Cushing, IA DOT Physical - What You Need to Know
A DOT physical is an all-encompassing health check mandated
by the Department of Transportation (DOT) for every commercial motor vehicle (CMV) driver. This examination checks if drivers are physically, mentally, and emotionally capable of handling large vehicles safely on public roads. Conducted by a certified medical examiner (CME) from the National Registry of Certified Medical Examiners (NRCME), passing the test grants a DOT medical certificate, necessary for maintaining a valid CDL license under FMCSA rules. If another DOT agency oversees your activities and you need help determining the required DOT physical, 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 medical history and medication assessment
- Eye test (corrective eyewear permissible; minimum norms apply)
- Hearing test (forced whisper test or audiometric assessment)
- Check blood pressure and pulse
- Physical exam (system review)
- Urinalysis (specific gravity, protein, glucose)
Upon successful completion, your Medical Examiner's Certificate (MEC) may be valid for 24 months. In Cushing, MT, some conditions may demand shorter certification or specialist papers.
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. Cushing, KY
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What to bring with you to a DOT Physical?
- State-issued photo ID
- Eye-wear & related prescriptions
- Medication names & dosages list
- Data on CPAP use (if relevant)
- Specialist approval (for heart, apnea, diabetes issues, etc.)
- Recent A1C/blood pressure records if monitored
Ensure all documents are ready for your examination in Cushing, WA to avoid delays.
What happens if I fail a DOT Physical?
- Medical card will not be issued
- Temporary disqualification
- Refer to primary care provider for treatment
- FMCSA exemptions potentially applicable
- Employer will be informed
- Next Steps (address health issues and redo examination) in Cushing, AR
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Failing to meet 20/40 vision in each eye (even with correction), unable to identify traffic signals' colors, or hearing loss not allowing recognition of a forced whisper at 5 feet can cause disqualification.
- Blood Pressure & Cardiac Conditions: Unchecked hypertension (≥180/110 mmHg), past heart attack, stroke, uncontrolled angina, or a defibrillator without appropriate clearance are grounds for disqualification.
- Diabetes: Out-of-control diabetes causing regular hypoglycemia or complications like neuropathy and impaired sight can hinder safe driving.
- Sleep Apnea & Respiratory Issues: Untreated sleep apnea leading to daytime drowsiness or severe respiratory diseases impairing oxygenation could disqualify.
- Neurological Disorders: Conditions such as epilepsy (unless exempted), abrupt consciousness losses, dizziness, or unmanageable tremors might disqualify.
- Substance Misuse: Active illegal drug use, alcohol dependence, or prescription misuse affecting driving capability is disqualifying.
- Mental & Cognitive Disorders: Severe, unmanaged psychiatric conditions (e.g., schizophrenia, bipolar disorder with recent episodes) or cognitive deficits that impair judgment and reaction are disqualifying.
Issues resulting in temporary disqualification may be addressed by providing medical documentation, like managed blood pressure. Conversely, untreated seizure disorders or defibrillators often result in permanent disqualification under FMCSA guidelines.
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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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