DOT Physical Exams - Alliance, NE

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4 DOT Drug-Testing Centers in Alliance

2091 Box Butte Ave Ste 7005.53 miles

2091 Box Butte Ave Ste 700
Alliance, NE 69301

2101 Box Butte Ave5.64 miles

2101 Box Butte Ave
Alliance, NE 69301

1313 S St30.79 miles

1313 S St
Bridgeport, NE 69336

3210 Avenue B45.89 miles

3210 Avenue B
Scottsbluff, NE 69361

Alliance, NE DOT Physical - What You Need to Know

A DOT physical is an in-depth medical evaluation required for all commercial motor vehicle (CMV) operators by the Department of Transportation (DOT). This assessment guarantees that professional drivers are fit physically, mentally, and emotionally to handle large vehicles on public highways safely. Certified medical examiners (CMEs) listed on the National Registry of Certified Medical Examiners (NRCME) conduct the DOT physical. Successfully passing the evaluation enables drivers to acquire a DOT medical certificate, also known as a DOT medical card, necessary to uphold a valid CDL license as per FMCSA regulations. If you're governed by a different DOT entity and need help figuring out which DOT physical is needed, you can 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

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


What is checked in a DOT Physical?

  • Review of health history and medication
  • Vision test (corrective lenses okay; minimum standards apply)
  • Hearing test (forced whisper/audiometry)
  • Blood pressure and pulse check
  • Physical exam (systems check)
  • Urinalysis (specific gravity, protein, glucose)

Upon successful completion, the Medical Examiner's Certificate (MEC) can be issued for up to 24 months. In some cases, shorter certification or specialist documentation might be required. This applies in the Alliance, DC and beyond.

Who needs a DOT Physical?

You must have a valid DOT medical certificate (card) if you:

  • Have a commercial driver's license (CDL)- class A, B, or C for interstate commerce
  • Drive a vehicle over 10,001 lbs. GVWR in interstate commerce
  • Transport more than 8 passengers (for hire) or more than 15 passengers (not for hire)
  • Transport hazardous materials that require placarding under DOT regulations
  • Work for employers regulated by DOT agencies such as FMCSA, FAA, FRA, FTA or USCG where DOT medical qualification is required

These regulations are especially notable in Alliance, PA.

What to bring with you to a DOT Physical?

  • State-issued identification photo
  • Corrective eyewear & prescription
  • Medication list with dosages
  • CPAP documentation if needed
  • Clearance letters from specialists (heart, apnea, diabetes)
  • Recent A1C/blood pressure logs, if tracked

Alliance, NE's regulations are relevant.

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 Alliance, KS

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

  • Vision & Hearing: Vision weaker than 20/40 in each eye even with correction, inability to recognize traffic light colors, or hearing deficiency that affects detecting a forced whisper at 5 feet.
  • Blood Pressure & Heart Disease: Unmanaged high blood pressure (≥180/110 mmHg), recent myocardial infarction, stroke, unaddressed angina, or a defibrillator implant without medical sign-off.
  • Diabetes: Uncontrolled diabetes accompanied by frequent hypoglycemia or complications like neuropathy or sight impairment that interfere with driving safety.
  • Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing drowsiness during the day, or severe pulmonary conditions affecting proper oxygenation.
  • Neurological Disorders: Epilepsy/seizure conditions (unless exempt), disorders causing unexpected unconsciousness, dizziness, or uncontrolled movements.
  • Substance Abuse: Current substance misuse, alcohol dependency, or use of prescriptions that reduce driving capability.
  • Psychiatric & Cognitive Disorders: Severe, unmanaged psychiatric disorders (e.g., active schizophrenia, bipolar disorder with recent episodes) or cognitive deficits that affect judgment and reflexes.

Some conditions might temporarily disqualify you until medical clearance or documentation is provided (e.g., regulated blood pressure, managed diabetes). Others, like untreated seizure disorders or implanted defibrillators, generally result in permanent disqualification as per FMCSA standards.

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(800) 221-4291