Otway, NC DOT Physical - What You Need to Know
A comprehensive medical evaluation known as a DOT physical is necessary for all commercial motor vehicle drivers, mandated by the Department of Transportation (DOT). This examination checks if professional drivers are physically, mentally, and emotionally capable of safely operating large vehicles on public roads.
Conducted by a certified medical examiner (CME) listed on the National Registry of Certified Medical Examiners (NRCME), passing this examination allows drivers to obtain a DOT medical certificate, which is needed to keep a valid CDL license in accordance with FMCSA regulations. For guidance on the appropriate DOT physical, if regulated by another DOT agency, 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?
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)
In Otway, MN, 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
Who needs a DOT Physical?
You need a valid DOT medical card if you:
- Hold an Otway, IN CDL for interstate commerce (class A, B, or C)
- Operate a vehicle over 10,001 lbs. GVWR in interstate commerce
- Transport more than 8 passengers (for hire) or 15+ passengers (not for hire)
- Carry hazardous materials necessitating DOT placarding
- Work for DOT-regulated employers like FMCSA, FAA, FRA, FTA, USCG, where medical qualification is mandatory
DOT Physical Near Otway, NC
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What to bring with you to a DOT Physical?
- Government-issued ID
- Eyewear and its prescription
- Medication list with doses
- CPAP machine data, if used
- Specialist approvals (cardiac issues, sleep apnea, diabetes, etc.)
- Recent A1C/blood pressure logs, if monitored
Ensure these items are prepared before your Otway, MD DOT examination to prevent potential delays or issues in the process.
What happens if I fail a DOT Physical?
- In Otway, 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
Otway, 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: Less than 20/40 in each eye (corrected), can't discern traffic signal hues, or hearing incapable of detecting a forced whisper at 5 feet.
- Blood Pressure & Heart Disease: Uncontrolled hypertension (≥180/110 mmHg), recent myocardial infarction or stroke, unmanaged angina, or an implanted defibrillator lacking approval.
- Diabetes: Uncontrolled diabetes leading to hypoglycemic incidents or complications (neuropathy, vision issues) impeding safe driving.
- Sleep Apnea & Respiratory Issues: Untreated sleep apnea causing daytime fatigue, or grave lung disorder hindering oxygen levels.
- Neurological Disorders: Epilepsy/seizure disorders (unless exempt), illnesses causing abrupt blackout, dizziness, or uncontrolled shaking.
- Substance Abuse: Ongoing illegal drug use, alcoholism, or prescription misuse hindering driving ability.
- Psychiatric & Cognitive Disorders: Severe unmanaged psychiatric condition (e.g., schizophrenia, recent bipolar episodes) or cognitive decline affecting judgment.
Temporary and Permanent Disqualification: Some issues might merely temporarily disqualify until clearance or documents available (e.g., managed blood pressure, diabetes); others like unmediated seizures or implanted defibrillators often permanently disqualify per FMCSA guidelines.
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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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