Greenhorn, CO DOT Physical - What You Need to Know
DOT physical examinations are comprehensive health assessments mandated by the Department of Transportation for CMV drivers. These evaluations verify that drivers are physically, mentally, and emotionally capable of safely managing large vehicles on public roadways. Conducted by certified medical examiners on the NRCME, successfully passing results in obtaining a DOT medical certificate, needed for a valid CDL under FMCSA rules. If assistance is required with DOT regulations, call 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 health history & meds
- Checking vision (glasses ok; must meet standards)
- Testing hearing (via whisper or audiometry)
- Monitoring blood pressure & pulse
- Examining physical systems
- Urinalysis (for glucose, protein, specific gravity)
Completion in Greenhorn, TX might allow for a Medical Examiner's Certificate (MEC) up to 24 months. Certain conditions may call for shorter certification or additional specialist documents.
Who needs a DOT Physical?
You must have a valid DOT medical certificate (card) if you:
- Have a commercial driver's license (CDL)- class A,B, or C for interstate commerce
- Drive a vehicle over 10,001 lbs. GVWR in interstate commerce
- Transport more than 8 passengers (for hire) or more than 15 passengers (not for hire)
- Transport hazardous materials that require placarding under DOT regulations
- Work for employers regulated by DOT agencies such as FMCSA, FAA, FRA, FTA or USCG where DOT medical qualification is required
This applies to operations in Greenhorn, WY as well.
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What to bring with you to a DOT Physical?
- Government-issued photo
- Glasses/contacts & prescription
- List of medications & dosages
- CPAP usage data (if applicable)
- Specialist clearances (cardiology, sleep apnea, diabetes, etc.)
- Recent A1C/blood pressure logs if monitored
Adherence to Greenhorn, NV's specific requirements is also essential.
What happens if I fail a DOT Physical?
- No Medical card will be issued
- Temporary disqualification
- Referral for treatment to your primary care doctor
- FMCSA exemptions for certain medical conditions
- Employer Notification
- Next Steps (address the medical issues and retake the exam)
Failing the exam means the driver has to address the medical issues before another attempt. Greenhorn, RI drivers, like those in all states, must meet these criteria to ensure the safety of their commercial driving operations.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Failure to see 20/40 in both eyes (even with lenses), challenges with traffic signal recognition, or inability to hear a forced whisper at 5 feet.
- Blood Pressure & Heart Disease: Unmanaged blood pressure (≥180/110 mmHg), recent cardiac events, unmanaged angina, or an implanted defibrillator without approval.
- Diabetes: Poorly controlled diabetes with frequent hypoglycemic events or complications impacting driving safety.
- Sleep Apnea & Lung Problems: Unaddressed sleep apnea causing fatigue or severe respiratory issues hindering oxygen intake.
- Neurological Disorders: Epilepsy (without exemption), conditions causing unanticipated consciousness loss, vertigo, or tremors.
- Substance Abuse: Active illegal drug use, dependency on alcohol, or misuse of prescriptions affecting driving ability.
- Psychiatric & Cognitive Disorders: Uncontrolled psychiatric conditions (e.g., schizophrenia or recent bipolar episodes) or cognitive issues impairing decision-making and response.
Various conditions might only temporarily disqualify you until obtaining medical documentation or proof, such as controlled hypertension. However, certain cases like untreated epilepsy or implanted defibrillators are viewed as permanent disqualifications by FMCSA standards.
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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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