Tag Archives: DOT Medical Exam

Tennessee CDL and DOT Medical Card Requirements

Tennessee CDL and DOT Medical Card Requirements
Beginning January 30, 2012, all CDL Drivers in the state of Tennessee are now required to self-certify to a single type of commercial operation. You are responsible to provide Tennessee Department of Safety & Homeland Security with your self-certification of operating status by January 30, 2014. Same Day DOT Physicals Drug & Alcohol Testing in Gallatin, TN is now proud to offer Department of Transportation Certified Medical Physicals (DOT Physicals) to satisfy the new DOT Medical Card Requirements.
Based on this self-certification, you may need to provide the Tennessee Department of Safety and Homeland Security (TDOSHS) with a current medical examiner’s certificate and show any variance you may have to obtain or keep your CDL and Same Day DOT Physicals Drug & Alcohol Testing is proud to offer the necessary services to all Tennessee CDL Drivers and DOT Employees.

Same Day DOT Physicals Drug & Alcohol Testing

You must meet the Federal DOT medical certificate requirements.
You must meet the medical requirements for the State of Tennessee.
If you do not provide TDOSHS with your self-certification and medical certificate by January 30, 2014, TDOSHS will notify you that you are no longer medically certified to operate a CMV in non-excepted Interstate commerce. TDOSHS will then remove all your CDL privileges from your license.
Submit the following two documents:
1. SUPPLEMENTAL APPLICATION FOR COMMERCIAL DRIVER LICENSE – Visit the TN Government Website to explore the Tennessee Department of Safety and Homeland Security.
2. Copy of your valid DOT MEDICAL CARD (the medical card, not the long form). Enlarge the copy to ensure that all information is legible.
By Mail:
Tennessee Dept. of Safety and Homeland Security
Commercial Driver License Division – Med Cert
1148 Foster Ave
Nashville, TN 37243
By Fax:
By Email:
[email protected]
if by email please send the scanned copies in a PDF.
For questions please call 615-687-2312. Please have your commercial driver license number readily available.
The Tennessee Department of Safety and Homeland Security will be adding your medical certification status and the information on your medical examiner’s certificate to your Commercial Driver’s License System (CDLIS) record. CDL holders required to have a ”certified” medical status who fail to provide and keep up-to-date their medical examiner’s certificate with TDOSHS will become ”not-certified”.
Before your medical card expires you must have a new medical examination and obtain a new medical certificate. You are responsible for providing your valid medical certificate to TDOSHS.
If your medical card expires, TDOSHS will notify you that you are no longer medically certified to operate a CMV in non-excepted Interstate commerce. TDOSHS will then remove all your CDL privileges from your license.
You may submit your new medical certificate by mail, fax, or email, as described above
Have questions? Call Same Day DOT Physicals Drug & Alcohol Testing 615-452-1575 Today. [contact-form to=’[email protected]’ subject=’Tennessee CDL and DOT Medical Card Requirements’][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’Website’ type=’url’/][contact-field label=’Comment’ type=’textarea’ required=’1’/][/contact-form]

Not so fast on medical cards: CDL commercial drivers still must carry, Don’t get caught without your Medical Card!!

A driver was just in the office with a friend and was surprised that his buddy received a medical certificate/card following his physical here. Apparently, when the other driver got his physical at another clinic, he was told they no longer received a card stating they were “self-certified”. That is incorrect. They have to have the card to send a copy of it to the state to “self-certify”.

We went to the source at TEAMCME office for clarification. What they clarified is as follows:

 The new law states that you have to carry your card for a minimum of 15 days.

BUT…since the state and national registries are not linked yet, and since police officers/state troopers do not have the capability of pulling the copy of the card up on their in car computers yet, it is expected that all CDL drivers  and any drivers holding a medical certificate/card SHOULD CARRY THEIR CARD WITH THEM. They can be fined or parked if they do not have that card in their possession.

