at an added cost. Missing records or additional evaluation can delay a decision. Determination-pending status is limited to 45 days and does not extend your current certificate. Once the evaluation is done, the fee isn’t refundable.

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How long your DOT medical card lasts

A DOT medical card lasts up to 24 months. How long yours lasts depends on your health history and your physical exam. The examiner may issue a shorter card when a condition needs monitoring, such as high blood pressure. If you don’t meet the standards, the examiner will explain why and what you need next.

North Carolina medical certification: what happens after the exam?

For North Carolina CDL and CLP medical certification, since June 28, 2025 the medical examiner submits results electronically through the FMCSA National Registry system for transmission to NCDMV. NCDMV no longer accepts a medical examiner’s certificate directly from the driver. Confirm successful electronic submission with your examiner and keep a copy for your records. Your CDL self-certification of driving category is a separate requirement; check your licensing status and current NCDMV instructions. Drivers licensed elsewhere should follow their state’s requirements.

DOT drug and alcohol testing

Your employer may also need a DOT drug test or breath alcohol test. These are separate from the physical and can often be done in the same visit. See DOT drug and alcohol testing.

DOT physicals for employers

We handle DOT physicals for Charlotte fleets and employers at both clinics.

  • Existing employer account: authorized exams are billed directly to the employer
  • Volume pricing: discounted rates for employer direct accounts
  • Certification information shared with an authorized designated contact as appropriate
  • 7-day clinic hours, including weekends; examiner availability can vary

Employers: contact us

More services for Charlotte employers

Related services

DOT drug and alcohol testingPre-employment physicalsTB testingWorkers’ comp careOccupational health

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Faq

The $140 self-pay fee covers the DOT evaluation and required medical urinalysis, not a guaranteed medical certificate. Additional tests such as glucose testing or an EKG cost more. Employer-authorized services can be billed to an established employer account.

DOT certification exams are generally not covered by health insurance. Our DOT exam is $140 self-pay or can be billed to an established employer account with authorization; confirm payment arrangements before the visit.

Walk-ins are welcome at both clinics. DOT exams require a National Registry medical examiner, whose availability can vary. Reserving an arrival time does not guarantee no wait.

Both clinics are open Monday to Friday 8am–8pm and Saturday and Sunday 9am–5pm. Weekend DOT exams are offered, subject to certified examiner availability.

The exam typically takes about 20–30 minutes, but waiting, missing records or further evaluation can add time. Complete the driver section of MCSA-5875 in advance, or ask for a form at the clinic.

Certification may be completed the same day if you meet the standards and all required records are available. It is not guaranteed. Examiners report results electronically to FMCSA. For NC CDL/CLP holders, medical certification is transmitted electronically to NCDMV; confirm transmission and keep a copy for your records. Driving-category self-certification remains separate.

Up to 24 months. How long yours lasts depends on your health history and physical exam; the examiner may issue a shorter card if a condition, such as high blood pressure, needs monitoring.

No. The physical includes a urinalysis that checks your health, not for drugs. A DOT drug test is a separate test your employer may require, and we can often do it in the same visit.

The examiner explains the finding and any needed records or testing. A determination may be pending for up to 45 days, but this does not extend your current certificate or authorize driving without required valid certification. The $140 evaluation fee is not refundable after the evaluation is completed.

Bring relevant treatment records, medication details, CPAP compliance reports when applicable, and specialist information the examiner requests. Insulin-treated drivers need MCSA-5870 from their treating clinician; the exam must begin within 45 days after it is signed. Missing required information may prevent completion or require further evaluation.

Some staff speak Spanish, and language assistance is available. Tell the clinic your preferred language when arranging the exam. Sí, avísenos si prefiere recibir atención en español.

For NC CDL and CLP medical certification, since June 28, 2025 the examiner reports electronically through FMCSA for transmission to NCDMV. NCDMV no longer accepts the certificate directly from drivers. Confirm successful submission with your examiner, keep a copy for your records, and separately complete or update your driving-category self-certification when required. Check current NCDMV instructions and your license status.

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Two Convenient Charlotte Locations

Serving Plaza Midwood, Steele Creek, and surrounding neighborhoods.

Plaza Midwood

Serving Plaza Midwood, NoDa, Elizabeth, and Uptown

2017 Central Ave, Suite 103

Charlotte, NC 28205

Mon-Fri: 8:00 AM - 8:00 PM

Sat-Sun: 9:00 AM - 5:00 PM

Steele Creek

Serving Steele Creek, Lake Wylie, and Southwest Charlotte

2114 Freeman Park Dr, Unit 105

Charlotte, NC 28273

Mon-Fri: 8:00 AM - 8:00 PM

Sat-Sun: 9:00 AM - 5:00 PM

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