Only, TN DOT Physical - What You Need to Know
A DOT physical is an extensive health assessment mandated by the Department of Transportation (DOT) for all commercial motor vehicle (CMV) operators. This examination verifies that drivers are physically, mentally, and emotionally equipped to handle large vehicles on public roadways safely. A certified medical examiner (CME), listed in the National Registry of Certified Medical Examiners (NRCME), conducts the DOT physical. Success in the exam grants drivers a DOT medical certificate, or Medical Examiners Certificate, often referred to as a DOT medical card, necessary to uphold a valid CDL license per FMCSA guidelines. If you're subject to another DOT agency's regulation and require help identifying the required DOT physical, 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 Only, 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?
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
Only, NV specifications should be adhered to.
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What to bring with you to a DOT Physical?
- Official photo ID issued by the government
- Prescription glasses/contact lenses with prescription details
- List of all medications and dosages
- Data on CPAP usage (if applicable)
- Clearances from specialists (e.g., cardiology, sleep apnea, diabetes, etc.)
- Recent A1C/blood pressure logs if applicable
Ensure to bring these documents to your DOT physical in Only, AL to facilitate the process.
What happens if I fail a DOT Physical?
- No Medical card will be distributed
- Disqualification may be temporary
- You may be directed to get treatment by your primary healthcare provider
- FMCSA exceptions exist for specific health conditions
- Notification to your employer
- Your next step involves addressing the medical issues and retaking the exam
Failing to meet medical standards in Only, MI could involve temporary disqualification with a chance for reinstatement upon meeting health criteria or permanent disqualification for certain conditions, requiring corrective measures for retesting.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Visual acuity below 20/40 in either eye (even with correction), difficulty identifying traffic signal colors, or hearing issues preventing a forced whisper test at 5 feet may affect eligibility.
- Blood Pressure & Heart Disease: Hypertension exceeding 180/110 mmHg, recent cardiac events, or implantation of a defibrillator without appropriate medical clearance may be disqualifying.
- Diabetes: Poorly controlled blood sugar contributing to hypoglycemic episodes or other complications that impair safe driving is concerning.
- Sleep Apnea & Respiratory Problems: Untreated sleep apnea or significant lung disease leading to daytime fatigue or oxygen deficiency can impede eligibility.
- Neurological Disorders: Epilepsy (absent waivers), conditions causing sudden unconsciousness, or uncontrollable tremors constitute risks.
- Substance Misuse: Current illicit drug use, alcohol dependency, or prescription drug misuse affecting driving capabilities is disqualifying.
- Mental & Cognitive Disorders: Severe psychiatric conditions like untreated schizophrenia or significant cognitive decline affecting judgment may prevent certification.
With FMCSA, issues like certain seizure conditions or defibrillator use could permanently disqualify you unless addressed. Temporary disqualifications occur upon presenting specific medical documentation.
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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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