DOT Physical Exams - Lexington, TX

Lexington, TX DOT Physical - What You Need to Know

A DOT physical is an all-encompassing medical check mandated by the Department of Transportation for every commercial motor vehicle (CMV) driver. This assessment is crucial to verify that professional drivers are physically, mentally, and emotionally prepared to operate large vehicles safely on public roads. Conducted by a certified medical examiner from the National Registry of Certified Medical Examiners, passing this exam grants drivers a DOT medical certificate (also known as a DOT medical card), required to keep a valid CDL license in accordance with FMCSA regulations. If another DOT agency regulates you and you need help finding out which DOT physical you require, please 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?

DOT Testing | DOT Breath Alcohol | DOT Consortium Services | MVR Reports Also Available

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

• Vision & Hearing: Visual acuity below 20/40 in either eye (even with correction), difficulty identifying traffic signal colors, or hearing issues preventing a forced whisper test at 5 feet may affect eligibility.
• Blood Pressure & Heart Disease: Hypertension exceeding 180/110 mmHg, recent cardiac events, or implantation of a defibrillator without appropriate medical clearance may be disqualifying.
• Diabetes: Poorly controlled blood sugar contributing to hypoglycemic episodes or other complications that impair safe driving is concerning.
• Sleep Apnea & Respiratory Problems: Untreated sleep apnea or significant lung disease leading to daytime fatigue or oxygen deficiency can impede eligibility.
• Neurological Disorders: Epilepsy (absent waivers), conditions causing sudden unconsciousness, or uncontrollable tremors constitute risks.
• Substance Misuse: Current illicit drug use, alcohol dependency, or prescription drug misuse affecting driving capabilities is disqualifying.
• Mental & Cognitive Disorders: Severe psychiatric conditions like untreated schizophrenia or significant cognitive decline affecting judgment may prevent certification.

With FMCSA, issues like certain seizure conditions or defibrillator use could permanently disqualify you unless addressed. Temporary disqualifications occur upon presenting specific medical documentation.