DOT Physical Exams - London, CA

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London, CA DOT Physical - What You Need to Know

A DOT physical is an in-depth health check mandated by the Department of Transportation (DOT) for all commercial drivers. This assessment ensures that drivers are physically, mentally, and emotionally capable of managing large vehicles on public roads. A certified medical examiner (CME) listed on the NRCME conducts the exam. Passing results in obtaining a DOT medical card, essential for maintaining a valid CDL license under FMCSA regulations. Call us at 800-221-4291 if another DOT agency regulates you and you need guidance on the required exam.

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?

  • Health history review and medication assessment
  • Vision screening (corrective lenses allowed; minimum standards apply)
  • Hearing assessment (forced whisper or audiometry)
  • Blood pressure and pulse rate
  • Physical examination (systems review)
  • Urinalysis (specific gravity, protein, glucose)

In London, DE, upon successful completion, your Medical Examiner's Certificate (MEC) may be issued for up to 24 months. Some conditions may require shorter certification or specialist documentation.

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 London, ME

What to bring with you to a DOT Physical?

  • Valid government-issued photo ID
  • Contact lenses/glasses and prescription
  • Current list of medications and dosages
  • CPAP machine usage records (if relevant)
  • Specialist endorsements (e.g., cardiology, sleep apnea, diabetes)
  • Recent A1C or blood pressure logs if tracked

Ensure to bring these items to your medical examination appointment in London, CA to facilitate a smooth evaluation process.

What happens if I fail a DOT Physical?

  • No Medical card is provided
  • Experience a temporary disqualification
  • Directed to seek treatment with a primary care physician
  • Available FMCSA exemptions for specific medical issues
  • Employer is informed
  • Next Steps involve addressing health issues and retaking the examination
This process is consistent within London, DC.

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

  • Vision & Hearing: Vision worse than 20/40 in each eye (with correction), inability to distinguish traffic signal colors, or hearing loss that prevents hearing a forced whisper at 5 feet.
  • Blood Pressure & Heart Disease: Uncontrolled hypertension (≥180/110 mmHg), recent heart attack, stroke, uncontrolled angina, or an implanted defibrillator without clearance.
  • Diabetes: Uncontrolled diabetes with frequent low blood sugar episodes or complications (neuropathy, vision impairment) that interfere with safe driving.
  • Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing daytime drowsiness, or severe lung disease impairing oxygenation.
  • Neurological Disorders: Epilepsy/seizure disorders (unless exempted), conditions causing sudden loss of consciousness, dizziness, or uncontrolled tremors.
  • Substance Abuse: Current use of illegal drugs, alcohol dependence, or misuse of prescription medications that impair driving.
  • Psychiatric & Cognitive Disorders: Severe uncontrolled psychiatric illness (e.g., schizophrenia, bipolar disorder with recent episodes) or cognitive impairment affecting judgment and reaction time.

Temporary vs. Permanent Disqualification: Some issues may only temporarily disqualify you until you provide medical clearance or documentation (e.g., controlled blood pressure, diabetes management). Others, such as untreated seizure disorders or implanted defibrillators, are generally considered permanently disqualifying under FMCSA rules.

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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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(800) 221-4291