Early, IA DOT Physical - What You Need to Know
A DOT physical examination, mandated by the Department of Transportation, is essential for all commercial motor vehicle drivers. This thorough checkup confirms that drivers are capable of operating large vehicles safely on public roads, both physically and mentally. Conducted by certified medical professionals listed in the National Registry, successfully passing this exam grants drivers the DOT medical certificate. This certificate is necessary for keeping a valid CDL license according to FMCSA standards. If you're governed by a different DOT authority and need guidance on which DOT physical applies to you, dial 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 medication use
- Eyesight test (corrective lenses accepted, minimum levels required)
- Hearing test (whisper test or audiometry)
- Blood pressure and pulse check
- Physical evaluation (systems assessment)
- Urine test (specific gravity, protein, glucose)
Upon successful completion, your Medical Examiner's Certificate (MEC) may be issued for up to 24 months, with the potential for shorter duration requiring specialist validation in Early, MS.
Who needs a DOT Physical?
You must possess a valid DOT medical certificate if you:
- Hold a commercial driver's license (CDL) for interstate business, whether class A, B, or C
- Operate vehicles over 10,001 pounds GVWR interstate
- Transport 8+ passengers for hire or 15+ non-hire passengers
- Handle hazardous materials needing DOT placarding
- Work with employers governed by DOT agencies FMCSA, FAA, FRA, FTA or USCG requiring DOT medical qualification
In Early, UT, be sure to adhere to specific state guidelines.
DOT Physical Near Early, IA
Truesdale, IA
Fonda, IA
Ida Grove, IA
Alta, IA
Alta Vista, IA
Lytton, IA
Galva, IA
Storm Lake, IA
Newell, IA
Lake View, IA
Odebolt, IA
Lakeside, IA
Sac City, IA
Schaller, IA
Nemaha, IA
What to bring with you to a DOT Physical?
- Government-issued photo ID
- Corrective eyewear & prescription
- List of current medications & dosages
- CPAP compliance data (if relevant)
- Specialist approvals (cardiology, sleep apnea, diabetes, etc.)
- Recent A1C or blood pressure records if under monitoring
Early, ID.
What happens if I fail a DOT Physical?
- No medical certification issued
- Disqualification on a temporary basis
- Treatment referrals to primary care doctors
- FMCSA allowance for specific conditions
- Informing employer
- Steps forward include addressing health issues and retesting
Early, NE's policies are enforced.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Vision below 20/40 in each eye (with correction), inability to differentiate signal colors, or hearing loss inhibiting recognition of a whispered message at 5 feet.
- Blood Pressure & Heart Disease: Uncontrolled high blood pressure (≥180/110 mmHg), recent myocardial infarction, stroke, uncontrolled angina, or cardiac devices requiring special permission.
- Diabetes: Poorly managed diabetes causing hypoglycemic episodes or complications (like neuropathy) impairing safe vehicle operation.
- Sleep Apnea & Respiratory Issues: Untreated sleep apnea causing sleepiness, or serious lung conditions affecting oxygen levels.
- Neurological Disorders: Conditions like epilepsy or seizure disorders (excluding exemptions) that may lead to loss of consciousness.
- Substance Abuse: Active illegal drug use, alcohol addiction, or misuse of medications impacting driving.
- Psychiatric & Cognitive Disorders: Severe mental health issues unmanaged by medication or cognitive defects impacting safety decisions.
DOT Physical Exam Locations | CDL Medical Card Near You
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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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