 The Federal Motor Carrier Safety Administration’s CDL “medical” section page in the Registration portion of its website, accessible at this link, reflects the recent change relative to driver medical cards. As reported previously, CDL holders are required to report their new medical certifications to the state driver’s licensing agency and, as of January 30, will only need to carry the paper copy of their medical card with them for 15 days thereafter, emphasizes Marissa Padilla, FMCSA spokesperson. “FMCSA has worked with state licensing agencies to ensure that medical information is electronically available to law enforcement officers through the Commercial Driver License Information System. The implementation of this regulation will relieve drivers from the burden of carrying a paper document and reduce the potential for fraud.”

Several readers, however, irrespective of whether CDL or non-CDL drivers, noted they’d continue carrying their card and/or the full medical long form in the interim, absent solid evidence that roadside officers wouldn’t be continuing to request certification documentation during inspections. Noted Tom Strese under news of the change on Overdrive‘s Facebook page, for instance: “Maybe [carrying the medical card is] no longer required — until the first uninformed officer writes a person up for not having it.”

WHAT YOU SHOULD DO: Continuing to carry physical proof of certification will remain the best option, and make sure you get a medical card from your Certified medical examiner upon completion of your DOT Physical.

CDL Medical/Physical Requirements

You must have a valid MCSA-5876 – Medical Examiner Certificate (A “MCSA-5876 – Medical Examiner Certificate” is provided by a National Registered Medical Examiner only. For additional information, please contact www.fmcsa.dot.gov.), or a photographic copy of your valid Certificate, to receive a commercial driver’s license (CDL) or other commercial license product (e.g., commercial learner’s permit). The Medical Examiner’s Certificate (DOT card) is a federally mandated (U.S. Department of Transportation) document that certifies you meet all physical and medical standards for operating a commercial motor vehicle and the original or photographic copy must be in your possession whenever you are driving.

Special Information Updates – JANUARY 2015 – Pertaining To ALL STATES


The FMCSA has requested that all medical examiners continue providing drivers with a paper copy of the medical certificate so that Commercial Driver’s License (CDL) holders can provide a copy to the State licensing agency, and the non-CDL drivers can provide the documentation to their employers and Federal and State enforcement officials.

The Agency is currently completing efforts to put into place an electronic system to enable medical examiners to transmit the medical certificate information from the National Registry system to the State licensing agencies. However, until that system is completed, medical examiners must continue to issue paper copies of the medical certificates to drivers who pass the medical exam.


Commercial Drivers – You still need to carry a paper copy of your medical card, until FMCSA announces that this is no longer necessary.

Dr. Tigges is a 2014 FMCSA National Registry Certified Medical Examiner, and is qualified to perform CDL/DOT physicals in Tennessee, as well as BAT (Breath Alcohol Testing) and Drug Testing through a split urine collection (in compliance with the DOT employment drug test requirements). Appointments are preferred, and are available 6 days a week. [contact-form][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’Website’ type=’url’/][contact-field label=’Comment’ type=’textarea’ required=’1’/][/contact-form]

Dr. Michael TiggesDr. Michael Tigges


$75 DOT Physical Exams in Gallatin, TN

Same Day DOT Physicals Drug & Alcohol Testing

Dr. Michael Tigges, National Registry Certified Medical Examiner

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529 Hartsville Pike
Gallatin, Tennessee 37066

Hours of Operation: 7:00 AM – 5:00 PM Monday thru Friday

Services Offered by Same Day DOT Physicals Drug & Alcohol Testing

  • • $75.00 DOT Physical Exam for Commercial Truck Drivers (CDL Physical Exam)
    • Walk In’s Welcome Same Day Service Same day appointments!
    • DOT Breath Alcohol Testing
    • DOT Drug Testing
    • School Bus Driver Physicals
    • Pre-employment Physicals
    • DOT Random Drug Testing Programs
    • Easy Access Parking
    • Chiropractic treatment
    • Physiotherapy
    • Digital X-ray Department
    • Rehabilitative exercises
    • Workers’ Comp and Personal Injury Auto Accident Whiplash Treatment
    • Truck Parking Available

DOT Physical Exam in Gallatin, Tennessee

We are a TeamCME Clinic!

Nationally Recognized as a Provider of Fair, Ethical DOT Physical Exams!

Same Day DOT Physicals Drug & Alcohol Testing



Get a $75 Fair, Ethical DOT Physical Exam at our convenient, driver friendly clinic located at 529 Hartsville Pike in Gallatin, TN. We also serve Portland, TN, Hendersonville, TN and the surrounding cities in Sumner County.

Pass Your DOT Medical Exam!  Dr. Tigges knows how important it is that you continue your livelihood as a commercial driver. With his extensive knowledge of the DOT Physical Exam medical guidelines, Dr. Tigges will steer you through the DOT Physical Exam requirements so you can Keep on Truckin’. Having affordable and fast testing is crucial to keep drivers on the road and that’s what we strive to provide our clients.

Need your CDL Physical Exam Today?  Our prices are the lowest in the area. $75. We offer same day appointments and while appointments are preferred, walk-ins are welcome. We have plenty of free parking and parking for your Big Rig next door at Food Lion. No Waiting! We are committed to getting you back on the road in no time. Same Day DOT Physicals Drug & Alcohol Testing.

Free! Never Forget to Renew your Certificate! Get “Expiration Alerts” before your Certificate Expires by downloading the Free TeamCME Mobile Driver App!  Save your expiration date and you’ll get “Expiration Alert” emails sent to your mobile device & alert emails starting 2 months before your current certificate expires.

We are right at your fingertip! Save us as your medical examiner using the Free Driver Mobile App, and calling our office or getting driving instructions are at your fingertip!

The TeamCME Free Driver Mobile App is available at the Apple App Store and Google Play!

Looking for a DOT Physical Exam or CDL Physical Exam in Gallatin, TN?  You’ve come to the right place!

Want to save time? Download the DOT Physical Exam report form by clicking the link below.  Filling out the form before your appointment will help us get your DOT Physical Exam completed quickly.

Please see the important driver links below for more information.

Want to know more about the DOT Physical Exam? (Click Here) to access the FMCSA CMV Driver Fact Sheet regarding the DOT Physical Exam.

Be better prepared and save time! Fill out your DOT physical exam form before your appointment.

(Click Here) To Download the DOT Physical Exam Report Form.

(Click Here) To Download the Medical Examiner’s Certificate

(Click Here) For Frequently Asked Medical Questions

Driving Directions

Right next to Sumner Regional Medical Center and Sonic across from Perkins Drugstore. Parking for your big rig next door in the Food Lion parking lot.

Same Day DOT Physicals Drug & Alcohol Testing
529 Hartsville Pike
Gallatin, TN 37066


Dr Michael TiggesDr. Tigges is a Certified Medical Examiner in the National Registry with the Federal Motor Carrier Safety Administration in the capacity of performing annual DOT (Department of Transportation) physicals to school bus, ambulance and truck drivers. He is very active in practice with the addition of Same Day DOT Physicals Drug & Alcohol Testing to the practice and enjoys taking care of all the drivers and their needs. https://samedaydot.com/

Dr. Michael Tigges, located in Gallatin, Tennessee, is a husband, father, and Doctor of Chiropractic in practice for approximately 29 years. He became interested in Chiropractic as a profession after he suffered a neck injury while wrestling in high school and his father took him to a Doctor of Chiropractic. He was impressed by how quickly he got better. He went on to visit Palmer College of Chiropractic and graduated in 1988 Cum Laude from Palmer Chiropractic College.

He began his Chiropractic Practice in Gallatin, TN with emphasis on injuries/treatment and rehabilitation and has hospital privileges as an Allied health provider at Sumner Regional Medical Center. Dr. Tigges is an active writer in regards to Certified DOT Physicals and his posts can be seen at https://www.linkedin.com/in/dr-michael-tigges-496a558b

In 1994, Dr. Tigges was certified by Dr. Arthur Croft and the San Diego Spine Research Institute in brain traumatology with regard to high velocity/high speed impact injuries such as those found in motor vehicle collisions. Cervical Spine Acceleration/Deceleration or CAD type injuries can be quite complex and often present with multiple symptoms and injuries that require a thorough understanding of diagnosis of treatment. This is the primary reason why Dr. Tigges became interested and ultimately certified in the examination, diagnosis and treatment of these rather complex injuries.

Dr. Tigges and his support staff are located at 529 Hartsville Pike, Gallatin, TN 37066 in Sumner County Tennessee. His practice offers Same Day DOT Physicals Drug & Alcohol testing and injury treatment and rehabilitation of a multitude of musculoskeletal injuries. His office provides Radiology-X-ray-DOT-Department of Transportation physicals-BAT-Breath alcohol testing-Drug testing-Sports physicals-Chiropractic treatment-Spinal Therapeutic Traction-Therapeutic ultrasound-Ten’s EMS/Interferential current-DME-Durable medical equipment-Prescription and/or referral for additional testing if needed i.e. NCS/EMG studies-MRI’s-Bone Scans-Video Fluoroscopy, etc. to help properly diagnose and treat musculoskeletal injuries. http://gallatinchiropractic.com/dot-physicals/

Dr. Michael Tigges and Same Day DOT Physicals Drug & Alcohol Testing can be reached @ Phone (615)-452-1575 fax# (615) 230-6041 or email: [email protected] or go to https://samedaydot.com/contact-us/

NRCME Number: 9693225035

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If you are looking for a DOT Physical Exam for Commercial Drivers, you are in the right place. We are also Certified for DOT Drug & Alcohol Testing.

Choose from over 600 Certified CDL Physical Exam Locations and over 5000 DOT Physical Exam Locations! Great Prices and Same Day Appointments. Don’t get stuck in the waiting room!

CDL Physical Exam locations CDL Physical Exam DOT Drug and Alcohol testing

 Worried about passing your CDL Medical Exam? Our certified medical examiners are dedicated to helping Drivers! With their extensive knowledge of the DOT Medical Exam guidelines, let a TeamCME provider steer you through the CDL Physical Exam process to let you Keep on Truckin’.  TeamCME providers will guide you thru the medical standards so you can maintain your DOT Medical Exam Certification for years to come.

Two heads are always better than one and when you get your CDL physical exam from a TeamCME provider, your Certified Medical Examiner has two heads!  Well, not really, but they do have direct access to Dr. Mike Megehee, President of TeamCME and a member of the FMCSA Team that developed the physician training to become a National Registry Certified Medical Examiner.  Between your Certified Medical Examiner and Dr. Megehee, there’s no DOT physical exam too complicated.

Same day appointments are routine in most locations. Many of our offices have online scheduling or accept walk-ins.  Don’t get stuck in a waiting room!  And If 600 CDL Physical Exam locations aren’t enough, try our ”Flight Physical” Map with over 5000 DOT Physical Exam Locations that may also perform the CDL physical exam.  Great Pricing, No Waiting, Same Day Appointments, Innovative Services and Certified Medical Examiners that know their stuff!  Let TeamCME be your source for your next DOT Physical exam for Commercial Drivers.

Free Commercial Driver Mobile App!

The quick and convenient solution for an expired medical certificate or alcohol/drug test collection at home or away.  Search and choose from hundreds of DOT Physical Exam Locations for CDL Physical Exams, or DOT alcohol and drug testing using your mobile device’s GPS location or by city and state. With the TeamCME driver mobile app, calling the clinic or getting directions is just a “tap” away.  “Click” below to go to the Driver Mobile App page.  

And we’ve saved the best news for last!  Never let your DOT Medical Exam Certificate expire again.  Download the full version of our Driver Mobile App, save the expiration date and provider contact information and get “Expiration” alerts sent to you starting one month before you certificate expires.

Save time during you Exam!  Download and complete the DOT Medical Exam Report Form before your appointment.

(Click Here) to Download the Exam Report Form

(Click Here) for the FMCSA Resource for Commercial Drivers

(Click Here) or below to Find a CDL Physical Exam Near You!

Contact Us

We’d love to hear from you. Please use one of the various methods below and we’ll look forward to connecting with you soon!

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Preparing for a DOT Medical Exam

 [contact-form][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’Website’ type=’url’/][contact-field label=’Comment’ type=’textarea’ required=’1’/][/contact-form] Preparing for a DOT Medical Exam (again)

Dr Michael Tigges

Dr. Michael Tigges

It’s time to revisit preparing for your DOT Physical since many of the drivers are now getting  their one year follow-up DOT Exam and this information is important to make sure your DOT Physical goes smoothly. (Helpful Tips)

According to the Federal Motor Carrier Safety Administration (FMCSA), the purpose of the DOT exam is to detect the presence of physical or mental conditions which affect the ability of the driver to operate a commercial motor vehicle (CMV) safely.  The exam balances the driver’s right to work versus the right of the public to drive on safe roads.  In that regard, the DOT Certified Medical Examiner will focus on health issues that increase the risk of gradual or sudden incapacitation while driving a CMV.  As a DOT driver, your role is to assist the medical examiner by providing accurate and comprehensive information about your general state of health.

Since much hinges on the outcome of your DOT exam, it is in your best interest to prepare for your exam ahead of time.  Below is a list of DOs and DON’Ts that should help you:

  1. At least a week before your DOT exam, if you have certain medical conditions, you should gather documentation for the examiner to review.  Here are some examples: If there are any questions CALL your medical examiner. (CONTACT US)

Diabetes: You should bring along a copy of your most recent (within six months) hemoglobin A1c blood test.  It is also helpful to bring a note from the healthcare provider who treats your diabetes.  The note should include:

  1.   List of medications;
  2.   Any severe hypoglycemic reactions in the last year;

iii.  Any complications from your diabetes (heart, kidney, vision, nerves);

  1. An assessment of whether your diabetes will interfere with your ability to drive a CMV safely.

Note: diabetics using insulin are disqualified, however, you may be eligible for a Federal Exemption or a State Waiver (a State Waiver allows you to drive a CMV only within the borders of that state).

Sleep apnea:  With mild sleep apnea, treatment is optional; however, you should bring a copy of the sleep study that shows you have mild sleep apnea. With moderate or severe sleep apnea, treatment is mandatory.  The most common  treatment is CPAP.  If you use a CPAP machine, the machine’s computer records CPAP usage.  You should contact the company that services your machine and get a printout of your CPAP usage.  The data should cover a period of at least three months.  FMCSA Medical Guidelines require the following minimal CPAP usage: 70% of the nights for at least 4 hours per night.  If you treat your sleep  apnea with something other than CPAP, you will need to bring documentation (usually a sleep study) showing that your treatment is effective.

Heart:  If you have a history of heart attack, angina, angioplasty, or cardiac bypass surgery, you will need a note from your cardiologist stating that your cardiac condition will not interfere with your ability to operate a CMV safely. You will also need to provide exercise stress test results as follows:

  1. Drivers with a history of heart attack, angina, or angioplasty must have an exercise stress test every two years.
  2. Drivers who have undergone cardiac bypass surgery, beginning five years after the surgery, will have to undergo exercise stress testing every year.

Hypertension (high blood pressure): FMCSA Regulations require your    blood pressure to be 140/90 or less to receive a one-year DOT card.  Many drivers are anxious while undergoing a DOT exam in an unfamiliar medical  office.  As a result, their blood pressures tend to be higher than normal.  If you fall into this category, it may be helpful to bring in recent blood pressure readings from your personal healthcare provider.

Blood thinners: If you take the blood thinner Coumadin (warfarin), you should provide a copy of your most recent INR blood test results.  The medical examiner may also require a note from your healthcare provider regarding the condition for which you are prescribed the blood thinner (for example, atrial fibrillation, blood clot).

Psychiatric conditions: Psychiatric disorders are often treated with potent medications which have significant side effects such as drowsiness.  If you are  under treatment for a psychiatric condition with medication, it would be useful to provide a note from your treating healthcare provider.  The note should state that  neither your psychiatric condition nor your medication will interfere with your ability to drive a CMV safely.

  1. Make a list of all your medications, prescription and over-the-counter.  Be sure to include the dosages.
  2. Make a list of all the healthcare providers involved in your physical and mental health.  In addition to physicians, you should include nurse practitioners, physician assistants, chiropractors, therapists, social workers, etc.  Don’t forget to include their phone numbers.  You or the examiner may need to contact one or more of these individuals.
  3. Be sure to get a good night’s sleep.  If you arrive for your DOT exam in a fatigued state, it may affect your health, especially your blood pressure.
  4. The morning of your DOT exam, take all your medications as usual.  This is particularly important for individuals with diabetes and hypertension.  Missing even one dose of your blood pressure medicine may result in significantly elevated blood pressure during your DOT exam.
  5. Do not eat a big meal before your DOT exam.  This is especially important for diabetics.  A urine test (urinalysis) is part of the DOT exam.  A large meal may lead to the spilling of sugar into your urine resulting in an abnormal urinalysis.
  6. Avoid stimulants.  These include coffee, tea, caffeinated soda, energy drinks, and certain cold and allergy medications.  Stimulants often have the undesirable side effects of raising your blood pressure and speeding up your heart rate.
  7. Avoid salty foods.  Excess sodium tends to elevate one’s blood pressure.
  8. As part of your DOT exam, you will have to pass an eye test.  FMCSA Regulations require your distance vision to be 20/40 or better in each eye separately.  If you wear eyeglasses for distance, be sure to bring them to your appointment.  Similarly, contact lens wearers should arrive with their lenses in.
  9. Drink plenty of cold water.  As part of your DOT exam, you will need to provide a urine specimen.  Arrive at the medical examiner’s office well hydrated.  You don’t want to have to hang around waiting to produce an adequate quantity of urine.  Cold water has the added benefit of lowering your blood pressure.
  10. Allow plenty of time to get to your DOT exam appointment.  If you rush around and get stressed out, your blood pressure and heart rate may go up.
  11. Upon arrival for your DOT exam appointment, you will be required to complete page one of the Medical Examination Report which includes Driver’s Information and Health History.  Fill out this paperwork as completely and truthfully as possible.  Omitting important medical information has negative consequences.  In these days of electronic medical records, you would be surprised how much medical data can be cross-referenced.  Any fraud in completing your DOT paperwork may be reported directly to FMCSA and may result in a fine and loss of DOT driving privileges.
  12. Many medical offices get backed up during the course of a busy day.  If you want your wait, if any, to be minimal, schedule the first appointment of the day.  Otherwise, expect delays and don’t let it stress you out.  Relax, take deep breaths, think happy thoughts, read a book or magazine, and drink cold water.  Letting stress get to you will serve no useful purpose; it may only raise your blood pressure and heart rate.

The purpose of the DOT exam is not to punish but to promote safety.  Following the common sense steps listed above and maintaining a positive attitude will go a long way toward making your DOT exam a more pleasant experience.

By Dr. Michael Tigges

DOT Medical Exam

DOT Medical Exam and Commercial Motor Vehicle



CertificationAbout the Exam

A Department of Transportation (DOT) physical examination is conducted by a licensed “medical examiner.” The term includes, but is not limited to, doctors of medicine (MD), doctors of osteopathy (DO), physician assistants (PA), advanced practice nurses (APN), and doctors of chiropractic (DC).

To find a medical examiner to conduct the DOT physical exam you may contact your primary care provider to inquire if they will conduct a “DOT physical exam.” You may also find a medical examiner in the yellow pages of your telephone book, or on the Internet by using an Internet directory or search engine. Look under “Occupational Health.” If your medical examiner does not have a Medical Examination Report, one may be downloaded.

A DOT physical exam is valid for up to 24 months. The medical examiner may also issue a medical examiner’s certificate for less than 24 months when it is desirable to monitor a condition, such as high blood pressure.


If the medical examiner finds that the person he/she examined is physically qualified to drive a commercial motor vehicle (CMV), the medical examiner will furnish one copy of the results to the person who was examined and complete a Medical Examiner’s Certificate.