DOT Physical Exams - Early, TX
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FMCSA | FAA | USCG | FTA | FRA | PHMSAEarly, TX DOT Physical - What You Need to Know
The Department of Transportation mandates a thorough health check-up for all commercial motor vehicle operators. The DOT physical is a key assessment to confirm that these drivers are safely equipped, both physically and mentally, to handle large vehicles on busy streets. Conducted by a certified medical professional listed in the National Registry, passing this test enables the issuance of a DOT medical certificate, necessary for maintaining a CDL license under FMCSA norms. If other DOT agencies regulate you, call 800-221-4291 for guidance.
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
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 use
- Eyesight test (corrective lenses accepted, minimum levels required)
- Hearing test (whisper test or audiometry)
- Blood pressure and pulse check
- Physical evaluation (systems assessment)
- Urine test (specific gravity, protein, glucose)
Upon successful completion, your Medical Examiner's Certificate (MEC) may be issued for up to 24 months, with the potential for shorter duration requiring specialist validation in Early, MS.
Who needs a DOT Physical?
In Early, WA, possessing a valid DOT medical certificate (card) is necessary if you:
- Hold a commercial driver's license (CDL)- class A, B, or C for cross-state trade
- Drive vehicles over 10,001 lbs. GVWR in cross-state trade
- Carry more than 8 passengers (for hire) or over 15 (not for hire)
- Transport hazardous materials needing DOT-regulated placarding
- Work under DOT agency regulations like FMCSA, FAA, FRA, FTA, or USCG requiring DOT medical credentials
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. Early, 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 will be issued
- Temporary disqualification
- Referral for treatment to your primary care doctor
- FMCSA exemptions for certain medical conditions
- Employer Notification
- Next Steps (address the medical issues and retake the exam)
Location: Early, OH
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Vision worse than 20/40 with correction, inability to differentiate traffic signal colors, or hearing loss stopping a forced whisper audibility at 5 feet.
- Blood Pressure & Heart Disease: Uncontrolled hypertension (≥180/110 mmHg), recent angina attack, stroke, or implanted defibrillator without approval.
- Diabetes: Poorly managed diabetes with recurrent low glucose episodes or complications like neuropathy affecting driving.
- Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing drowsiness, or severe lung disease limiting oxygenation.
- Neurological Disorders: Epilepsy or seizures (unless exempt), conditions causing sudden consciousness loss, dizziness, or uncontrolled tremors.
- Substance Abuse: Present use of illegal substances, alcohol dependency, or prescription medication misuse affecting driving ability.
- Psychiatric & Cognitive Disorders: Severe psychiatric disorders like schizophrenia or bipolar disorder and cognitive impairments impacting judgment and reaction speed.
Certain issues might cause temporary disqualification until medical clearance is provided (e.g., regulated blood pressure). Others, such as untreated seizures, are generally regarded as permanently disqualifying by FMCSA standards.
DOT Physical Exam Locations | CDL Medical Card Near You
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