St. Paul, MO DOT Physical - What You Need to Know
A DOT physical is a detailed health evaluation mandated by the Department of Transportation for all commercial vehicle operators. This examination verifies that drivers are healthy enough, both physically and mentally, to operate large vehicles safely on public pathways. A certified medical examiner listed on the National Registry of Certified Medical Examiners conducts the DOT physical. Passing it enables drivers to obtain a DOT medical card, essential for maintaining a valid CDL under FMCSA guidelines. If uncertain about which DOT physical applies due to regulation by another DOT entity, 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?
- 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 in St. Paul, KS.
Who needs a DOT Physical?
You must possess a valid DOT medical certificate (card) if you
- Hold a commercial driver's license (CDL)- class A, B, or C for interstate commerce
- Operate a vehicle exceeding 10,001 lbs. GVWR interstate
- Transport over 8 passengers (for hire) or over 15 (not for hire)
- Handle hazardous materials needing DOT placarding
- Work under DOT agency regulation like FMCSA, FAA, FRA, FTA, or USCG where medical qualification is mandated. St. Paul, KY
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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 St. Paul, WA to avoid delays.
What happens if I fail a DOT Physical?
- No medical card will be granted
- Temporary disqualifications
- Referral to your primary clinician for treatment
- Possible FMCSA exceptions for specific health issues
- Alerting your employer
- Steps forward (resolve medical concerns and redo exam)
Be aware, in St. Paul, NC, it's crucial to address these concerns for a successful reassessment.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Vision below 20/40 in each eye (even with correction), inability to discern signal colors, or hearing inability to detect a whisper from 5 feet away.
- Blood Pressure & Heart Disease: Unmanaged hypertension (≥180/110 mmHg), recent heart events, stroke, uncontrolled angina, or non-cleared defibrillator implants.
- Diabetes: Poorly controlled diabetes with frequent hypoglycemia or complications that hinder safe operation.
- Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing fatigue, or severe pulmonary disease impairing oxygen levels.
- Neurological Disorders: Epilepsy or other seizure conditions (unless exempted), disorders causing sudden consciousness loss, vertigo, or tremors.
- Substance Abuse: Current use of illicit drugs, alcohol dependency, or misuse of prescriptions affecting driving capabilities.
- Psychiatric & Cognitive Disorders: Severe unmanaged psychiatric conditions or cognitive deficits that affect decision-making and reflexes.
Temporary vs. Permanent Disqualification: Some conditions might temporarily disqualify you until medical documentation is provided (e.g., hypertension control, diabetes management). Others, such as untreated seizures or defibrillators, are often deemed permanently disqualifying by FMCSA.
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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