Hays, TX DOT Physical - What You Need to Know
A DOT physical is a thorough medical checkup mandated by the Department of Transportation (DOT) for all commercial motor vehicle (CMV) drivers. This examination verifies that professional drivers are physically, mentally, and emotionally capable of safely operating large vehicles on public roads. Conducted by a certified medical examiner (CME) listed on the National Registry of Certified Medical Examiners (NRCME), passing this exam grants drivers a DOT medical certificate (Medical Examiners Certificate, also known as a DOT medical card), essential to maintain a valid CDL license under FMCSA guidelines. For assistance in determining which DOT physical applies to you, especially if regulated by a different DOT agency, 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?
Health History Review
Vision Test
Hearing Test
Urinalysis
Vital Signs
Physical Examination
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What is checked in a DOT Physical?
- Review of health history and evaluation of medication
- Eye test (corrective eyewear permitted; minimal criteria must be met)
- Ear examination (forced whisper or hearing test)
- Measurement of blood pressure and pulse
- Physical inspection of body systems
- Urine analysis (checking specific gravity, protein, and sugar)
In Hays, IL, after passing, the Medical Examiner's Certificate (MEC) can be issued for up to 24 months. Certain conditions may warrant a shorter certification or necessitate specialist documentation.
Who needs a DOT Physical?
You must possess a valid DOT medical certificate if you:
- Hold a commercial driver's license (CDL) for interstate business, whether class A, B, or C
- Operate vehicles over 10,001 pounds GVWR interstate
- Transport 8+ passengers for hire or 15+ non-hire passengers
- Handle hazardous materials needing DOT placarding
- Work with employers governed by DOT agencies FMCSA, FAA, FRA, FTA or USCG requiring DOT medical qualification
In Hays, UT, be sure to adhere to specific state guidelines.
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What to bring with you to a DOT Physical?
- Valid government photo ID
- Eyewear or prescription contacts
- Current medication list with dosages
- CPAP use file if relevant
- Expert confirmations (heart, sleep, diabetes, etc.)
- Up-to-date A1C/blood pressure logs if being tracked
Important for the state of Hays, NH.
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)
Failing the exam means the driver has to address the medical issues before another attempt. Hays, RI drivers, like those in all states, must meet these criteria to ensure the safety of their commercial driving operations.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Failing to meet 20/40 vision standard in each eye with correction, inability to identify traffic signal colors, or hearing deficits that restrict forced whisper detection at 5 feet.
- Blood Pressure & Heart Disease: Uncontrolled high blood pressure (≥180/110 mmHg), recent cardiac event, stroke, unmanaged angina, or unapproved implanted defibrillator.
- Diabetes: Uncontrolled diabetes resulting in frequent low blood glucose incidents or complications (e.g., nerve or vision problems jeopardizing driving safety).
- Sleep Apnea & Respiratory Issues: Unaddressed sleep apnea causing daytime sleepiness, or severe lung disease interfering with proper oxygenation.
- Neurological Disorders: Epilepsy or other seizure conditions (barring exemptions), disorders causing sudden consciousness loss, dizziness, or tremors.
- Substance Abuse: Current illegal substance use, alcohol addiction, or misuse of prescriptions impairing driving abilities.
- Psychiatric & Cognitive Disorders: Uncontrolled serious psychiatric disorders (such as schizophrenia or bipolar events) or cognitive issues affecting judgment and reaction.
Temporary vs. Permanent Disqualification: Some problems may only temporarily disqualify until medical clearance or documentation is provided (e.g., controlled blood pressure). Others, like untreated seizure disorders or implanted defibrillators, are typically permanent disqualifications under FMCSA guidelines.
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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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