Shiloh, NC DOT Physical - What You Need to Know
A DOT physical is a thorough medical checkup mandated by the Department of Transportation (DOT) for all commercial motor vehicle (CMV) drivers. This examination verifies that 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 exam grants drivers a DOT medical certificate (Medical Examiners Certificate, also known as a DOT medical card), essential to maintain a valid CDL license under FMCSA guidelines. For assistance in determining which DOT physical applies to you, especially if regulated by a different DOT agency, 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
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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 Shiloh, 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?
A valid DOT medical card is mandatory if you:
- Operate a commercial driver's license (CDL) class A, B, or C for interstate travel
- Drive a vehicle exceeding 10,001 lbs. GVWR across state lines
- Transport over 8 paying passengers or more than 15 non-paying passengers
- Carry hazardous materials needing placards under DOT guidelines
- Work for DOT-regulated employers like FMCSA, FAA, FRA, FTA or USCG necessitating DOT medical certifications. Shiloh, NM drivers must comply.
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What to bring with you to a DOT Physical?
- State-issued photo ID
- Corrective lenses & prescription details
- Complete list of medicines & doses
- Data showing CPAP device usage (when relevant)
- Specialist approvals (cardiology, sleep apnea, diabetes, etc.)
- Recent A1C/blood pressure logs if tracked
Ensuring compliance within Shiloh, MS is crucial for adequate documentation at the exam.
What happens if I fail a DOT Physical?
- No issuance of Medical card
- Temporary disqualification from driving
- Recommendation for further treatment with your primary care provider
- Potential FMCSA exemptions for specific medical conditions
- Notification to employer regarding disqualification
- Next Steps: Address medical issues and retake the assessment
In Shiloh, AL, it is essential to address these issues promptly to resume professional driving.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Poor vision worse than 20/40 in each eye (with correction), inability to differentiate traffic signal colors, or hearing loss that restricts hearing a whisper at 5 feet.
- Blood Pressure & Heart Disease: Unmanaged hypertension (>=180/110 mmHg), recent heart attack, stroke, uncontrolled chest pain, or a defibrillator without approval.
- Diabetes: Poorly managed diabetes with frequent hypoglycemia or complications (neuropathy, eyesight issues) affecting safe driving.
- Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing daytime fatigue, or severe lung disease inhibiting oxygen exchange.
- Neurological Disorders: Epilepsy/seizure disorders (unless exempted), conditions leading to sudden consciousness loss, dizziness, or uncontrolled tremors.
- Substance Abuse: Current use of illegal substances, alcohol dependency, or misuse of prescribed drugs impairing driving.
- Psychiatric & Cognitive Disorders: Severe uncontrolled mental illnesses (e.g., schizophrenia, bipolar disorder with recent incidents) or cognitive difficulties affecting decision-making and reaction speed.
Temporary vs. Permanent Disqualification
Certain problems may temporarily disqualify you until you provide medical clearance (e.g., controlled high blood pressure, diabetes management). Others, such as untreated seizures or implanted defibrillators, are often considered permanently disqualifying based on FMCSA rules.
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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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