Lyons, OR DOT Physical - What You Need to Know
A DOT physical is an in-depth health check required by the Department of Transportation for all commercial vehicle operators. The purpose of this exam is to confirm that drivers are in good physical, mental, and emotional health to handle large vehicles safely on public thoroughfares. Certified medical examiners, registered on the National Registry of Certified Medical Examiners, conduct this examination. A successful exam grants drivers a DOT medical certificate, essential for holding a valid CDL license as per FMCSA standards. If your regulation falls under another DOT agency and you need guidance, 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 evaluation including medications
- Vision test (corrective lenses acceptable per standard)
- Hearing test (using whisper or audiometry)
- Measurement of blood pressure and pulse
- Comprehensive physical exam (system review)
- Urine analysis (checking specific gravity, protein, glucose)
On passing, a Medical Examiner's Certificate (MEC) can be issued for up to 24 months. In Lyons, MA, some conditions may lead to reduced certification period or need for specialist letters.
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
Lyons, RI and other states enforce these rules to ensure public safety on highways.
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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
Ensure all required documents are up-to-date, especially when operating outside your home state, like Lyons, HI.
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)
These are the potential outcomes specifically in Lyons, WI.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Vision worse than 20/40 in each eye (with correction), inability to distinguish traffic signal colors, or hearing loss that prevents hearing a forced whisper at 5 feet.
- Blood Pressure & Heart Disease: Uncontrolled hypertension (≥180/110 mmHg), recent heart attack, stroke, uncontrolled angina, or an implanted defibrillator without clearance.
- Diabetes: Uncontrolled diabetes with frequent low blood sugar episodes or complications (neuropathy, vision impairment) that interfere with safe driving.
- Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing daytime drowsiness, or severe lung disease impairing oxygenation.
- Neurological Disorders: Epilepsy/seizure disorders (unless exempted), conditions causing sudden loss of consciousness, dizziness, or uncontrolled tremors.
- Substance Abuse: Current use of illegal drugs, alcohol dependence, or misuse of prescription medications that impair driving.
- Psychiatric & Cognitive Disorders: Severe uncontrolled psychiatric illness (e.g., schizophrenia, bipolar disorder with recent episodes) or cognitive impairment affecting judgment and reaction time.
Temporary vs. Permanent Disqualification: Some issues may only temporarily disqualify you until you provide medical clearance or documentation (e.g., controlled blood pressure, diabetes management). Others, such as untreated seizure disorders or implanted defibrillators, are generally considered permanently disqualifying 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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