DOT Physical Exams - Lewiston, ME
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FMCSA | FAA | USCG | FTA | FRA | PHMSALewiston, ME DOT Physical - What You Need to Know
A DOT physical is a thorough health assessment mandated by the Department of Transportation (DOT) for all commercial motor vehicle (CMV) operators. This examination verifies that drivers possess the physical, mental, and emotional capacity to safely maneuver large vehicles on public routes. Conducted by a certified medical examiner (CME) listed in the National Registry of Certified Medical Examiners (NRCME), passing the exam grants drivers a DOT medical certificate, essential for maintaining a valid CDL under FMCSA guidelines. For guidance on the specific DOT physical needed if overseen by a different DOT agency, contact 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?
Vision Test
Urinalysis
Physical Examination
DOT Testing | DOT Breath Alcohol | DOT Consortium Services | MVR Reports Also Available
What is checked in a DOT Physical?
- Review of health history and medication check
- Vision check (glasses/contacts if needed; standards apply)
- Hearing assessment (whisper test or audiometry)
- Blood pressure and pulse measure
- Complete physical examination (systematic review)
- Urine test (specific gravity, proteins, glucose levels)
Once you pass, a Medical Examiner's Certificate (MEC) could be issued valid for 24 months; however, some conditions may require shorter certification or require specialist documentation, especially in states like Lewiston, ND.
Who needs a DOT Physical?
A valid DOT medical card is required in Lewiston, MD for:
- Holders of a CDL (class A, B, or C) crossing state lines
- Drivers of vehicles exceeding 10,001 lbs GVWR in interstate business
- Operators transporting over 8 hireable passengers or more than 15 without hire
- Hauling hazardous materials needing placard under DOT regulations
- Employees of DOT agency-regulated businesses, like FMCSA, FAA, FRA, FTA, or USCG needing medical eligibility
What to bring with you to a DOT Physical?
- Government-issued photo ID
- Glasses/contact lenses & prescription
- List of medications & dosages
- CPAP usage data (if applicable)
- Specialist clearances (cardiology, sleep apnea, diabetes, etc.)
- Recent A1C/blood pressure logs if monitored
Make sure you bring these important documents to your exam in Lewiston, VT.
What happens if I fail a DOT Physical?
- Without a medical card
- Face temporary barring
- Doctor-referred treatment needed
- FMCSA exceptions for specific conditions
- Notifying your employer
- Next steps: fix health issues and retake exam
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Poor vision worse than 20/40 in each eye (with correction), inability to differentiate traffic signal colors, or hearing loss that restricts hearing a whisper at 5 feet.
- Blood Pressure & Heart Disease: Unmanaged hypertension (>=180/110 mmHg), recent heart attack, stroke, uncontrolled chest pain, or a defibrillator without approval.
- Diabetes: Poorly managed diabetes with frequent hypoglycemia or complications (neuropathy, eyesight issues) affecting safe driving.
- Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing daytime fatigue, or severe lung disease inhibiting oxygen exchange.
- Neurological Disorders: Epilepsy/seizure disorders (unless exempted), conditions leading to sudden consciousness loss, dizziness, or uncontrolled tremors.
- Substance Abuse: Current use of illegal substances, alcohol dependency, or misuse of prescribed drugs impairing driving.
- Psychiatric & Cognitive Disorders: Severe uncontrolled mental illnesses (e.g., schizophrenia, bipolar disorder with recent incidents) or cognitive difficulties affecting decision-making and reaction speed.
Temporary vs. Permanent Disqualification
Certain problems may temporarily disqualify you until you provide medical clearance (e.g., controlled high blood pressure, diabetes management). Others, such as untreated seizures or implanted defibrillators, are often considered permanently disqualifying based on FMCSA rules.
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