DOT Physical Exams - Lake Preston, SD
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FMCSA | FAA | USCG | FTA | FRA | PHMSALake Preston, SD 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?
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. Lake Preston, NV regulations must also be considered.
Who needs a DOT Physical?
In Lake Preston, AL, a valid DOT medical certificate (card) is needed if you:
- Hold a commercial driver's license (CDL) class A, B, or C for interstate operations
- Drive a vehicle over 10,001 lbs. GVWR in interstate operations
- Transport more than 8 passengers (for hire) or more than 15 passengers (not for hire)
- Transport hazardous materials needing placarding under DOT rules
- Work for DOT agency-regulated employers, including FMCSA, FAA, FRA, FTA, or USCG, where DOT medical qualifications are necessary
What to bring with you to a DOT Physical?
- Official photo ID
- Eyeglasses/contact lenses & prescription notes
- Medication list & respective dosages
- CPAP compliance data (if applicable)
- Specialist endorsements (heart, sleep apnea, diabetes, etc.)
- Recent A1C/blood pressure records if tracking
What happens if I fail a DOT Physical?
- No medical card granted
- Temporary Eligibility Suspension
- Referral to your primary physician for treatment
- FMCSA Officail Medical Condition Exemptions
- Informed Employer
- Next Actions (address medical issues, reattempt exam)
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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