Neches, TX DOT Physical - What You Need to Know
DOT Physical: A thorough health check mandated by the Department of Transportation (DOT) for commercial vehicle operators (CMV) ensures drivers are apt physically, mentally, and emotionally for operating massive vehicles safely on public routes. Conducted by a certified medical examiner (CME) on the National Registry of Certified Medical Examiners (NRCME), passing grants a DOT medical certificate, vital for holding a valid CDL per FMCSA rules. Need help determining which exam applies? Call 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 medications
- Vision check (corrective lenses allowed; must meet minimum standards)
- Hearing evaluation (such as forced whisper test)
- Blood pressure and pulse measurement
- Physical exam (including systems review)
- Urinalysis (for specific gravity, proteins, 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.
Location: Neches, OH
Who needs a DOT Physical?
In Neches, 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
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What to bring with you to a DOT Physical?
- Government-issued photo identification
- Eyeglasses/contact lenses & prescription
- Medication list & dosages
- CPAP use records (if applicable)
- Specialist medical clearances (cardiology, sleep apnea, diabetes, etc.)
- Recent A1C/blood pressure records if under monitoring. Neches, NJ.
What happens if I fail a DOT Physical?
- No Medical card will be issued
- Temporary disqualification notice
- Directed to consult your primary care provider
- Consider FMCSA exemptions for specific health issues
- Notification given to your employer
- Follow-up steps: address health concerns and schedule a retake of the exam
This process is in effect in Neches, ME.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Inability to achieve 20/40 vision in each eye even with correction, trouble distinguishing traffic signal colors, or hearing issues affecting a forced whisper test at 5 feet.
- Blood Pressure & Heart Disease: Blood pressure above 180/110 mmHg, recent heart attack or stroke, unchecked angina, or an implanted defibrillator lacking medical clearance.
- Diabetes: Unmanaged diabetes causing frequent hypoglycemia or issues like neuropathy and impaired vision affecting safe vehicle operation.
- Sleep Apnea & Respiratory Problems: Untreated obstructive sleep apnea leading to daytime sleepiness, or severe respiratory disease impacting oxygen levels.
- Neurological Disorders: Epilepsy or seizures without exemption, conditions resulting in unpredictable unconsciousness, dizziness, or tremors not under control.
- Substance Use: Use of illicit substances, alcohol addiction, or misuse of prescribed medications affecting driving abilities.
- Mental & Cognitive Disorders: Severe and unstable mental illnesses such as schizophrenia, bipolar disorder with recent episodes, or cognitive issues impacting decision-making and reaction times.
Temporary or permanent disqualification applies depending on the medical issue. Conditions such as seizure disorders without treatment or implanted defibrillators are typically deemed permanent disqualifications per FMCSA standards.
DOT Physical Exam Locations | CDL Medical Card Near You
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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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