DOT Physical Exams - Eden, NC
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FMCSA | FAA | USCG | FTA | FRA | PHMSAEden, NC DOT Physical - What You Need to Know
A DOT physical is an extensive health assessment mandated by the Department of Transportation (DOT) for all commercial motor vehicle (CMV) operators. This examination verifies that drivers are physically, mentally, and emotionally equipped to handle large vehicles on public roadways safely. A certified medical examiner (CME), listed in the National Registry of Certified Medical Examiners (NRCME), conducts the DOT physical. Success in the exam grants drivers a DOT medical certificate, or Medical Examiners Certificate, often referred to as a DOT medical card, necessary to uphold a valid CDL license per FMCSA guidelines. If you're subject to another DOT agency's regulation and require help identifying the required DOT physical, 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?
Vision Test
Urinalysis
Physical Examination
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What is checked in a DOT Physical?
- Review of health history and medication adjustment
- Vision exam (correction permitted, minimum set)
- Hearing test (forced whisper or audiometry possible)
- Check blood pressure and pulse
- Overall bodily assessment (comprehensive system review)
- Basic urinalysis (includes tests for specific gravity, protein, glucose)
Success in these can get you a Medical Examiner's Certificate (MEC) valid up to two years. Some conditions in Eden, NH could mean less time certified or need specialist's records for a shorter timeframe.
Who needs a DOT Physical?
Holding a valid DOT medical certificate (card) is imperative if you:
- Possess a commercial driver's license (CDL)- class A, B, or C for interstate commerce
- Operate a vehicle weighing over 10,001 lbs. gross vehicle weight rating in interstate commerce
- Transport more than 8 passengers for hire, or over 15 passengers not for hire
- Convey hazardous materials demanding placards under DOT rules
- Are employed by entities regulated under DOT agencies like FMCSA, FAA, FRA, FTA, or USCG, where DOT medical certification is necessary
What to bring with you to a DOT Physical?
- Official photo ID
- Eyeglasses/contact lenses & prescription notes
- Medication list & respective dosages
- CPAP compliance data (if applicable)
- Specialist endorsements (heart, sleep apnea, diabetes, etc.)
- Recent A1C/blood pressure records if tracking
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 Eden, WV, if you fail, you must address the medical conditions before retaking your DOT physical to obtain certification.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Cannot see better than 20/40 in each eye (with correction), unable to identify traffic signal colors, or hearing loss hindering the perception of a whispered voice from 5 feet away.
- Blood Pressure & Heart Issues: Uncontrolled high blood pressure (≥180/110 mmHg), recent heart attacks or strokes, unstable angina, or an unapproved defibrillator.
- Diabetes: Unmanaged diabetes with frequent hypoglycemia, or its complications disrupting driving capabilities.
- Sleep & Breathing: Untreated obstructive sleep apnea causing fatigue or severe pulmonary illness limiting oxygen intake.
- Neurological Concerns: Epilepsy/seizures without exemption, or conditions leading to sudden unconsciousness, lightheadedness, or involuntary trembling.
- Substance Issues: Illegal drug usage, alcohol addiction, or misuse of prescription drugs impairing driving ability.
- Mental & Cognitive Health: Serious psychiatric conditions (e.g., untreated schizophrenia, recent severe bipolar episodes) or cognitive decline which affects decision-making and reaction speed.
Certain conditions might temporarily disqualify until medical proof is presented (e.g., proper hypertension or diabetes management). Conditions like uncontrolled epilepsy or unrevised defibrillators are often seen as permanent disqualifications following FMCSA rules.
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