Harmony, TN DOT Physical - What You Need to Know
A DOT physical is a detailed health check mandated by the Department of Transportation for all commercial drivers. This examination confirms that they are physically, mentally, and emotionally equipped for safe operation of large trucks and buses. A certified medical examiner from the NRCME conducts the examination. Successfully passing grants a DOT medical certificate, essential for retaining a CDL under FMCSA rules. For guidance on specific DOT physical requirements, contact 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 assessment review and medication evaluation
- Vision check (corrective eyewear permissible; basic standards applicable)
- Hearing test (whisper or audiometry)
- Blood pressure and pulse tracking
- Physical check (system evaluation)
- Urine test (specific gravity, protein, glucose)
In Harmony, NC, once completed successfully, the Medical Examiner's Certificate (MEC) can be valid for 24 months. Some cases may warrant shorter validity or specialist references.
Who needs a DOT Physical?
A valid DOT medical certificate (card) is essential if you:
- Hold a commercial driver's license (CDL) class A, B, or C for interstate trade
- Operate a vehicle exceeding 10,001 lbs GVWR in interstate trade
- Transport over 8 passengers (for hire) or more than 15 passengers (not for hire)
- Move hazardous goods needing placards as per DOT codes
- Work with employers overseen by DOT bodies like FMCSA, FAA, FRA, FTA, or USCG, where DOT medical qualification is mandatory
This requirement applies in Harmony, IL.
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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
Preparing these items in advance will facilitate the examination process. Harmony, RI residents and others should ensure they have these documents ready before attending their medical examination.
What happens if I fail a DOT Physical?
- No Medical card issued in Harmony, IN
- Temporary disqualification
- Referral to primary care physician for treatment
- FMCSA exemptions exist for some conditions
- Notification of employer
- Address medical issues and retake the exam in Harmony, IN to remain compliant.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Vision less than 20/40 in each eye (with correction), trouble distinguishing traffic signal colors, or hearing loss that prevents recognizing a forced whisper at 5 feet.
- Blood Pressure & Heart Disease: Unmanaged hypertension (≥180/110 mmHg), recent heart attack, stroke, uncontrolled angina, or an implanted defibrillator without approval.
- Diabetes: Uncontrolled diabetes with frequent hypoglycemia or complications (neuropathy, vision impairment) affecting safe driving.
- Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing daytime sleepiness, or severe respiratory diseases affecting oxygen levels.
- Neurological Disorders: Epilepsy or uncontrolled seizure disorders (unless exempted), conditions causing unexpected consciousness loss, dizziness, or uncontrolled tremors.
- Substance Abuse: Use of illicit drugs, alcohol dependence, or misuse of medications impairing driving abilities.
- Psychiatric & Cognitive Disorders: Severe untreated psychiatric illnesses (e.g., schizophrenia, bipolar disorder with recent episodes) or cognitive impairments affecting judgment and response time.
Temporary issues may temporarily disqualify you until you provide the necessary medical clearance or documentation (e.g., controlled blood pressure, diabetes management). Other conditions, such as untreated seizure disorders or implanted defibrillators, are usually considered permanently disqualifying according to 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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