DOT Physical Exams - Alton, MO

Alton, MO DOT Physical - What You Need to Know

A DOT physical is an in-depth health evaluation mandated by the Department of Transportation for all drivers of commercial motor vehicles. This examination certifies that drivers are equipped physically, mentally, and emotionally to handle large vehicles on public streets safely. A medical examiner, verified by the National Registry of Certified Medical Examiners, conducts this test. Successful completion allows drivers to obtain a DOT medical certificate, necessary for keeping a valid CDL license in compliance with FMCSA regulations.

If regulated by another DOT body and need help recognizing the necessary physical, dial 800-221-4291 for assistance.

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?

DOT Testing | DOT Breath Alcohol | DOT Consortium Services | MVR Reports Also Available

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

• Vision & Hearing: Vision weaker than 20/40 in each eye even with correction, inability to recognize traffic light colors, or hearing deficiency that affects detecting a forced whisper at 5 feet.
• Blood Pressure & Heart Disease: Unmanaged high blood pressure (≥180/110 mmHg), recent myocardial infarction, stroke, unaddressed angina, or a defibrillator implant without medical sign-off.
• Diabetes: Uncontrolled diabetes accompanied by frequent hypoglycemia or complications like neuropathy or sight impairment that interfere with driving safety.
• Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing drowsiness during the day, or severe pulmonary conditions affecting proper oxygenation.
• Neurological Disorders: Epilepsy/seizure conditions (unless exempt), disorders causing unexpected unconsciousness, dizziness, or uncontrolled movements.
• Substance Abuse: Current substance misuse, alcohol dependency, or use of prescriptions that reduce driving capability.
• Psychiatric & Cognitive Disorders: Severe, unmanaged psychiatric disorders (e.g., active schizophrenia, bipolar disorder with recent episodes) or cognitive deficits that affect judgment and reflexes.

Some conditions might temporarily disqualify you until medical clearance or documentation is provided (e.g., regulated blood pressure, managed diabetes). Others, like untreated seizure disorders or implanted defibrillators, generally result in permanent disqualification as per FMCSA standards.