DOT Physical Exams - Columbia, MD

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Columbia, MD DOT Physical - What You Need to Know

A comprehensive medical evaluation known as a DOT physical is necessary for all commercial motor vehicle drivers, mandated by the Department of Transportation (DOT). This examination checks if professional drivers are physically, mentally, and emotionally capable of safely operating large vehicles on public roads.

Conducted by a certified medical examiner (CME) listed on the National Registry of Certified Medical Examiners (NRCME), passing this examination allows drivers to obtain a DOT medical certificate, which is needed to keep a valid CDL license in accordance with FMCSA regulations. For guidance on the appropriate DOT physical, if regulated by another DOT agency, reach out to 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)

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

This applies specifically to Columbia, WI.

Who needs a DOT Physical?

A valid DOT medical card is required in Columbia, 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?

  • Valid government-issued photo ID
  • Corrective lenses or prescription details
  • Medication list with dosages
  • Data on CPAP usage, if applicable
  • Specialist advice for conditions like cardiology, apnea, or diabetes
  • Recent A1C or blood pressure records if required

Make sure to have all necessary documents ready, as requirements apply in Columbia, ME.

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 Columbia, KS

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

  • Vision & Hearing: Vision under 20/40 per eye (corrected), inability to differentiate traffic light colors, or hearing failure to detect a whisper at 5 feet.
  • Blood Pressure & Heart Disease: Uncontrolled high blood pressure (≥180/110 mmHg), recent cardiac event, stroke, unmanaged angina, or unapproved defibrillator.
  • Diabetes: Uncontrolled cases causing hypoglycemic episodes, or complications like neuropathy impairing safe driving.
  • Sleep Apnea & Respiratory Issues: Untreated apnea causing fatigue, or serious lung conditions reducing oxygen levels.
  • Neurological Disorders: Epilepsy (without exemptions), conditions causing sudden unconsciousness or tremors.
  • Substance Abuse: Current illegal drug use, alcohol addiction, or prescription abuse impacting driving abilities.
  • Psychiatric & Cognitive Disorders: Severe mental illness (e.g., untreated schizophrenia, severe bipolar) or cognitive deficits affecting decision-making.

Temporary vs. Permanent Disqualification: Some issues might temporarily disqualify you until clearance is given (e.g., stabilized hypertension). Others, like unmanaged epilepsy, might cause a permanent disqualification under FMCSA standards.

DOT Physical Exam Locations | CDL Medical Card Near You

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(800) 221-4291