Claycomo, MO DOT Physical - What You Need to Know
DOT physical examinations are comprehensive health assessments mandated by the Department of Transportation for CMV drivers. These evaluations verify that drivers are physically, mentally, and emotionally capable of safely managing large vehicles on public roadways. Conducted by certified medical examiners on the NRCME, successfully passing results in obtaining a DOT medical certificate, needed for a valid CDL under FMCSA rules. If assistance is required with DOT regulations, call 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
- Vision test (corrective lenses okay; minimum standards apply)
- Hearing test (forced whisper/audiometry)
- Blood pressure and pulse check
- Physical exam (systems check)
- Urinalysis (specific gravity, protein, glucose)
Upon successful completion, the Medical Examiner's Certificate (MEC) can be issued for up to 24 months. In some cases, shorter certification or specialist documentation might be required. This applies in the Claycomo, DC and beyond.
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 Claycomo, UT, be sure to adhere to specific state guidelines.
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What to bring with you to a DOT Physical?
- Government-issued identification with photo
- Spectacles/contact lenses and prescription
- Medication list with dosages
- CPAP usage records if relevant
- Specialist medical approvals (cardiology, sleep apnea, diabetes, etc.)
- Recent logs for A1C or blood pressure when monitored
Note: Claycomo, OR requires these for a smooth process.
What happens if I fail a DOT Physical?
- No medical card granted
- Temporary Eligibility Suspension
- Referral to your primary physician for treatment
- FMCSA Officail Medical Condition Exemptions
- Informed Employer
- Next Actions (address medical issues, reattempt exam)
In Claycomo, MT, adherence to these next steps is advised.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: A vision weaker than 20/40 per eye (with correction), issues recognizing traffic signal colors, or inability to hear a forced whisper from 5 feet.
- Blood Pressure & Heart Disease: High blood pressure (≥180/110 mmHg), recent cardiac incident, stroke, severe angina, or an implanted defibrillator without clearance.
- Diabetes: Poorly controlled diabetes with frequent hypoglycemic episodes or complications (neuropathy, vision curses) affecting safe driving.
- Sleep Apnea & Breathing Problems: Untreated obstructive sleep apnea causing daytime somnolence, or serious lung disease hindering oxygen intake.
- Neurological Conditions: Seizures/epilepsy (unless exempt), disorders causing sudden mightiness, disorientation, or uncontrolled movements.
- Substance Issues: Ongoing use of illicit substances, alcohol dependency, or prescription drug misuse affecting driving abilities.
- Mental & Cognitive Disorders: Severe psychiatric disorders that are uncontrolled (like schizophrenia, bipolar disorder episodes) or cognitive impairments hampering reaction and judgment.
Temporary vs. permanent qualification status can arise. Some conditions allow temporary disqualification till proper medical documentation is given, such as blood pressure control or diabetes management. Others, like untreated seizures or heart defibrillator implants, are generally deemed permanently disqualifying by FMCSA.
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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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