Onward, IN DOT Physical - What You Need to Know
A DOT physical exam is an in-depth health evaluation mandated by the Department of Transportation for all commercial motor vehicle operators. This test ascertains the physical, mental, and emotional wellness required for safe operation of large vehicles on roads open to the public. Only certified medical examiners listed on the National Registry administer the DOT physical. Successful completion awards a DOT medical certificate, necessary for maintaining a valid CDL per FMCSA rules. For guidance on which DOT physical applies, particularly if you're in another DOT-regulated sector, give us a call 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?
- Health history review and medication assessment
- Vision screening (corrective lenses allowed; minimum standards apply)
- Hearing assessment (forced whisper test 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, especially in Onward, VT.
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 specifically to Onward, WI.
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What to bring with you to a DOT Physical?
- State ID or government-issued ID
- Glasses or contacts with prescription
- List of medications and doses
- CPAP usage report (if applicable)
- Specialist approvals (for heart, sleep disorders, diabetes, etc.)
- Recent A1C or blood pressure readings if monitored
You must include these for your examination in Onward, KY, for comprehensive assessment and certification.
What happens if I fail a DOT Physical?
- No Medical card issued
- Temporary disqualification
- Referral for treatment to your primary care doctor
- FMCSA exemptions for certain medical conditions
- Employer Notification
- Next Steps (address medical issues & retake the exam)
These procedures apply for medical exams in Onward, IA.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Vision poorer than 20/40 in either eye with corrective lenses or inability to discern traffic signal colors; hearing loss preventing the perception of a forced whisper at five feet.
- Blood Pressure & Heart Disease: Unchecked hypertension (≥180/110 mmHg), recent heart incidents, stroke, ongoing angina, or lack of clearance for an implanted defibrillator.
- Diabetes: Poorly controlled diabetes causing frequent low blood sugar episodes or complications like neuropathy or impaired vision that hinder driving.
- Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing daytime fatigue, or severe lung condition affecting oxygen levels.
- Neurological Disorders: Seizure disorders unless exempted, any condition leading to sudden unconsciousness, dizziness, or uncontrolled shaking.
- Substance Abuse: Current illicit drug use, alcohol dependency, or misuse of prescriptions that affect driving capability.
- Psychiatric & Cognitive Disorders: Severe, unmanaged psychiatric conditions like schizophrenia or bipolar disorder with recent incidents, or cognitive issues impairing judgment and response time.
Some conditions might temporarily disqualify you until medical clearance is provided, such as controlled hypertension or diabetes management. In contrast, disorders like seizures or implanted defibrillators are often deemed permanently disqualifying under FMCSA protocols.
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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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