DOT Physical Exams - Nags Head, NC
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FMCSA | FAA | USCG | FTA | FRA | PHMSANags Head, NC DOT Physical - What You Need to Know
A DOT physical is a thorough health assessment mandated by the Department of Transportation for those driving commercial motor vehicles. This examination certifies that drivers are capable, both physically and mentally, for the operation of heavy vehicles on public highways. A certified medical examiner, listed on the National Registry, conducts this evaluation. Success in the examination grants drivers a DOT medical card, essential for a valid CDL per FMCSA rules. If other DOT agency regulations apply to you and you need help understanding which DOT exam is necessary, 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?
Vision Test
Urinalysis
Physical Examination
DOT Testing | DOT Breath Alcohol | DOT Consortium Services | MVR Reports Also Available
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)
In Nags Head, WV, completion leads to a Medical Examiner's Certificate (MEC) valid for up to 24 months. Some conditions may require shorter certification or specialist documentation.
Who needs a DOT Physical?
You are required to hold a valid DOT medical certificate (card) if you:
- Own a commercial driver's license (CDL) class A, B, or C for inter-state business.
- Drive vehicles above 10,001 lbs. GVWR for inter-state business.
- Transport over eight passengers (if hired) or 15+ passengers (non-hire).
- Carry hazardous substances needing DOT compliance placarding.
- Work for employers under DOT bodies like FMCSA, FAA, or other where DOT medical clearance is essential in Nags Head, NC.
What to bring with you to a DOT Physical?
- Government ID photo
- Eyewear & prescriptions
- Current medication details
- CPAP usage data (if needed)
- Doctor approvals (for heart, apnea, diabetes)
- Recent A1C/blood pressure logs if watched
Be prepared in Nags Head, TX for your appointment.
What happens if I fail a DOT Physical?
- In Nags Head, TN, lack of a medical card issuance
- Faced with temporary exam disqualification
- Advised medical treatment via primary healthcare
- Possible FMCSA health exemptions
- Employer notified regarding outcomes
- Steps to proceed involve addressing health issues followed by exam retest
Nags Head, TN applicants must address disqualifying health aspects proactively to regain qualification status.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Vision worse than 20/40 in each eye (even with correction), difficulty in recognizing traffic signal colors, or hearing deficiency affecting a forced whisper at a 5-foot distance.
- Blood Pressure & Heart Disease: Hypertension (≥180/110 mmHg) not under control, recent heart attack or stroke, uncontrolled angina, or a defibrillator implant lacking approval.
- Diabetes: Poorly managed diabetes with recurrent low blood sugar or complications disrupting safe driving.
- Sleep Apnea & Respiratory Concerns: Untreated sleep apnea causing daytime sleepiness, or serious lung disease affecting oxygen levels.
- Neurological Disorders: Seizure disorders (exceptions allowed), conditions leading to loss of consciousness, dizziness, or uncontrolled tremors.
- Substance Abuse: Present illegal drug use, alcohol addiction, or misuse of medications affecting driving.
- Psychiatric & Cognitive Disorders: Severe psychiatric disorders not under control (e.g., schizophrenia, recent bipolar episodes) or cognitive decline influencing decision-making and response times.
Some conditions may cause temporary disqualification till medical approval or documentation is provided (e.g., managed blood pressure, diabetes handled well). Others, like untreated seizure disorders or unapproved implanted defibrillators, are typically considered permanently disqualifying under FMCSA standards.
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