DOT Physicals
Please call 301-405-3153 or 301-314-8184 to schedule your DOT appointment.
You will need to schedule a separate appointment with the lab for a urine test. If this is your first DOT physical for Shuttle-UM, you will need to schedule an additional appointment for drug testing.
Prior to your appointment with the provider, update your “Health History” in the Patient Portal. In addition, complete and sign section 1 of the DOT Medical Examination Report Form:
SECTION 1:
Driver Information
- Personal Information (page 1)
- Driver Health History (pages 1-2)
- CMV Driver's Signature (page 2)
When you arrive for your appointment, please bring the following items:
- Completed DOT Medical Examination Report Form (pages 1-2)
- Driver’s License
- Drivers with vision problems must bring their eyeglasses or contacts
- Drivers with hearing problems must bring their hearing aids
Drivers with psychological disorders (i.e. ADHD, depression, bipolar disorder, etc.) must bring a completed CMV Driver Medication Form from their mental health professional (psychiatrist or psychologist)
Drivers with diabetes must bring the following:
- A copy of their most recent blood test results that includes their Hemoglobin A1C (HgA1C) level (within the last 3 months).
- Drivers that require insulin to treat their diabetes must also bring The Insulin-Treated Diabetes Mellitus Assessment Form that has been completed by their treating clinician within forty-five (45) days of your DOT appointment. In addition, these drivers must also bring records of their preceding three (3) months of ongoing blood sugar logs.
DOT Forms: