Occupational Medicine / DOT Physicals / Drug & Alcohol Testing

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Louisiana Accident & Injury Care offers DOT Physical Exams, Drug & Alcohol Testing in our West Monroe and Tallulah LA locations. Department of Transportation physicals are never fun, but when you choose the right examiner to perform your physical, you'll have a stress-free exam from a practitioner who truly cares about your well-being.



At our office your DOT exam will be thorough, quick and efficient at getting you back on the road. Upon passing your exam you will receive your medical certificate. A passing DOT certification 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.

The visit includes the DOT physical examination, visual acuity, basic hearing test, urinalysis (blood, sugar and protein) and a medical certificate. The DOT physical urinalysis test is not a drug test. The DOT medical certificate is completed at the end of your DOT physical exam and submitted to the FMCSA. In addition, we will remind you before it's time for your next CDL medical certificate renewal.

At Louisiana Accident & Injury Care, the needs of the patient are always put first, so if you're looking for a DOT physical in West Monroe or Tallulah LA you’ve come to the right place. Not only will you get a thorough exam from a certified examiner, but you'll also learn how to make healthier choices for a more balanced life.


  • DOT driver exams: As part of our dedication to comprehensive patient care, Louisiana Accident & Injury Care offers DOT exams for commercial driver’s licenses and physicals for drivers who don’t require a CDL but who haul enough weight to require a DOT exam.
  • DOT drug and alcohol testing: We offer DOT alcohol and DOT/Non-DOT drug testing as part of our occupational health services as well. A basic DOT exam does not include drug and alcohol testing, but it can be performed at the same time as your regular exam if it’s required by your company. Drug and alcohol testing requires a separate test and is not included in the cost of a basic DOT exam.
  • Pain management: We’ve seen lots of repetitive strain and sprain injuries in the drivers that have come through our clinic. On top of DOT exams for drivers, we also offer regular chiropractic services to help relieve pain in your back, neck, shoulders, hips, and legs.
  • Appointments: To make things as convenient for you as possible walk-ins are welcome, however, scheduling an appointment is highly recommended and helps guarantee availability at a specific time as well as minimizing your wait.


The National Registry of Certified Medical Examiners is a Federal Motor Carrier Safety Administration (FMCSA) program. It requires all medical examiners (MEs) who wish to perform physical examinations for interstate commercial motor vehicle (CMV) drivers to be trained and certified in FMCSA physical qualification standards. Medical examiners who have completed the training and successfully passed the test are included in an online directory on the National Registry website.

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 chiropractic (DC), doctors of osteopathy (DO), advanced practice nurses (APN) and physician assistants (PA). At Louisiana Accident & Injury Care in West Monroe and Tallulah LA you will receive your DOT exam by a FMCSA National Registry Certified Medical Examiner.


If you would like us to track your drivers DOT Medical Certificate expiration dates at no cost to you, please call us. It is a convenient and safe way to make sure your drivers DOT physicals are always up to date.


A DOT exam is a simple and hassle-free three-step process that involves taking your medical history, performing the exam, and filling out all the necessary paperwork.


To provide an idea of your general health and family background, you'll be asked to fill out a brief one-page medical history detailing past illnesses, diseases that run in your family, and your overall health.


Once you’ve provided your medical history our team will review the information you’ve provided, go over any medical conditions you may have, and perform a basic urinalysis test. As part of the exam, we will also:

  • Measure your height
  • Weigh you
  • Take your blood pressure and pulse
  • Test your range of motion
  • Examine your eyes and ears
  • Check your breathing


The final step in the process is the paperwork. Once your medical history and exam are complete, the office will fill out all the necessary paperwork to process the exam results. When you leave the office, you'll get a copy of the exam to take with you when you get your CDL, and a second copy to give to your company. We’ll also keep a copy of the exam on file at our office. And after all the paperwork has been processed, you'll get your very own DOT medical card to keep with you at all times when you're driving.

Note: If you need a copy of the DOT exam faxed to your company, please have the fax number handy.


A DOT physical at Louisiana Accident & Injury Care only takes about 30 minutes. We accept cash, all major credit cards, and company checks. To prepare for the exam, compile all your medical records, put together a list of any medical conditions you’ve been diagnosed with, prepare a list of medications and the name of the prescribing doctor, and take note of any medical devices that you require.

