Lexington, OR DOT Physical - What You Need to Know
A DOT physical is a thorough health evaluation necessitated by the Department of Transportation for every commercial motor vehicle operator. This checkup confirms that these drivers are capable physically, mentally, and emotionally to handle large vehicles on highways. Conducted by a certified medical examiner listed on the National Registry of Certified Medical Examiners, passing this assessment grants a DOT medical certificate, necessary for keeping a valid CDL as per FMCSA rules. For guidance on the proper DOT physical required for those governed by another 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?
- Review of health history and medication
- Vision test (corrective lenses okay; minimum standards apply)
- Hearing test (forced whisper/audiometry)
- Blood pressure and pulse check
- Physical exam (systems check)
- Urinalysis (specific gravity, protein, glucose)
Upon successful completion, the Medical Examiner's Certificate (MEC) can be issued for up to 24 months. In some cases, shorter certification or specialist documentation might be required. This applies in the Lexington, DC and beyond.
Who needs a DOT Physical?
To legally drive commercially in Lexington, TX, you need a valid DOT medical card if you:
- Hold a CDL (class A, B, or C) for interstate jobs
- Operate vehicles over 10,001 lbs. across state lines
- Transport more than 8 hired guests or 15 unpaid
- Carry placarded hazardous goods per DOT
- Work with DOT-governed employers like FMCSA, FAA, FRA, FTA, or USCG needing medical checks
DOT Physical Near Lexington, OR
Mayville, OR
Northwest Umatilla, OR
Hermiston, OR
Irrigon, OR
Stanfield, OR
Echo, OR
Arlington, OR
Condon, OR
Mikkalo, OR
Lonerock, OR
Boardman, OR
Olex, OR
Cecil, OR
Heppner, OR
Ione, OR
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 Lexington, IA.
What happens if I fail a DOT Physical?
- No issuance of Medical card
- Disqualified temporarily
- Doctor's referral for follow-up
- FMCSA offers exemptions for specific health conditions
- Employer and relevant parties notified
- Steps to address health concerns, retake the exam and meet Lexington, MD requirements
Understanding these elements will guide your actions following any disqualification or requirement for further medical evaluations.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Vision poorer than 20/40 in each eye even with correction, inability to differentiate traffic light colors, or hearing deficiency preventing detection of a forced whisper from 5 feet away.
- Blood Pressure & Heart Disease: Unmanaged hypertension (≥180/110 mmHg), recent myocardial infarction or stroke, uncontrolled angina, or having an unapproved defibrillator.
- Diabetes: Uncontrolled diabetes with recurrent hypoglycemia or issues like neuropathy that hinder safe driving.
- Sleep Apnea & Respiratory Issues: Untreated sleep apnea causing daytime drowsiness, or serious lung diseases affecting breathing.
- Neurological Disorders: Epilepsy (unless certified), conditions causing fainting or tremors.
- Substance Abuse: Ongoing illegal drug use, alcohol dependence, or misuse of prescriptions affecting driving ability.
- Psychiatric & Cognitive Disorders: Severe uncontrollable mental illnesses or cognitive disorders impacting judgment and response time.
Conditions can temporarily disqualify until medical clearance (e.g., regulated blood pressure), whereas others, like untreated seizures, may be permanent disqualifications under 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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