Holt, MO DOT Physical - What You Need to Know
A comprehensive health exam mandated by the Department of Transportation is essential for every commercial motor vehicle operator. This assessment verifies that drivers are physically, mentally, and emotionally capable of handling large trucks or buses on highways. Conducted by a medical examiner certified and listed on the NRCME, passing this exam awards a DOT medical certificate. For DOT agency queries on required exams, 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?
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 medications
- Vision test (with corrective lenses allowed) meeting minimum standards
- Hearing examination (via forced whisper or audiometry)
- Blood pressure and pulse measurement
- Full physical examination (systems checked)
- Urinalysis (testing for specific gravity, protein, glucose)
After successful completion, the Medical Examiner's Certificate could be valid for up to 24 months. Some conditions might prompt shorter certification or need specialist input. Stay informed in Holt, FL.
Who needs a DOT Physical?
You must prove an active DOT medical certificate (card) in cases like these:
- Ownership of a commercial driver's license (CDL)- class A, B, or C for crossing state lines
- Piloting any vehicle beyond 10,001 pounds GVWR during interstate duties
- Conveying more than 8 passengers (paid) or upward of 15 (non-paid)
- Transporting hazardous substances needing DOT sign off
- Employment under DOT agency rules like FMCSA, FAA, FRA, FTA, or USCG in Holt, NH requesting DOT health competency
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What to bring with you to a DOT Physical?
- State-issued photo ID
- Eye-wear & related prescriptions
- Medication names & dosages list
- Data on CPAP use (if relevant)
- Specialist approval (for heart, apnea, diabetes issues, etc.)
- Recent A1C/blood pressure records if monitored
Ensure all documents are ready for your examination in Holt, WA to avoid delays.
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 Holt, KS
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Failing to meet 20/40 vision standard in each eye with correction, inability to identify traffic signal colors, or hearing deficits that restrict forced whisper detection at 5 feet.
- Blood Pressure & Heart Disease: Uncontrolled high blood pressure (≥180/110 mmHg), recent cardiac event, stroke, unmanaged angina, or unapproved implanted defibrillator.
- Diabetes: Uncontrolled diabetes resulting in frequent low blood glucose incidents or complications (e.g., nerve or vision problems jeopardizing driving safety).
- Sleep Apnea & Respiratory Issues: Unaddressed sleep apnea causing daytime sleepiness, or severe lung disease interfering with proper oxygenation.
- Neurological Disorders: Epilepsy or other seizure conditions (barring exemptions), disorders causing sudden consciousness loss, dizziness, or tremors.
- Substance Abuse: Current illegal substance use, alcohol addiction, or misuse of prescriptions impairing driving abilities.
- Psychiatric & Cognitive Disorders: Uncontrolled serious psychiatric disorders (such as schizophrenia or bipolar events) or cognitive issues affecting judgment and reaction.
Temporary vs. Permanent Disqualification: Some problems may only temporarily disqualify until medical clearance or documentation is provided (e.g., controlled blood pressure). Others, like untreated seizure disorders or implanted defibrillators, are typically permanent disqualifications under FMCSA guidelines.
DOT Physical Exam Locations | CDL Medical Card Near You
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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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