Crescent, IA DOT Physical - What You Need to Know
A DOT physical is an all-encompassing medical check mandated by the Department of Transportation for every commercial motor vehicle (CMV) driver. This assessment is crucial to verify that professional drivers are physically, mentally, and emotionally prepared to operate large vehicles safely on public roads. Conducted by a certified medical examiner from the National Registry of Certified Medical Examiners, passing this exam grants drivers a DOT medical certificate (also known as a DOT medical card), required to keep a valid CDL license in accordance with FMCSA regulations. If another DOT agency regulates you and you need help finding out which DOT physical you require, please call 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 health history and medications
- Vision test (corrective glasses allowed; basic standards enforced)
- Hearing check (use of forced whisper or audiometry)
- Blood pressure and heart rate assessment
- Complete physical examination (systematic review)
- Urinalysis (check for specific gravity, protein, and sugar levels)
Upon passing, you may obtain a Medical Examiner's Certificate (MEC) valid for up to 24 months. Some conditions might necessitate shorter certifications or additional specialized approvals. Crescent, AK
Who needs a DOT Physical?
You must possess a valid DOT medical certificate (card) if you
- Hold a commercial driver's license (CDL)- class A, B, or C for interstate commerce
- Operate a vehicle exceeding 10,001 lbs. GVWR interstate
- Transport over 8 passengers (for hire) or over 15 (not for hire)
- Handle hazardous materials needing DOT placarding
- Work under DOT agency regulation like FMCSA, FAA, FRA, FTA, or USCG where medical qualification is mandated. Crescent, KY
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What to bring with you to a DOT Physical?
- Government-issued photo ID
- Eyewear and prescription
- Medication list with doses
- CPAP usage info (if needed)
- Specialist clearances (heart issues, sleep apnea, diabetes, etc.)
- Recent A1C and blood pressure logs if subject to monitoring
Location: Crescent, OH
What happens if I fail a DOT Physical?
- Issuance of Medical card denied
- Imposed temporary disqualification
- Directed to primary care doctor for treatment
- Seek FMCSA exemptions for specific health issues
- Notification to employer required
- Plan next actions (tackle medical concerns and retake the test)
Ensure compliance with Crescent, MO regulations and guidelines, and prepare for potential reevaluation as necessitated.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Cannot see better than 20/40 in each eye (with correction), unable to identify traffic signal colors, or hearing loss hindering the perception of a whispered voice from 5 feet away.
- Blood Pressure & Heart Issues: Uncontrolled high blood pressure (≥180/110 mmHg), recent heart attacks or strokes, unstable angina, or an unapproved defibrillator.
- Diabetes: Unmanaged diabetes with frequent hypoglycemia, or its complications disrupting driving capabilities.
- Sleep & Breathing: Untreated obstructive sleep apnea causing fatigue or severe pulmonary illness limiting oxygen intake.
- Neurological Concerns: Epilepsy/seizures without exemption, or conditions leading to sudden unconsciousness, lightheadedness, or involuntary trembling.
- Substance Issues: Illegal drug usage, alcohol addiction, or misuse of prescription drugs impairing driving ability.
- Mental & Cognitive Health: Serious psychiatric conditions (e.g., untreated schizophrenia, recent severe bipolar episodes) or cognitive decline which affects decision-making and reaction speed.
Certain conditions might temporarily disqualify until medical proof is presented (e.g., proper hypertension or diabetes management). Conditions like uncontrolled epilepsy or unrevised defibrillators are often seen as permanent disqualifications following 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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