On the day of the exam, you'll have to bring all of this with you. Here's a checklist of things you should bring (where applicable):

  • Photo identification
  • Medical records
  • List of medications, including strength and dosage, for both prescription and over-the counter drugs
  • Eyeglasses
  • Hearing aids
  • Copy of your most recent stress test (for heart conditions)
  • Copy of your latest sleep test result (for sleep apnea)
  • Contact information, including names, phone numbers, and fax numbers for all your doctors

Right before your exam: Make sure you drink a glass of water and come in with a full bladder, as you will have to provide a urine sample.


We understand this is a very real concern for some drivers. We work with drivers all day long. We understand that passing your DOT physical exam is important to your continued career and your livelihood, and we’re here to do everything we can to help you. Our doctors will work with you to overcome any anxiety caused by the “White Coat Syndrome.” You won’t actually find a single white coat in our clinic!


We understand that lots of people don’t like doctors, hospitals, and medical exams and that anticipating your appointment may elevate your blood pressure. But we work with drivers all day and understand how important it is for you to pass your DOT exam. To help prepare yourself for the appointment, here are things you can do in the days and weeks leading up to your exam:

  • Take your medication every day as prescribed and on schedule
  • If you forget a dose, take it as soon as possible if that’s what your doctor recommends
  • Tell our team if you’ve recently missed a dose so that he can recheck your pressure later on or the following day
  • Reduce your caffeine, nicotine, sugar, and salt consumption
  • Reducing the amount of salty foods you eat and avoiding adding salt to your food can also help to lower your blood pressure. (30 percent of idiopathic hypertension [high blood pressure] is related to reduced potassium levels – Ask your physician.)
  • Invest in a blood pressure cuff- you would not drive without gauges working in your truck. A blood pressure cuff is a gauge for your body.

If you're on a tight schedule and want to make sure there's a spot open, call our team in advance to book an appointment for a DOT physical, a drug and alcohol test, or a chiropractic evaluation.


Does a DOT physical include a drug test?

Drug testing is not part of a DOT Physical exam, but your Company may request to have drug or alcohol testing done at the same time. DOT drug testing and breath alcohol testing are additional charges.

What drugs are tested for if a DOT drug test is requested?

The 5 Panel drug test analyzes urine for the following drugs:

  • Marijuana (THC metabolite)
  • Cocaine
  • Amphetamines
  • Opiates (including heroin)
  • Phencyclidine (PCP)

What’s involved in a DOT physical?

The process is pretty straight forward. We examine your eyes, ears, blood pressure, vision, heart, lungs, abdomen, arms, legs, reflexes, nervous system, range of motion and balance. We can complete your physical in approximately 30 minutes.

Why do I have to have a urine test?

The urine test is just a kidney screen to test for sugar, specific gravity, blood, and protein. It’s done to determine that there is no early onset of conditions such as diabetes or kidney disease.

Can I obtain a copy of my DOT physical form?

Yes, we give you a copy of the long-form. If you need, we will securely fax or email the DOT form to your company. The examining doctor keeps a copy of the form for our office records.

How long is a DOT medical certification good for?

A DOT medical certification is good for up to two years if you have no restrictions. A history of high blood pressure, taking high blood pressure medications, sleep apnea and/or taking oral medications for diabetes can restrict the medical card to one year or less depending on your medical condition.

How many 3-month DOT medical cards can you have?

One only. You should have the condition which caused the restriction under control by the end of the 3-month window.

Is there a difference between a DOT medical exam and a DOT physical?

No. These terms are used interchangeable. They are most often referred to as a DOT medical when referring to the DOT medical card, and DOT physical when referring to the DOT physical exam and sometimes drivers refer to them as a CDL physical or CDL medical.

Do I need medical insurance to get a DOT physical?

No. You do not need medical insurance to get a DOT Physical. Insurance is not a part of our DOT Physical exam service. Payment for the exam is your responsibility at time of service. Most insurance companies treat this exam as preventative health care and will not reimburse for it therefore you are responsible for the paying for the DOT physical at the time of service.

How do overweight truck drivers pass the DOT physical?

Being overweight is not a restriction to passing the DOT Physical exam. It is the medical condition where being overweight can eventually lead to, such as high blood pressure, abnormal sleep patterns, heart disease and kidney disease that may affect your ability to safely drive a commercial vehicle. That is what the DOT Physical exam will determine – whether you have any of these restrictive medical conditions. Getting healthy and staying healthy is your best guarantee for your life and your livelihood.

What are DOT physical blood pressure requirements?

