By monitoring your blood pressure twice a day, you can notice trends and fluctuations. Say you only took your blood pressure in the morning, perhaps your BP is very elevated in the evening after a long day of work. Taking it twice a day (during monitoring phase), you will get a better idea of how the medications are working.

The best and first way to address blood pressure, is through lifestyle modifications like diet and exercise.

High blood pressure can lead to heart attacks, stroke, and organ damage.

Pre diabetes or even recent onset diabetes, can be reduced with strict diet control, exercise, and medication.

A CDL physical exam / DOT physical exams consists of a hearing exam, a vision test, a urinalysis (for sugars), a blood pressure check and a basic physical examination. Check out our tips on DOT physical exams HERE.

The DOT physical exam can be taken in any state by a licensed DOT certified examiner. That means even when you're on vacation and located in the United States you can get your DOT certificate. It will be 100% applicable in all States. So if you're from out of town and you're visiting us in Las Vegas Nevada give us a call or just stop by. Walk ins are welcomed and DOT physicals exams normally only take 15-30 minutes.

A medical DOT certificate / CDL medical card is valid for two years; unless there are other mitigating circumstances. If that is the which more frequent follow ups may be required. If you have any questions about your certificate give our professional care providers a call at (702) 840-7899 or ask our live chat (located in the bottom right corner of the website).

The urine test is to detect A1C levels for diabetes. It is not intended for drug screens, which an employer may request separately.

The Medical Certificate is provided by the medical examiner. It is also sent to the Department of Transportation on record.

There isn’t a mandated follow up to a DOT physical exam. At DOT Express, you will have the option to check your results in blood pressure management and sugar levels (for those at risk for diabetes). You can call to receive your health management status or you can login to your patient portal located HERE.

Patient requirements are to provide documentation as mandated by Federal Motor Carrier Safety Administration. This includes documentation for: CPAP (for sleep apnea), MCSA-5870, Eye correction aids (if applicable) and a valid driver's license. For more information you can visit the official FMCSA HERE.

There is no official DOT Card. But there are cards and certificates given to patients as proof of successful completion for employers or officials. After successful completion of your DOT physical exam your are given a DOT card with DOT Express contact information and your physical exam's status. If you have questions about what information is provided give us a call at (702) 840-7899 or message us with our online chat (located at the bottom right corner of our webpage).

All CDL holders must be part of a consortium. A DOT consortium is part of the FMCSA clearing house database. This prevents professional drivers who have failed a drug screen from switching companies without passing their drug test screen. If you'd like to join the DOT Express consortium contact us using the form on the employers page HERE.

A TPA stands for third party administrator. These are companies or organizations that manage the random pools within a consortium. A consortium is a group of employees from one or multiple companies that make up the random pool comprising the consortium.

Only owner operators should need a TPA. Larger companies that can make up their own random pool don't need to have a TPA. While larger companies do use a TPA, it is strictly for managing their compliance but they still need to have a DER.

A DER is a designated employer representative. A DER is responsible for managing the drug screens and breath alcohol screens for their respective company. This means tasks like relaying results and uploading to the database. While a company may hire a TPA, it is still the employers responsibility; thus the need to designate a DER.