CDL Physical Exams in Bothell, Fast, Fair DOT Medical Certification
Get Your DOT Medical Card and Get Back on the Road
Need your CDL physical? We make it fast and straightforward. Dr. Jamie Agisheva is an FMCSA-certified DOT medical examiner who understands the demands of commercial driving. Most appointments take 30-45 minutes. If you pass your exam, you’ll walk out with your DOT medical card the same day.
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Why Choose ISM Health for Your DOT Physical?
✅ FMCSA Certified DOT Medical Examiner – Dr. Agisheva is fully authorized to perform CDL physicals
✅ Same-Day DOT Medical Cards – Get certified and back to work immediately
✅ Fair but Thorough Exams – We want you to pass when it’s safe to do so
✅ Flexible Scheduling – Evening and Saturday appointments available for working drivers
✅ Convenient Bothell Location – Easy access from I-405 and SR-522
Serving commercial truck drivers, bus drivers, and all CDL holders in Bothell, Kenmore, Mill Creek, Lynnwood, Everett, and throughout North King & Snohomish Counties.
What to Expect During Your CDL Physical Exam
Your DOT physical exam is straightforward and takes about 30-45 minutes. Here’s what we’ll check:
Vision Test
- Visual acuity of at least 20/40 in each eye (with or without correction)
- Field of vision of at least 70 degrees
- Ability to recognize traffic signal colors
Hearing Test
- Ability to hear a forced whisper at 5 feet
- Or the use of hearing aids if needed
Blood Pressure & Pulse
- Blood pressure must be below 140/90 for a full 2-year certification
- Higher readings may result in shorter certification periods or require management
Urinalysis
- Screens for diabetes and kidney issues
- Does NOT test for drugs (that’s a separate DOT drug screen)
Physical Examination
- Heart and lung function
- Abdomen and general health
- Spine, joints, and range of motion
- Neurological function
Medical History Review
- Current medications
- Past surgeries or hospitalizations
- Chronic conditions and how they’re managed
If you have well-managed conditions like high blood pressure or diabetes, you can still qualify. We’ll guide you through the process.
What to Bring to Your DOT Physical Exam
Make your appointment go smoothly by bringing:
- Valid driver’s license (the one you’re getting certified for)
- Glasses or contact lenses (if you wear them)
- List of current medications (or bring the bottles)
- Previous DOT medical card (if you have one)
- Medical records (if you have conditions like diabetes, sleep apnea, heart disease, or if you’ve had recent surgeries)
- Completed medical examiner’s certificate form (if your employer provided one)
Pro tip: If you have a medical condition, bring documentation from your treating physician showing it’s under control. This can help ensure you pass.
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How Often Do You Need a DOT Medical Exam?
The frequency of your commercial driver physical exam depends on your health:
- Every 2 years is the standard certification for healthy drivers
- Annually, if you have controlled conditions like high blood pressure (below 140/90 with treatment)
- Every 3-6 months, if you have conditions requiring close monitoring
- After treatment, if a condition needs to be addressed before certification
Drivers are legally required to maintain a valid DOT medical card to operate commercial vehicles. Let your certification lapse, and you’re off the road until you’re recertified.
Can You Pass Your CDL Physical With Medical Conditions?
Yes, many commercial truck drivers have medical conditions and still qualify for their DOT medical certification. The key is proper management and documentation.
Conditions That CAN Be Certified (When Properly Managed):
✅ High blood pressure when medication is keeping it below 140/90
✅ Diabetes with stable blood sugar control (A1C below 10, no severe complications)
✅ Sleep apnea with CPAP treatment and compliance documentation
✅ Heart conditions after clearance from cardiologist
✅ Vision issues with corrective lenses meeting standards
✅ Hearing loss with hearing aids if needed
Conditions That May Disqualify You:
❌ Uncontrolled high blood pressure (over 180/110)
❌ Insulin-dependent diabetes without proper exemption
❌ Current substance abuse
❌ Certain heart conditions (recent heart attack, advanced heart disease)
❌ Epilepsy or seizure disorders (without proper clearance)
❌ Missing limbs (without proper exemption/waiver)
❌ Severe mental health conditions affecting safe driving
❌ Advanced respiratory disease
If you’re unsure whether you’ll qualify, call us at (425) 532-5413. We can discuss your specific situation before your appointment and guide you on what documentation you might need.
Tips to Help You Pass Your Truck Driver Physical
- Know your numbers. Check your blood pressure at home or at a pharmacy beforehand.
