DOT Physical Exams - Texas
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Texas DOT Physical - What You Need to Know
A DOT physical is a thorough health assessment mandated by the Department of Transportation for all commercial vehicle operators. This evaluation confirms that drivers are fit in all aspects to safely handle large trucks on public highways. Certified medical professionals on the National Registry conduct the exam. Success results in a DOT medical certificate, crucial for maintaining a valid CDL as per FMCSA. Need more details? 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?
- Review of health history & meds
- Checking vision (glasses ok; must meet standards)
- Testing hearing (via whisper or audiometry)
- Monitoring blood pressure & pulse
- Examining physical systems
- Urinalysis (for glucose, protein, specific gravity)
Completion in Texas might allow for a Medical Examiner's Certificate (MEC) up to 24 months. Certain conditions may call for shorter certification or additional specialist documents.
Who needs a DOT Physical?
To legally drive commercially in Texas, you need a valid DOT medical card if you:
- Hold a CDL (class A, B, or C) for interstate jobs
- Operate vehicles over 10,001 lbs. across state lines
- Transport more than 8 hired guests or 15 unpaid
- Carry placarded hazardous goods per DOT
- Work with DOT-governed employers like FMCSA, FAA, FRA, FTA, or USCG needing medical checks
What to bring with you to a DOT Physical?
- Government ID photo
- Eyewear & prescriptions
- Current medication details
- CPAP usage data (if needed)
- Doctor approvals (for heart, apnea, diabetes)
- Recent A1C/blood pressure logs if watched
Be prepared in Texas for your appointment.
What happens if I fail a DOT Physical?
- Without a medical card
- Face temporary barring
- Doctor-referred treatment needed
- FMCSA exceptions for specific conditions
- Notifying your employer
- Next steps: fix health issues and retake exam
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Vision less than 20/40 (with aid), trouble identifying signal colors, or hearing deficiency for a whisper at 5 feet hinder driving.
- Blood Pressure & Heart Disease: High blood pressure (≥180/110 mmHg), recent cardiovascular events, or implanted devices may disqualify.
- Diabetes: Unmanaged diabetes with frequent hypo events or complications like neuropathy may affect driving ability.
- Sleep Apnea & Respiratory Issues: Untreated conditions causing drowsiness or severe lung impairments could disqualify.
- Neurological Disorders: Seizure disorders or conditions causing unconsciousness affect eligibility unless exempted.
- Substance Abuse: Current illegal substances, alcohol dependency, or misuse of meds compromise safe driving.
- Psychiatric & Cognitive Disorders: Severe mental illness or cognitive decline that affects decision-making may result in disqualification.
Temporary vs. Permanent Disqualification: Some medical issues may result in a temporary ban until cleared by a physician. Others, like untreated seizure disorders, usually lead to permanent disqualification as per FMCSA standards.
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