DOT Physical Exams - Helena, AR
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FMCSA | FAA | USCG | FTA | FRA | PHMSAHelena, AR DOT Physical - What You Need to Know
A comprehensive medical evaluation known as a DOT physical is necessary for all commercial motor vehicle drivers, mandated by the Department of Transportation (DOT). This examination checks if professional drivers are physically, mentally, and emotionally capable of safely operating large vehicles on public roads.
Conducted by a certified medical examiner (CME) listed on the National Registry of Certified Medical Examiners (NRCME), passing this examination allows drivers to obtain a DOT medical certificate, which is needed to keep a valid CDL license in accordance with FMCSA regulations. For guidance on the appropriate DOT physical, if regulated by another DOT agency, reach out to us at 800-221-4291.
During your exam, the medical examiner will complete a thorough health assessment to determine if you meet the Federal Motor Carrier Safety Administration (FMCSA) medical standards. The process typically includes:
What Does a DOT Physical Include?
Vision Test
Urinalysis
Physical Examination
DOT Testing | DOT Breath Alcohol | DOT Consortium Services | MVR Reports Also Available
What is checked in a DOT Physical?
- Review of health history and medication assessment
- Eye test (glasses or contacts permitted; minimal criteria apply)
- Hearing examination (forced whisper or audiogram)
- Monitoring blood pressure and heart rate
- Full body examination (systematic review)
- Urine test (checking specific gravity, proteins, sugars)
If passed, the Medical Examiner's Certificate (MEC) is valid up to 24 months; some health conditions could require shorter certification or specialist validation. Helena, NM can present unique challenges for drivers.
Who needs a DOT Physical?
A current DOT medical certificate (card) is required if you:
- Possess a commercial driver's license (CDL) - classes A, B, or C, for interstate activities
- Operate vehicles over 10,001 lbs GVWR in interstate commerce
- Transport over 8 paying or more than 15 non-paying passengers
- Carry hazardous substances that necessitate DOT warning placards
- Work for DOT-supervised companies like FMCSA, FAA, FRA, FTA, or USCG needing DOT medical credentials, applicable in Helena, ME
What to bring with you to a DOT Physical?
- State-issued photo ID
- Corrective lenses or contact lenses & current prescription
- List of current medications & their doses
- Data from CPAP machine if applicable
- Clearances from specialists (cardiology, sleep-related issues, diabetes, etc.)
- Latest A1C/blood pressure logs if monitored regularly
Remember to bring these documents if you're taking the exam in Helena, IL.
What happens if I fail a DOT Physical?
- Medical card will not be granted
- Temporary ineligibility
- Recommendation for treatment by your doctor
- FMCSA exemptions for specific conditions
- Notification to the employer
- Subsequent actions (resolve medical concerns and redo the examination)
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Vision under 20/40 in each eye (corrected), inability to identify signal colors, or hearing loss preventing comprehension of a forced whisper at 5 feet.
- Blood Pressure & Heart Disease: Hypertension uncontrolled at ≥180/110 mmHg, recent cardiac events, or defibrillator implantation without specialist approval.
- Diabetes: Poorly managed diabetes with frequent hypoglycemia or complications like neuropathy and impaired vision affecting driving safety.
- Sleep Apnea & Respiratory Issues: Untreated sleep apnea causing significant daytime fatigue or severe pulmonary disease reducing oxygen saturation.
- Neurological Disorders: Epilepsy or disorders causing sudden unconsciousness, vertigo, or unregulated tremors unless exempted.
- Substance Abuse: Current illegal drug use, alcohol dependency, or misuse of prescribed drugs impairing driving abilities.
- Psychiatric & Cognitive Disorders: Serious unmanaged psychiatric conditions or cognitive deficits affecting judgment and response velocity.
Temporary vs. Permanent Disqualification: Certain issues may temporarily disqualify pending medical proof (e.g., controlled hypertension), while others like untreated seizures or defibrillator dependency generally lead to permanent disqualification per FMCSA terms.
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