DOT and USCG-719K / Captain’s physicals

We offer DOT and USCG-719K / Captain’s physicals

Please note that insurance does not cover this exam and a payment of $125.00 is due at time of visit.

We also offer the USCG Certified Drug Test / DOT Drug screening test: $50.

What to bring to your DOT Physical and USCG Physical:

  • If you wear hearing aids or glasses, please bring them to your exam.
  • A list of all your current medications and dosages.
  • Blood pressure must be under 140/90. If you are currently taking blood pressure medication, remember to take it the day of your exam.
  • Special circumstances: you must provide documentation from your primary care / specialist that includes a statement that you are “cleared to drive a commercial motor vehicle without restrictions” if you:
    • Have heart-related issues (including cardiac bypass surgery, valve replacement, open heart surgery, pacemaker, or stent)
    • Have sleep apnea and are using a CPAP machine, also bring your most recent compliance report.
    • Have diabetes that is controlled by diet or oral medication, also bring your most recent blood work.
    • Have diabetes controlled with insulin, bring the Insulin Treated Diabetes Mellitus (ITDM) Assessment Form, MCSA-5870 https://www.fmcsa.dot.gov/regulations/medical/insulin-treated-diabetes-mellitus-assessment-form-mcsa-5870 completed by your primary care / specialist.

Prior to a Captain’s physical, go to https://www.dco.uscg.mil/Portals/9/NMC/pdfs/forms/CG_719K.pdf to fill out the APPLICATION FOR MEDICAL CERTIFICATE (FORM CG-719K) and bring to your appointment.

The USCG Certified Drug Test / DOT drug screening test is a urine test which is done according to the strict regulations required by the U S Coast Guard and the Department of Transportation (DOT) for testing and chain of custody licensing requirements. It tests for:

  • Marijuana metabolite
  • Cocaine metabolites
  • Amphetamines
  • Opiate metabolites
  • Phencyclidine (PCP)
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Our Office

Annapolis Family Medicine
104 Ridgely Ave, Ste 302
Annapolis, MD 21401

T: 410-280-9500
F: 443-214-5168

Email: afm@annapolisfamilymedicine.org

All office visits are by appointment only:

Business Hours
Monday: 8AM – 5PM
Tuesday: 8AM – 12PM, 1PM – 5PM
Wednesday: 8AM – 5PM
Thursday: 8AM – 5PM
Friday: 8AM – 4PM

**NOTE:  M,W,TH,F – Office phones turned off 12:30PM – 1PM.

Lab Hours
Monday- Friday 8AM-12PM & 1PM-4PM