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What is a medical DOT card. A DOT physical is designed to assess and test the general health of people who want to drive and operate certain types of commercial vehicles. Medical Examination Certificate Laminated DOT med cert process for CDL. Dot med card . Tier 1 drivers are required to submit their Fed Med card to the DMV and keep it updated. Department of Transportation requires individuals to pass a physical exam before licensure as commercial truck drivers. Part 391 of the FMCSRs state that the use of Schedule 1 drugs by a driver is an automatic disqualification from operating a CMV. Trucker Docs writes about news and issues that affect commercial drivers. How do I get a DOT medical card. All about your medical card and your CDL. The confirmation is not valid to present to law enforcement or as proof you meet the commercial medical standards. The medical examiner certificate is often referred to as your medical card Physical Impairments. Those who have a hist...