Loretta, KS 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?
- 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)
In Loretta, MN, 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
Who needs a DOT Physical?
A current DOT medical certificate (card) is required if you:
- Possess a commercial driver's license (CDL) - classes A, B, or C, for interstate activities
- Operate vehicles over 10,001 lbs GVWR in interstate commerce
- Transport over 8 paying or more than 15 non-paying passengers
- Carry hazardous substances that necessitate DOT warning placards
- Work for DOT-supervised companies like FMCSA, FAA, FRA, FTA, or USCG needing DOT medical credentials, applicable in Loretta, ME
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What to bring with you to a DOT Physical?
- Government-issued photo identification
- Eyeglasses or contacts and their prescription details
- List of current medications with their dosages
- CPAP usage records (if relevant)
- Clearance from specialists (heart, sleep apnea, diabetes, etc.)
- Most recent A1C and blood pressure monitoring logs if tracked
Be prepared in Loretta, NM for specific regulation compliance to facilitate a smooth medical examination process.
What happens if I fail a DOT Physical?
- No Medical card will be issued
- Temporary disqualification
- Referral for treatment to your primary care doctor
- FMCSA exemptions for certain medical conditions
- Employer Notification
- Next Steps (address the medical issues and retake the exam)
In Loretta, WV, if you fail, you must address the medical conditions before retaking your DOT physical to obtain certification.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Less than 20/40 in each eye (corrected), can't discern traffic signal hues, or hearing incapable of detecting a forced whisper at 5 feet.
- Blood Pressure & Heart Disease: Uncontrolled hypertension (≥180/110 mmHg), recent myocardial infarction or stroke, unmanaged angina, or an implanted defibrillator lacking approval.
- Diabetes: Uncontrolled diabetes leading to hypoglycemic incidents or complications (neuropathy, vision issues) impeding safe driving.
- Sleep Apnea & Respiratory Issues: Untreated sleep apnea causing daytime fatigue, or grave lung disorder hindering oxygen levels.
- Neurological Disorders: Epilepsy/seizure disorders (unless exempt), illnesses causing abrupt blackout, dizziness, or uncontrolled shaking.
- Substance Abuse: Ongoing illegal drug use, alcoholism, or prescription misuse hindering driving ability.
- Psychiatric & Cognitive Disorders: Severe unmanaged psychiatric condition (e.g., schizophrenia, recent bipolar episodes) or cognitive decline affecting judgment.
Temporary and Permanent Disqualification: Some issues might merely temporarily disqualify until clearance or documents available (e.g., managed blood pressure, diabetes); others like unmediated seizures or implanted defibrillators often permanently disqualify per 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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