Hext, TX DOT Physical - What You Need to Know
The DOT physical is an in-depth health screening mandated by the U.S. Department of Transportation for drivers of commercial motor vehicles. This test is essential to ensure that drivers are fit physically, mentally, and emotionally to handle large vehicles safely on the highways. A certified medical examiner (CME) from the National Registry of Certified Medical Examiners (NRCME) conducts the assessment. Successfully passing the exam results in obtaining a DOT medical certificate, also known as a Medical Examiners Certificate or DOT medical card, necessary for keeping a CDL license valid under FMCSA rules. If you are subject to other DOT regulations and need help understanding the specific exam required, you can 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 history evaluation including medications
- Vision test (corrective lenses acceptable per standard)
- Hearing test (using whisper or audiometry)
- Measurement of blood pressure and pulse
- Comprehensive physical exam (system review)
- Urine analysis (checking specific gravity, protein, glucose)
On passing, a Medical Examiner's Certificate (MEC) can be issued for up to 24 months. In Hext, MA, some conditions may lead to reduced certification period or need for specialist letters.
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
Hext, DE enforcement ensures compliance.
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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 Hext, 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)
Hext, NV's specific protocols must be followed for resolution.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: If vision is worse than 20/40 in either eye with correction, inability to differentiate traffic light colors, or hearing loss stopping a forced whisper at 5 feet, it may affect qualification.
- Blood Pressure & Heart Disease: Unmanaged high blood pressure (≥180/110 mmHg), recent heart attack, stroke, unstable angina, or a non-cleared defibrillator placement can threaten eligibility.
- Diabetes: Poor diabetes control, recurrent hypoglycemia, or complications like neuropathy and visual issues that impact safe driving pose risks.
- Sleep Apnea & Respiratory Issues: Unaddressed sleep apnea causing daytime sleepiness or severe lung disease reducing oxygenation may lead to disqualification.
- Neurological Disorders: Epileptic or seizure disorders without exemption, or any condition causing unexpected consciousness loss, dizziness, or involuntary tremors can be disqualifying.
- Substance Abuse: Current use of illicit drugs, alcohol dependency, or prescription misuse impairing driving skills can result in immediate disqualification.
- Psychiatric & Cognitive Disorders: Serious psychiatric illnesses like untreated schizophrenia or recent severe bipolar episodes, as well as cognitive impairments impacting judgment, may result in disqualification.
Classification of disqualification into temporary or permanent is crucial. Conditions that might be temporarily disqualifying can be reversed with medical documentation or clearance (e.g., managed blood pressure or diabetes control). However, untreated seizure disorders or defibrillator implants are generally seen as permanently disqualifying under FMCSA rules.
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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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