Cushing, TX DOT Physical - What You Need to Know
A DOT physical is an in-depth health check mandated by the Department of Transportation (DOT) for all commercial drivers. This assessment ensures that drivers are physically, mentally, and emotionally capable of managing large vehicles on public roads. A certified medical examiner (CME) listed on the NRCME conducts the exam. Passing results in obtaining a DOT medical card, essential for maintaining a valid CDL license under FMCSA regulations. Call us at 800-221-4291 if another DOT agency regulates you and you need guidance on the required exam.
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 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. Ensure compliance, especially in Cushing, PA.
Who needs a DOT Physical?
A valid DOT medical card is necessary if you:
- Hold a CDL-class A, B, or C for interstate trade
- Operate vehicles exceeding 10,001 lbs. GVWR across state lines
- Carry more than 8 passengers for pay or over 15 passengers unpaid
- Transport hazardous goods needing DOT permits
- Are employed by entities overseen by DOT divisions like FMCSA, FAA, FRA, FTA, or USCG requiring DOT medical eligibility.
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What to bring with you to a DOT Physical?
- State-issued photo ID
- Eye-wear & related prescriptions
- Medication names & dosages list
- Data on CPAP use (if relevant)
- Specialist approval (for heart, apnea, diabetes issues, etc.)
- Recent A1C/blood pressure records if monitored
Ensure all documents are ready for your examination in Cushing, WA to avoid delays.
What happens if I fail a DOT Physical?
- No issuance of Medical card
- Temporary disqualification status
- Recommendation to consult your primary healthcare provider
- Possibility for FMCSA exemptions for specific health conditions
- Notification to employer about your medical status
- Follow-up actions involve addressing medical concerns and taking the exam again
Cushing, UT regulations may also apply to your circumstances, affecting your path to requalification.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Visual acuity worse than 20/40 in each eye (with correction), inability to recognize traffic light colors, or hearing loss preventing understanding of a whisper at 5 feet.
- Blood Pressure & Heart Disease: Hypertension uncontrolled (≥180/110 mmHg), recent heart event, stroke, uncontrolled angina, or defibrillator without clearance.
- Diabetes: Diabetes not managed properly with frequent hypoglycemia or complications affecting safe driving.
- Sleep Apnea & Respiratory Issues: Untreated sleep apnea causing daytime sleepiness or severe lung disease impairing oxygen intake.
- Neurological Disorders: Epilepsy/seizures, or conditions with sudden consciousness loss, dizziness, or uncontrolled tremors without exemptions.
- Substance Abuse: Current illicit drug use, alcohol dependency, or prescription misuse affecting driving.
- Psychiatric & Cognitive Disorders: Serious untreated psychiatric conditions or cognitive problems impacting decision-making and reaction time.
Temporary vs. Permanent Disqualification: Some conditions may cause temporary disqualification until medical clearance (e.g., controlled blood pressure). Others, like untreated seizures or defibrillators, are generally permanently disqualifying under FMCSA.
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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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