DOT Physical Exams - Paris, IL

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Paris, IL DOT Physical - What You Need to Know

DOT physical exams are thorough medical checks mandated by the Department of Transportation for drivers of commercial vehicles. These exams are vital to confirm drivers have the physical, mental, and emotional ability to drive on public roads safely. A certified medical examiner (CME) on the National Registry of Certified Medical Examiners (NRCME) conducts the test. A passing result earns a DOT Medical Certificate, required for holding a CDL under FMCSA rules. For inquiries about specific DOT exams, 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?

  • 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)

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 in Paris, WY.

Who needs a DOT Physical?

A valid DOT medical card is required in Paris, MD for:

  • Holders of a CDL (class A, B, or C) crossing state lines
  • Drivers of vehicles exceeding 10,001 lbs GVWR in interstate business
  • Operators transporting over 8 hireable passengers or more than 15 without hire
  • Hauling hazardous materials needing placard under DOT regulations
  • Employees of DOT agency-regulated businesses, like FMCSA, FAA, FRA, FTA, or USCG needing medical eligibility

What to bring with you to a DOT Physical?

  • Government-issued photo ID
  • Eyewear & prescription in Paris, AR
  • Medications & dosages list
  • CPAP usage data, if necessary
  • Specialist clearances (heart health, sleep disorders, diabetes, etc.)
  • Latest A1C/blood pressure logs if monitored

What happens if I fail a DOT Physical?

  • No medical card issuance
  • Temporary disqualification status
  • Suggestion to seek treatment from primary healthcare provider
  • Possibility of obtaining FMCSA exemptions for specific medical issues
  • Notification to employer
  • Follow-up Steps (address the underlying health concerns and retake the exam)
Ensure to refer in Paris, VA.

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

  • Vision & Hearing: Vision below 20/40 in each eye (even with correction), inability to differentiate traffic signal colors, or an inability to hear a forced whisper at 5 feet.
  • Blood Pressure & Heart Disease: Unmanaged hypertension (≥180/110 mmHg), recent heart attack or stroke, uncontrolled angina, or an implanted defibrillator without approval.
  • Diabetes: Unmanaged diabetes with frequent hypoglycemic episodes or complications that affect safe driving.
  • Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea leading to daytime sleepiness, or severe respiratory disease affecting oxygenation.
  • Neurological Disorders: Epilepsy/seizure disorders (without exemption), conditions causing sudden consciousness loss, dizziness, or uncontrolled tremors.
  • Substance Abuse: Current usage of illegal drugs, alcohol dependence, or misuse of prescription drugs that impair driving.
  • Psychiatric & Cognitive Disorders: Severe unmanaged mental illness or cognitive dysfunction affecting judgment and response time.

Issues might only temporarily disqualify you until clearance or documentation is provided (e.g., controlled blood pressure, managed diabetes). Others, like untreated seizure disorders or implanted defibrillators, are usually permanently disqualifying under FMCSA rules.

References:
- FMCSA Medical Examiner Physical Qualification Standards (§391.41)
- 49 CFR Part 391 - Qualification of Drivers
- Medical Examiner's Handbook
- FMCSA Driver Exemptions

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(800) 221-4291