DOT Physical Exams - Saint Ignatius, MT

Saint Ignatius, MT DOT Physical - What You Need to Know

A DOT physical is an in-depth medical evaluation mandated by the Department of Transportation (DOT) for individuals driving commercial motor vehicles (CMVs). This examination ensures that these drivers have the requisite physical, mental, and emotional capabilities to operate large vehicles safely on public thoroughfares. A certified medical examiner (CME) registered with the National Registry of Certified Medical Examiners (NRCME) conducts the DOT physical. Successfully passing results in a DOT medical certificate (Medical Examiner's Certificate, also known as a DOT medical card), essential for holding a valid CDL license per FMCSA rules. If governed by another DOT agency and need help determining the necessary DOT physical, reach out to 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?

DOT Testing | DOT Breath Alcohol | DOT Consortium Services | MVR Reports Also Available

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

• Vision & Hearing: If vision is worse than 20/40 per eye (corrected) or unable to discern traffic lights; hearing cannot detect a forced whisper at 5 feet.
• Blood Pressure & Heart Disease: Unmanaged hypertension (≥180/110 mmHg), a recent heart episode or stroke, uncontrolled angina, or having an unsanctioned defibrillator.
• Diabetes: Unregulated diabetes with frequent hypoglycemia or complications like neuropathy or vision issues that hinder safe driving.
• Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing drowsiness or severe lung disease impairing oxygen levels.
• Neurological Disorders: Epilepsy/seizure disorders (without exemptions), conditions causing sudden consciousness loss or uncontrolled tremors.
• Substance Abuse: Current use of illegal substances, alcohol dependency, or misuse of prescription drugs that hinder driving abilities.
• Psychiatric & Cognitive Disorders: Severe uncontrolled mental illness (e.g., schizophrenia, bipolar with recent episodes) or cognitive issues affecting reaction time and judgment.

Under FMCSA rules, some issues may result in temporary disqualification while addressing them with medical documentation (e.g., controlled hypertension). Others, like untreated seizures or defibrillators, are considered generally permanently disqualifying.