Lamar, OK DOT Physical - What You Need to Know
A DOT physical is an in-depth medical evaluation required for all commercial motor vehicle (CMV) operators by the Department of Transportation (DOT). This assessment guarantees that professional drivers are fit physically, mentally, and emotionally to handle large vehicles on public highways safely. Certified medical examiners (CMEs) listed on the National Registry of Certified Medical Examiners (NRCME) conduct the DOT physical. Successfully passing the evaluation enables drivers to acquire a DOT medical certificate, also known as a DOT medical card, necessary to uphold a valid CDL license as per FMCSA regulations. If you're governed by a different DOT entity and need help figuring out which DOT physical is needed, you can 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?
- Review of health history and medication assessment
- Eye test (glasses or contacts permitted; minimal criteria apply)
- Hearing examination (forced whisper or audiogram)
- Monitoring blood pressure and heart rate
- Full body examination (systematic review)
- Urine test (checking specific gravity, proteins, sugars)
If passed, the Medical Examiner's Certificate (MEC) is valid up to 24 months; some health conditions could require shorter certification or specialist validation. Lamar, NM can present unique challenges for drivers.
Who needs a DOT Physical?
You must prove an active DOT medical certificate (card) in cases like these:
- Ownership of a commercial driver's license (CDL)- class A, B, or C for crossing state lines
- Piloting any vehicle beyond 10,001 pounds GVWR during interstate duties
- Conveying more than 8 passengers (paid) or upward of 15 (non-paid)
- Transporting hazardous substances needing DOT sign off
- Employment under DOT agency rules like FMCSA, FAA, FRA, FTA, or USCG in Lamar, NH requesting DOT health competency
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What to bring with you to a DOT Physical?
- Government-issued photo
- Glasses/contacts & prescription
- List of medications & dosages
- CPAP usage data (if applicable)
- Specialist clearances (cardiology, sleep apnea, diabetes, etc.)
- Recent A1C/blood pressure logs if monitored
Make sure to have these documents ready, especially in Lamar, PA, to ensure smooth processing during your medical exam.
What happens if I fail a DOT Physical?
- No Medical card will be issued
- Temporary disqualification
- Referral for treatment to your primary care doctor
- FMCSA exemptions for certain medical conditions
- Employer Notification
- Next Steps (address the medical issues and retake the exam)
After addressing any disqualifying medical issues, ensure to have your exam retaken in Lamar, SC for reevaluation.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Fail to see 20/40 each eye (even with correction) or can't identify traffic signal colors; Hearing issues preventing a forced whisper at 5 ft.
- Blood Pressure & Heart Disease: High BP (≥180/110), a recent heart attack, stroke, uncontrolled angina, or an implanted defibrillator lacking medical clearance.
- Diabetes: Poorly controlled diabetes with complications like low blood sugar episodes, neuropathy, or visual impairment hampering safe driving.
- Sleep Apnea & Respiratory: Untreated sleep apnea causing day sleepiness or a severe lung disease.
- Neurological Disorders: Epilepsy unless exempt, conditions leading to sudden unconsciousness, dizziness, or uncontrolled tremors.
- Substance Abuse: Illegal drug use, alcohol addiction, or misuse of prescriptions impairing driving.
- Psychiatric & Cognitive: Severe mental illnesses like unmanaged schizophrenia or bipolar, or cognitive decline affecting judgment and responses.
Issues may temporarily disqualify you until providing clearance (e.g., managed blood pressure). Others, like untreated seizures or defibrillators, are often permanently disqualifying 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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