DOT Physical Exams - Castle, OK

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Castle, OK DOT Physical - What You Need to Know

DOT physical exams are thorough medical checks mandated by the Department of Transportation for drivers of commercial vehicles. These exams are vital to confirm drivers have the physical, mental, and emotional ability to drive on public roads safely. A certified medical examiner (CME) on the National Registry of Certified Medical Examiners (NRCME) conducts the test. A passing result earns a DOT Medical Certificate, required for holding a CDL under FMCSA rules. For inquiries about specific DOT exams, 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?

  • Review of health history and medications
  • Vision test (glasses allowed; minimum standards required)
  • Hearing check (forced whisper or audiometry used)
  • Blood pressure and heart rate measurements
  • Complete physical exam
  • Urinalysis to check specific gravity, protein, glucose

If successful, receive a Medical Examiner's Certificate (MEC) valid up to 24 months. Some cases may demand note or shorter duration. Castle, NE's rules apply.

Who needs a DOT Physical?

A current DOT medical certificate (card) is necessary if you:

  • Possess a CDL- class A, B, or C for interstate work
  • Operate vehicles exceeding 10,001 lbs. GVWR interstate
  • Convey more than 8 fare-paying passengers or over 15 non-fare passengers
  • Carry hazardous materials needing DOT placards
  • Are employed by companies under DOT regulation, like FMCSA, FAA, FRA, FTA, or USCG, requiring DOT medical approval in Castle, NY

What to bring with you to a DOT Physical?

  • Government-issued photo ID
  • Glasses/contacts & prescriptions
  • Medication list & dosages
  • CPAP usage data (if applicable)
  • Specialist clearances (cardiology, sleep apnea, diabetes, etc.)
  • Recent A1C/blood pressure logs if monitored

This pertains to all medical exams conducted in Castle, IA.

What happens if I fail a DOT Physical?

  • Failure to receive a Medical certificate
  • Temporary disqualification issued
  • Recommendation to seek medical treatment with your primary care provider
  • Eligible FMCSA waivers for certain medical conditions
  • Notification provided to employer about disqualification
  • Following procedure for addressing medical issues and re-scheduling the examination for reevaluation.

In Castle, CA, adhere to these steps should disqualification be the outcome.

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

  • Vision & Hearing: If vision is worse than 20/40 per eye (corrected) or unable to discern traffic lights; hearing cannot detect a forced whisper at 5 feet.
  • Blood Pressure & Heart Disease: Unmanaged hypertension (≥180/110 mmHg), a recent heart episode or stroke, uncontrolled angina, or having an unsanctioned defibrillator.
  • Diabetes: Unregulated diabetes with frequent hypoglycemia or complications like neuropathy or vision issues that hinder safe driving.
  • Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing drowsiness or severe lung disease impairing oxygen levels.
  • Neurological Disorders: Epilepsy/seizure disorders (without exemptions), conditions causing sudden consciousness loss or uncontrolled tremors.
  • Substance Abuse: Current use of illegal substances, alcohol dependency, or misuse of prescription drugs that hinder driving abilities.
  • Psychiatric & Cognitive Disorders: Severe uncontrolled mental illness (e.g., schizophrenia, bipolar with recent episodes) or cognitive issues affecting reaction time and judgment.

Under FMCSA rules, some issues may result in temporary disqualification while addressing them with medical documentation (e.g., controlled hypertension). Others, like untreated seizures or defibrillators, are considered generally permanently disqualifying.

DOT Physical Exam Locations | CDL Medical Card Near You

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(800) 221-4291