Gerster, MO 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?
- Review of health history and evaluation of medication
- Eye test (corrective eyewear permitted; minimal criteria must be met)
- Ear examination (forced whisper or hearing test)
- Measurement of blood pressure and pulse
- Physical inspection of body systems
- Urine analysis (checking specific gravity, protein, and sugar)
In Gerster, IL, after passing, the Medical Examiner's Certificate (MEC) can be issued for up to 24 months. Certain conditions may warrant a shorter certification or necessitate specialist documentation.
Who needs a DOT Physical?
A current DOT medical certificate (card) is essential if you:
- Possess a commercial driver's license (CDL) of class A,B, or C for interstate business
- Operate a vehicle exceeding 10,001 lbs. GVWR in interstate commerce
- Carry more than 8 for-hire passengers or over 15 non-hire passengers
- Transport hazardous materials needing placarding under DOT norms
- Are employed by DOT-regulated entities like FMCSA, FAA, FRA, FTA, or USCG where medical qualification under DOT is necessary
Ensure fulfillment of these standards in Gerster, MO.
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What to bring with you to a DOT Physical?
- Official photo ID issued by government
- Glasses/contact lenses with prescription
- Medication list including doses
- Usage data for CPAP machines if needed
- Clearances from specialists like cardiology, sleep apnea, or diabetes experts
- Recent logs of A1C levels and blood pressure if monitored
State requirements in Gerster, SD mandate these items.
What happens if I fail a DOT Physical?
- No medical card issued
- Temporary disqualification
- Referral to your primary care for treatment
- FMCSA exemptions available for select medical issues
- Employer receives notification
- Next steps involve addressing medical concerns before retrying the exam
This is also applicable in Gerster, SD.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Less than 20/40 vision in both eyes, inability to distinguish traffic light colors, or inability to hear a forced whisper from 5 feet away.
- Blood Pressure & Heart Disease: Hypertension uncontrolled (≥180/110 mmHg), recent heart attack, uncontrolled angina, stroke, or an uncleared defibrillator.
- Diabetes: Uncontrolled diabetes resulting in low blood sugar episodes frequently or complications like neuropathy or impaired vision that hinder safe driving.
- Sleep Apnea & Respiratory Conditions: Untreated sleep apnea causing drowsiness during the day or severe lung conditions obstructing oxygenation.
- Neurological Conditions: Epilepsy or seizure disorders (unless exempt), or conditions leading to unconsciousness, dizziness, or uncontrolled shaking.
- Substance Misuse: Current illicit drug use, alcohol dependency, or abuse of prescription drugs impacting driving.
- Mental & Cognitive Disorders: Serious uncontrolled psychiatric conditions or cognitive impairments affecting judgment or reaction time.
Some matters might cause a temporary disqualification until medical documentation is supplied (controlled blood pressure, diabetes management). Others, like untreated seizures or defibrillators, are seen as 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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