Save Time with Alamo City Health & Safety's DOT Services 

CDL/DOT Physical Exam – High Blood Pressure Requirement

“A person is physically qualified to drive a commercial motor vehicle if that person — Has no current clinical diagnosis of high blood pressure likely to interfere with his/her ability to operate a commercial motor vehicle safely.”

If a driver has hypertension and/or is being medicated for hypertension, he or she should be recertified more frequently.

An individual diagnosed with Stage 1 hypertension (BP is 140/90–159/99) may be certified for one year. At recertification, an individual with a BP equal to or less than 140/90 may be certified for one year; however, if his or her BP is greater than 140/90 but less than 160/100, a one-time certificate for 3 months can be issued.

An individual diagnosed with Stage 2 (BP is 160/100-179/109) should be treated and a one-time certificate for 3-month certification can be issued. Once the driver has reduced his or her BP to equal to or less than 140/90, he or she may be recertified annually thereafter.

An individual diagnosed with Stage 3 hypertension (BP equal to or greater than 180/110)* should not be certified until his or her BP is reduced to 140/90 or less, and may be recertified every 6 months.