DOT Physical Exams - South Carolina
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South Carolina DOT Physical - What You Need to Know
DOT physical exams are thorough check-ups required by the Department of Transportation for commercial vehicle drivers. These evaluations confirm drivers' physical, mental, and emotional capacity to safely handle hefty vehicles on public highways. Conducted by a Certified Medical Examiner from the National Registry, passing grants a DOT medical certificate, necessary for a valid CDL per FMCSA rules. For guidance on specific requirements, 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?
Vision Test
Urinalysis
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 South Carolina.
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 in South Carolina
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 necessary documents and equipment are with you when attending your exam in South Carolina.
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 South Carolina 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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Please select a city from the list below to find drug test centers in South Carolina.
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Frequently Asked Questions
Customer Reviews
Hassle Free Experience
It was easy to make the arrangements to get to someone in regards to renewing my DOT medical certificate. They took care of everything over the phone which made my experience hassle free. I will definitely be using them again and you should too.
Jim Raymond - 10/18/2024
Super helpful and courteous
I've had to use this service twice for out of state physicians we've hired and both times it was super easy. Both customer service reps I spoke with were super helpful and courteous. I won't hesitate to use their service again if needed.
Alicia Rau - 6/19/2024
I love the customer service
I love the customer service. The lady was patient enough to help me book my appointment with ease and ensuring I get the location that's best for me. Keep up the good work!
Elizabeth Chiaka - 9/19/2024
Extremely polite
They were very fast extremely polite walked you through every detail of the process if you had any questions they had no problems answering
Billy Williams - 2/19/2025
Friendly and Knowledgeable
I reached out Accredited Drug Testing/Secure Screenings to partner for my drug testing business (Discovery Diagnostics Columbia SC) and the process was extremely easy. I worked with Sicilia who was amazing. She was friendly & knowledgeable, and answer all of my questions with ease.
Kendra Harley - 3/26/2025
Fast and easy
It was fast and easy a pleasure to talk to the customer service people great service
Peter Villegas - 1/19/2025
Accredited has been wonderful to work with!
Accredited has been wonderful to work with! My court ordered tests are on a very strange schedule but every time I call, they are quick to schedule me and are always able to find a location that works for where I’m at and when! Thank you for making this rather undesirable situation less stressful and efficient.
Madison Sanderford - 8/19/2024
they have made my job much easier
I always have a good experience setting up company driver drug screens through ADT. I'm really happy I found them while searching online, they have made my job much easier.
Exodus Heath - 2/13/2025
quick to assist
They are very quick to assist with your orders and they helped when I needed to find a new testing facility.
Gary Matkin - 2/19/2025
Had very fast and good service
Had very fast and good service, was able to get an appointment same day with the nearest facility. My questions were answered thoroughly but quick. Definitely recommend
Jacob Matzke - 11/19/2024