- Bring medical records showing that your conditions are managed
- Take your medications. Don’t skip doses before your exam
- Get good sleep, especially if you have sleep apnea. Bring CPAP compliance data.
- Stay hydrated, but don’t overdo it right before (it can affect urinalysis).
- Avoid caffeine before the exam since it can temporarily raise blood pressure.
- Be honest. Hiding conditions can lead to unsafe situations and legal issues.
- Bring corrective lenses if you need them for the vision test.
- Morning appointments often show better blood pressure readings.
What Happens If You Don’t Pass Your DOT Physical?
Don’t panic. Depending on why you didn’t pass, you have options:
Temporary Disqualification
If you have a treatable condition (like high blood pressure or uncontrolled diabetes), Dr. Agisheva will explain what needs to happen before you can be certified:
- Get medication adjusted by your primary care doctor
- Obtain specialist clearance (cardiologist, endocrinologist, etc.)
- Return with documentation showing the condition is now under control
Short-Term Certification
For some conditions, you may receive a 3-month, 6-month, or 1-year certification instead of the full 2 years. This allows you to keep driving while monitoring your condition more closely.
Medical Variance or Exemption
Certain disqualifying conditions can be waived through FMCSA’s exemption programs. We can guide you through this process if applicable.
Bottom line: We want you on the road safely. If there’s a path to certification, we’ll help you find it.
About Dr. Jamie Agisheva, ND, FMCSA Certified DOT Medical Examiner
Dr. Jamie Agisheva is a licensed naturopathic doctor and FMCSA-certified medical examiner authorized to perform DOT physical exams for commercial drivers. With her background in integrative medicine, Dr. Agisheva understands how to work with drivers who have medical conditions, helping them meet DOT requirements while maintaining their health.
Her approach: Fair, thorough, and driver-friendly. She knows your livelihood depends on passing your CDL physical, and she’ll work with you to ensure you meet federal standards safely.
Dr. Agisheva is authorized to conduct DOT physicals for:
- Commercial truck drivers (Class A, B, and C CDL)
- School bus drivers (LWSD, NSD, Bothell City, NUD)
- Transit bus drivers
- Delivery drivers
- Any driver operating vehicles requiring a DOT medical card
Schedule Your CDL Physical Today
Stop stressing about your DOT physical. Get it done right, get your DOT medical card, and get back to work.
Call (425) 532-5413 to schedule your DOT physical exam, or book your appointment online.
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Frequently Asked Questions About CDL Physicals
How long does a DOT physical take?
Most CDL physical exams take 30-45 minutes from start to finish. You’ll receive your DOT medical card before you leave (if you pass).
Do I need an appointment?
We strongly recommend scheduling an appointment to guarantee your time slot, but we accept walk-ins when our schedule allows. Call ahead to check availability: (425) 532-5413.
What if I’m on blood pressure medication?
That’s completely fine—and common. As long as your blood pressure is controlled (below 140/90), you can be certified for up to 2 years. Bring your medication list or bottles to your appointment.
Do you do DOT drug testing?
No. DOT drug screens are separate from the DOT physical exam and must be conducted by a certified collection facility. However, we can refer you to local testing facilities if needed.
What if I have diabetes?
If your diabetes is well-controlled with an A1C under 10 and you’re not having severe complications (like frequent hypoglycemia or advanced neuropathy), you can be certified. Bring recent lab results if possible.
Can I pass with sleep apnea?
Yes, if you’re compliant with CPAP treatment. You’ll need to bring documentation showing you’re using your CPAP machine consistently (usually 4+ hours per night, 70% of nights). Many drivers with sleep apnea maintain their CDL with proper treatment.
What if my CDL medical card expired?
You cannot legally drive a commercial vehicle with an expired DOT medical card. Schedule your DOT physical exam as soon as possible to get recertified.
Is the DOT physical the same as a regular physical?
No. A DOT physical exam follows specific federal guidelines (FMCSA regulations) and focuses on your ability to operate a commercial vehicle safely. It’s much more focused than an annual wellness exam.
Do you examine school bus drivers?
Yes! Dr. Agisheva has contracts with local school districts, including Lake Washington School District (LWSD), Northshore School District (NSD), Bothell City, and Northshore Utility District (NUD). We also see school bus drivers from other districts.
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DOT Physical Exams for Commercial Drivers
Serving Bothell, Kenmore, Mill Creek, Lynnwood, Edmonds, Mukilteo, Woodinville, Kirkland, Everett, Lake Stevens, Snohomish, Marysville & all North King & South Snohomish Counties.



