Keeping drivers healthy, safe, and qualified.

FMCSA-certified DOT physicals and occupational health services in Decorah, Iowa — backed by a compliance platform that keeps your whole fleet audit-ready, all year long.

FMCSA Certified Medical Examiner NIOSH Certified Drug & Alcohol Testing On-Site

What we do

Two ways we keep your drivers on the road

From the exam room to the back office — GEHLCO handles the medical side and the compliance side so nothing slips through the cracks.

Available now

Occupational Health Services

Walk-in and scheduled exams performed by an FMCSA-certified medical examiner — get drivers qualified quickly and correctly the first time.

  • DOT & CDL physical examinations
  • Drug testing & breath alcohol testing
  • Spirometry & silica surveillance (NIOSH certified)
  • Specialist clearance & documentation review
Book an Exam
For fleets & DERs

DOT Compliance Platform

A complete consortium and compliance management system that tracks every driver, every test, and every deadline — so audits are never a fire drill.

  • Random drug & alcohol pool management
  • Clearinghouse queries & reporting
  • CDL & medical-card expiration alerts
  • Real-time compliance dashboards per company
See How It Works

DOT & CDL Physicals

Federal Motor Carrier–compliant exams with same-day medical certification when you qualify.

Drug & Alcohol Testing

Urine drug screens and breath alcohol testing on-site, fully documented and chain-of-custody compliant.

Spirometry

Lung-function testing for respiratory clearance and occupational health programs.

Silica Surveillance

OSHA-aligned respirable silica medical surveillance to keep your crews protected and compliant.

NIOSH Certified

Nationally recognized certification standards behind every screening we perform.

Documentation & Clearance

We review specialist letters and cardiac results so paperwork gaps never delay certification.

Compliance Platform

Audit-ready, automatically.

Built for trucking companies and Designated Employer Representatives, our platform turns DOT compliance from a spreadsheet headache into a dashboard you can trust.

Random Pool Management

FMCSA-rate random selections drawn and documented for you — drug at 50%, alcohol at 10%, every quarter.

Clearinghouse Reporting

Annual queries tracked on a rolling deadline with automatic reminders — never miss a required check.

Expiration Alerts

CDL and medical-card expirations flagged well in advance so no driver is ever caught out of date.

Compliance Dashboards

Per-company status at a glance, with printable reports ready for any DOT audit or customer request.

Return-to-Duty Tracking

Guided RTD and follow-up testing workflows keep non-negative cases on schedule and on record.

Automatic Notifications

DERs get emailed when a draw happens, results post, or a deadline approaches — no chasing required.

Request a Platform Demo

For Drivers

Prepare for your DOT physical

A little preparation prevents most certification delays. Come ready and you can leave qualified.

Bring to your appointment

  • Driver's license
  • Current medication list
  • CPAP compliance report (if applicable)
  • Glasses or contact lenses
  • Hearing aids
  • Specialist clearance letters
  • Recent cardiac testing results

Blood pressure matters

ReadingDOT consideration
Below 140/90Generally qualifies for full certification
140–159 / 90–99May qualify with monitoring
160–179 / 100–109Limited certification possible
180+ / 110+Usually not certifiable until controlled

Tip: take medications as prescribed, watch sodium intake, and monitor your blood pressure regularly before your visit.

Common reasons for DOT delays

  • Missing CPAP reports
  • Uncontrolled blood pressure
  • Poor diabetes / A1C control
  • Missing specialist documentation
  • Recent surgery without follow-up records
  • Incomplete medication information

Our Examiner

Care from a certified examiner who knows the rules.

GEHLCO Occupational Health Services is led by an FMCSA-certified medical examiner listed on the National Registry. That means your exam is performed by someone who understands exactly what it takes to keep a driver qualified — and how to avoid the documentation pitfalls that cause needless delays.

Whether you're an individual driver renewing your card or a fleet managing hundreds of CDL holders, you get the same goal: drivers who stay healthy, safe, and on the road.

Dr. David Gehling, D.C.

FMCSA Certified Medical Examiner

Decorah, Iowa

Get started

Ready to keep your drivers qualified?

Schedule a DOT physical, set up testing for your crew, or get a walkthrough of the compliance platform. We're here to help.