Before your DOT physical / Forms and documents

Sleep Apnea Treatment Records for Your DOT Physical

If your examiner requested sleep apnea records, ask which reports, reporting dates and treatment information are needed before your DOT visit.

If you use PAP therapy

• Request a readable device usage report from your sleep provider or equipment provider for the dates specified by the examiner.
• Check that the report identifies you and the reporting period.
• Bring treatment-effectiveness information, relevant sleep-study results or specialist follow-up notes when requested.

Ask the office to confirm the reporting dates rather than assuming a 30-day or 90-day report is always sufficient.

If you use another treatment

Ask your treating sleep clinician for documentation of the treatment and its effectiveness, along with any evaluation or follow-up records specifically requested by the examiner. Do not assume all sleep apnea treatment uses CPAP.

Confirm the request

The reporting period and evidence needed depend on your circumstances and the examiner’s assessment. This page does not impose a universal four-hour or 70-percent rule, diagnose a condition or determine qualification from a report alone.

No separate clinic PAP request form is available here. Call the office to clarify the request and confirm how to return records.

Sources checked October 22, 2026: FMCSA Medical Examiner's Handbook, 2024 edition.

These instructions help you prepare. The certified medical examiner determines which records are needed and whether you meet the applicable standards. Bringing a form does not guarantee certification.

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