DOT Physical Exam

1200 North 7th Street, Chariton, Iowa 50049
Phone: (641) 774-8103 | Toll-free: (800) 404-3111 | Email: amccurdy@lchcia.com

Our clinics are pleased to offer Commercial Motor Vehicle (CMV) drivers with the opportunity to have their required physical exam done with a qualified medical examiner. This physical exam confirms that drivers have met the safety guidelines of the United States Department of Transportation.

To schedule your appointment, please call our LCHC Medical Clinic at (641) 774-8103.

Forms

• DOT CMV Medical Examination Requirement Checklist
• Medical Examination Report Form

FMCSA Website Forms

• Medical Examination Forms
• Diabetes Package Forms
• Vision Package Forms
• Hearing Package Forms
• Seizure Package Forms

Other Resources

• Iowa Department of Transportation
• Iowa DOT Self-Certificate and Medical Examiner’s Certificate Reporting Brochure
• Federal Motor Carrier Safety Administration
• National Registry of Certified Medical Examiners
• Request More Information