DOT Physical Exams - Mission, SD

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Mission, SD DOT Physical - What You Need to Know

A DOT physical exam is an in-depth health evaluation mandated by the Department of Transportation for all commercial motor vehicle operators. This test ascertains the physical, mental, and emotional wellness required for safe operation of large vehicles on roads open to the public. Only certified medical examiners listed on the National Registry administer the DOT physical. Successful completion awards a DOT medical certificate, necessary for maintaining a valid CDL per FMCSA rules. For guidance on which DOT physical applies, particularly if you're in another DOT-regulated sector, give us a call 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

DOT Testing | DOT Breath Alcohol | DOT Consortium Services | MVR Reports Also Available


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 Mission, DC and beyond.

Who needs a DOT Physical?

You must possess a valid DOT medical certificate (card) if you:

  • Hold a commercial driver's license (CDL) - class A, B, or C for cross-state commerce
  • Operate a vehicle exceeding 10,001 lbs. GVWR across state lines
  • Carry more than 8 passengers (for hire) or over 15 passengers (not for hire)
  • Transport hazardous materials requiring DOT-compliant placards
  • Work in roles governed by DOT authorities such as FMCSA, FAA, FRA, FTA, or USCG mandating DOT medical qualification, inclusive of Mission, GA.

What to bring with you to a DOT Physical?

  • Government-issued photo ID from Mission, IN
  • Glasses/contacts with prescription
  • Medication list with dosages
  • Data on CPAP usage (if applicable)
  • Specialist clearances (cardiology, sleep, diabetes)
  • Recent A1C/blood pressure logs if tracked: Ensure to have these items for your DOT physical exam in Mission, IN.

What happens if I fail a DOT Physical?

  • No medical card issued
  • Temporary disqualification
  • Referral to your primary care for treatment
  • FMCSA exemptions available for select medical issues
  • Employer receives notification
  • Next steps involve addressing medical concerns before retrying the exam

This is also applicable in Mission, SD.

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

  • Vision & Hearing: Worse than 20/40 vision per eye (with correction), inability to discern traffic colors, or inability to hear a whisper at five feet.
  • Blood Pressure & Heart Disease: Uncontrolled hypertension (≥180/110), recent heart issues like attacks or strokes, or defibrillators needing clearance.
  • Diabetes: Issues with uncontrolled diabetes, such as frequent hypoglycemia or vision-affecting neuropathy.
  • Respiratory & Sleep: Untreated sleep apnea or significant lung disease causing day fatigue or low oxygen.
  • Neuro Disorders: Epilepsy/seizures (unless exempt), conditions with blackout risks or tremors.
  • Substance Issues: Illegal drug use, alcohol misuse, or problematic prescription medication usage.
  • Mental & Cognitive: Severe psychiatric conditions with recent episodes or impairments affecting decision-making.

Some cases can temporarily disqualify until medical documentation is provided (e.g., controlled blood pressure). Others, like untreated epilepsy or implanted defibrillators, are permanent disqualifications under FMCSA rules.

References:
- FMCSA Medical Examiner Physical Qualification Standards (§391.41)
- 49 CFR Part 391 - Qualification of Drivers
- Medical Examiner's Handbook
- FMCSA Driver Exemptions

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(800) 221-4291