Power, MT DOT Physical - What You Need to Know
A DOT physical is an all-encompassing medical check mandated by the Department of Transportation for every commercial motor vehicle (CMV) driver. This assessment is crucial to verify that professional drivers are physically, mentally, and emotionally prepared to operate large vehicles safely on public roads. Conducted by a certified medical examiner from the National Registry of Certified Medical Examiners, passing this exam grants drivers a DOT medical certificate (also known as a DOT medical card), required to keep a valid CDL license in accordance with FMCSA regulations. If another DOT agency regulates you and you need help finding out which DOT physical you require, please 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. Power, NV regulations must also be considered.
Who needs a DOT Physical?
A valid DOT medical certification (card) is essential if you:
- Possess 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 over 8 passengers (for hire) or over 15 passengers (not for hire)
- Convey hazardous materials needing DOT placarding
- Are employed by companies governed by DOT bodies like FMCSA, FAA, FRA, FTA, or USCG for which DOT medical qualification is mandatory in Power, CT
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What to bring with you to a DOT Physical?
- Government-issued photo ID
- Eyewear and prescription
- Medication list with doses
- CPAP usage info (if needed)
- Specialist clearances (heart issues, sleep apnea, diabetes, etc.)
- Recent A1C and blood pressure logs if subject to monitoring
Location: Power, OH
What happens if I fail a DOT Physical?
- Issuance of Medical card denied
- Imposed temporary disqualification
- Directed to primary care doctor for treatment
- Seek FMCSA exemptions for specific health issues
- Notification to employer required
- Plan next actions (tackle medical concerns and retake the test)
Ensure compliance with Power, MO regulations and guidelines, and prepare for potential reevaluation as necessitated.
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 differentiate traffic signal colors, or an inability to hear a forced whisper at 5 feet.
- Blood Pressure & Heart Disease: Unmanaged hypertension (≥180/110 mmHg), recent heart attack or stroke, uncontrolled angina, or an implanted defibrillator without approval.
- Diabetes: Unmanaged diabetes with frequent hypoglycemic episodes or complications that affect safe driving.
- Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea leading to daytime sleepiness, or severe respiratory disease affecting oxygenation.
- Neurological Disorders: Epilepsy/seizure disorders (without exemption), conditions causing sudden consciousness loss, dizziness, or uncontrolled tremors.
- Substance Abuse: Current usage of illegal drugs, alcohol dependence, or misuse of prescription drugs that impair driving.
- Psychiatric & Cognitive Disorders: Severe unmanaged mental illness or cognitive dysfunction affecting judgment and response time.
Issues might only temporarily disqualify you until clearance or documentation is provided (e.g., controlled blood pressure, managed diabetes). Others, like untreated seizure disorders or implanted defibrillators, are usually permanently disqualifying under FMCSA rules.
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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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