Las Posas, CA DOT Physical - What You Need to Know
A comprehensive health exam mandated by the Department of Transportation is essential for every commercial motor vehicle operator. This assessment verifies that drivers are physically, mentally, and emotionally capable of handling large trucks or buses on highways. Conducted by a medical examiner certified and listed on the NRCME, passing this exam awards a DOT medical certificate. For DOT agency queries on required exams, contact 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?
Health History Review
Vision Test
Hearing Test
Urinalysis
Vital Signs
Physical Examination
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What is checked in a DOT Physical?
- Review of medical history and medication list
- Eye test with optional corrective lenses to meet minimum vision requirements
- Hearing test either through audiometry or forced whisper check
- Pulse rate and blood pressure assessment
- Physical evaluation of bodily systems
- Urine test for specific gravity, protein, and sugar
After passing, a Medical Examiner's Certificate (MEC) might be granted for a period of up to 24 months in Las Posas, SD. Certain conditions could necessitate a shorter certification period or further specialist evaluation.
Who needs a DOT Physical?
A valid DOT medical card is necessary if you:
- Hold a CDL-class A, B, or C for interstate trade
- Operate vehicles exceeding 10,001 lbs. GVWR across state lines
- Carry more than 8 passengers for pay or over 15 passengers unpaid
- Transport hazardous goods needing DOT permits
- Are employed by entities overseen by DOT divisions like FMCSA, FAA, FRA, FTA, or USCG requiring DOT medical eligibility.
Las Posas, AK
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What to bring with you to a DOT Physical?
- Government-issued identification with photo
- Spectacles/contact lenses and prescription
- Medication list with dosages
- CPAP usage records if relevant
- Specialist medical approvals (cardiology, sleep apnea, diabetes, etc.)
- Recent logs for A1C or blood pressure when monitored
Note: Las Posas, OR requires these for a smooth process.
What happens if I fail a DOT Physical?
- No medical card issued
- Temporary disqualification
- Referral to your primary care for treatment
- FMCSA exemptions available for select medical issues
- Employer receives notification
- Next steps involve addressing medical concerns before retrying the exam
This is also applicable in Las Posas, SD.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Vision worse than 20/40 per eye (with glasses), inability to see traffic light colors, or hearing loss preventing detection of a whisper at 5 feet.
- Blood Pressure & Heart Disease: Uncontrolled high blood pressure (≥180/110 mmHg), recent heart attack, stroke, uncontrolled chest pain, or an unapproved defibrillator.
- Diabetes: Poorly managed diabetes with frequent hypoglycemia or complications (nerve damage, vision issues) disrupting safe driving.
- Sleep Apnea & Respiratory Issues: Untreated sleep apnea causing daytime sleepiness, or severe lung disease impairing breathing.
- Neurological Disorders: Epilepsy/seizures (unless exempted), conditions causing sudden unconsciousness, dizziness, or uncontrollable shakes.
- Substance Abuse: Current illicit drug use, alcohol dependency, or misuse of prescription drugs impairing driving.
- Psychiatric & Cognitive Disorders: Severe unchecked mental illness (e.g., schizophrenia, bipolar disorder with recent episodes) or cognitive decline affecting decision-making and response time.
Issues may temporarily disqualify you until you provide clearance or documentation (e.g., controlled blood pressure, diabetes management), while others like untreated seizures or unauthorized defibrillators are typically considered permanent disqualifiers by FMCSA.
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Frequently Asked Questions
A DOT physical typically includes a review of the driver’s health history and medications, vision screening, hearing assessment, vital signs (blood pressure, pulse), urinalysis (checking specific gravity, protein, glucose), and a full physical examination by a certified medical examiner. Upon passing, a Medical Examiner’s Certificate (DOT medical card) may be issued for up to 24 months.
You must have a valid DOT medical certificate if you: hold a commercial driver’s license (CDL) Class A, B or C for interstate commerce; operate a vehicle over 10,001 lbs GVWR in interstate commerce; transport more than eight passengers (for hire) or over fifteen passengers (not for hire); or transport hazardous materials requiring placarding under DOT regulations.
DOT physicals are offered at test centres in all cities and all states, through Accredited Drug Testing’s nationwide network. You can schedule by calling 1-800-221-4291.
You should bring a government-issued photo ID; glasses or contact lenses and the prescription; a list of medications and dosages; CPAP usage data if applicable; and any specialist clearance letters or physician documentation (for conditions like heart disease, sleep apnea, diabetes) to your DOT physical.
If you fail the DOT physical, you will not receive the medical card; you may be temporarily or permanently disqualified depending on the condition; you will need to address any medical issues (e.g., uncontrolled hypertension, untreated sleep apnea, recent myocardial infarction) and then be re-examined.
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