Here are the medical guidelines according to the Federal Motor Carrier Safety Regulations (FMCSRs). Note that employers are allowed to impose more stringent medical requirements. (FMCSA Rules and Regulations: Part 391.41)

  • A driver with a BP of less than 140 systolic and less than 90 diastolic may be medically certified to drive for a two-year period.
  • A driver with a BP of 140 – 159 systolic and /or a BP of 90-99 diastolic, has stage 1 hypertension, and may be medically certified to drive for a one-year period. Certification examinations should be done annually thereafter and should be less than 140/90.
  • A driver with a BP of 160-179 systolic and/or a BP of 100-109 diastolic, has stage 2 hypertension, and is a candidate for antihypertensive drug therapy. The driver is given a one-time certification of three months to reduce his or her blood pressure to less than 140/90. Provided treatment is well tolerated and the driver demonstrates a BP value of less than 140/90, he or she may be re-certified for one year from the date of the initial exam. The driver is certified annually thereafter.
  • A driver with a BP at or greater than 180 systolic and / or 110 diastolic has stage 3 hypertension and is disqualified. The driver may not be qualified, even temporarily, until blood pressure is reduced to equal to less than 140/90 and treatment is well tolerated. The driver may be certified for 6 months and biannually (every 6 months) thereafter if at recheck BP is less than 140/90. Drivers with Type 1 or Type 2 diabetes, or kidney disease require treatment if their blood pressure rises above 140/90, since they already have a high risk of heart disease.

Can a driver with mild sleep apnea get a CDL?

Obstructive sleep apnea does not necessarily disqualify you for a DOT medical card. Treatment with a CPAP machine and some basic lifestyle changes can help you get a restful sleep and maintain your commercial driver’s license.

What are the truck driving vision requirements?

A commercial driver must have distant visual acuity of at least 20/40 in each eye. That means without corrective lenses, or with corrective lenses, you must be able to see 20/40 or better, with each eye individually as well as together. Your field of vision should be at least 70 degrees horizontally, and you must be able to recognize the standard traffic signal colors of red, green and amber.

What would cause me to fail a DOT physical?

The biggest cause for concern would be high blood pressure. Another concern is uncontrolled sugar in the urine. There are ways you can manage your blood pressure and blood sugar.

Any condition that would cause a loss of ability to control, operate, or drive a commercial vehicle safely such as loss or impairment of limbs, poor visual acuity, insulin-controlled diabetes, high blood pressure (more than 180/110), heart disease, respiratory dysfunction, epilepsy, mental disorder, use of certain drugs, alcoholism can cause disqualification of a driver.

What if the DOT drug screen tests positive?

If the urinalysis is positive for one or more of the drugs, on the 5-panel drug test, then the driver will be contacted in person by the Medical Review Officer. The MRO will interview the driver to determine if there is an alternative medical explanation for the drugs found in the urine specimen. If the driver provides appropriate documentation, a confirmation test is performed for each identified drug using gas chromatography/mass spectrometry (GC/MS) analysis. GC/MS confirmation ensures that over-the-counter medications or preparations are not reported as positive results. If the MRO determines that it is a legitimate medical use of the prohibited drug, the drug test result is reported as negative to the employer. Otherwise, the drug test will be reported as positive.


drug testing

Substance abuse can have devastating effects for the user and for every person involved. It is crucial to monitor for drug and alcohol abuse before it's too late.

At Louisiana Accident & Injury Care in West Monroe and Tallulah LA we offer cost-effective, minimally invasive urine, saliva and hair follicle drug screenings for companies of any size. Our occupational health services also include impromptu spot checks on-the-job for both drug and alcohol levels. Potential employees can also be screened for substance abuse with our detection procedure.

We also partner with schools and sports teams for spot testing for substance abuse. If you are need substance screening at your home, school or business, contact us today to set up a drug screening time that's convenient for you.

(After hours, emergency and on-site testing is available when needed. Call for pricing and details) 

Below is a list of occupational health services offered at Louisiana Accident & Injury Care. Whether it is a DOT Physical, Drug Test or other occupational health service offered at Louisiana Accident & Injury Care, we are here to serve you. 


• DOT Physicals / Non-DOT Physicals

• DOT / Non-DOT Drug Screenings (Urine, Saliva and Hair)

• Fit for Duty Exams

• DOT Alcohol Testing / Non-DOT Alcohol Testing

• Fit Testing

• Pulmonary Function Testing (PTF)

• Hearing Testing

• Heavy Metal Testing

• COVID Testing

• Lift Testing

• X-Ray, MRI, CT Scan orders/interpretations when indicated

• Injury Treatment

• Workers Compensation

• Job Safety/Consulting

• Ergonomic Consulting

• Urinalysis

• Customized Blood Tests

• Vision Screening (Far Vision, Near Vision, Peripheral Vision & Color Blindness)


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