Tokio, ND DOT Physical - What You Need to Know
A DOT physical is an in-depth health check mandated by the Department of Transportation for all CMV operators. The examination verifies that these drivers are capable physically, mentally, and emotionally to control large vehicles safely on public roads. Conducted by a registered medical examiner on the NRCME, passing this exam permits drivers to obtain a DOT medical certificate. This is essential for maintaining a valid CDL under FMCSA requirements. For guidance on the correct DOT physical, please call 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)
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 in Tokio, KS.
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 Tokio, PA.
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What to bring with you to a DOT Physical?
- Government-issued photo ID
- Glasses/contact lenses & prescription
- List of medications & dosages
- CPAP usage information (if relevant)
- Specialist clearances (cardiology, sleep apnoea, diabetes, etc.)
- Recent A1C/blood pressure logs if monitored
In Tokio, LA, these items ensure the smooth processing of your medical requirements.
What happens if I fail a DOT Physical?
- No Medical card will be issued
- Temporary disqualification notice
- Directed to consult your primary care provider
- Consider FMCSA exemptions for specific health issues
- Notification given to your employer
- Follow-up steps: address health concerns and schedule a retake of the exam
This process is in effect in Tokio, ME.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Vision under 20/40 per eye (corrected), inability to differentiate traffic light colors, or hearing failure to detect a whisper at 5 feet.
- Blood Pressure & Heart Disease: Uncontrolled high blood pressure (≥180/110 mmHg), recent cardiac event, stroke, unmanaged angina, or unapproved defibrillator.
- Diabetes: Uncontrolled cases causing hypoglycemic episodes, or complications like neuropathy impairing safe driving.
- Sleep Apnea & Respiratory Issues: Untreated apnea causing fatigue, or serious lung conditions reducing oxygen levels.
- Neurological Disorders: Epilepsy (without exemptions), conditions causing sudden unconsciousness or tremors.
- Substance Abuse: Current illegal drug use, alcohol addiction, or prescription abuse impacting driving abilities.
- Psychiatric & Cognitive Disorders: Severe mental illness (e.g., untreated schizophrenia, severe bipolar) or cognitive deficits affecting decision-making.
Temporary vs. Permanent Disqualification: Some issues might temporarily disqualify you until clearance is given (e.g., stabilized hypertension). Others, like unmanaged epilepsy, might cause a permanent disqualification under FMCSA standards.
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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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