New York, TX DOT Physical - What You Need to Know
A DOT physical is an all-encompassing health assessment mandated by the Department of Transportation (DOT) for all commercial motor vehicle (CMV) operators. It confirms that professional drivers possess the physical, mental, and emotional fitness necessary to operate large vehicles safely on public highways. 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 for retaining a valid CDL license under FMCSA rules. If adherence to another DOT agency is required, and you need guidance on the appropriate DOT physical, 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 review and medication assessment
- Vision screening (corrective lenses allowed; minimum standards apply)
- Hearing assessment (forced whisper or audiometry)
- Blood pressure and pulse rate
- Physical examination (systems review)
- Urinalysis (specific gravity, protein, 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. New York, RI drivers should be aware of this process as it applies to all states.
Who needs a DOT Physical?
You must possess a valid DOT medical certificate (card) if you
- Hold a commercial driver's license (CDL)- class A, B, or C for interstate commerce
- Operate a vehicle exceeding 10,001 lbs. GVWR interstate
- Transport over 8 passengers (for hire) or over 15 (not for hire)
- Handle hazardous materials needing DOT placarding
- Work under DOT agency regulation like FMCSA, FAA, FRA, FTA, or USCG where medical qualification is mandated. New York, KY
DOT Physical Near New York, TX
Ben Wheeler-Edom, TX
Emerald Bay, TX
Chandler, TX
Edom, TX
Shadybrook, TX
Berryville, TX
Frankston, TX
Henderson, TX
Athens, TX
Coffee City, TX
Brownsboro, TX
Murchison, TX
La Rue-Poynor, TX
Poynor, TX
Moore Station, TX
What to bring with you to a DOT Physical?
- Official photo ID
- Eyeglasses/contact lenses & prescription notes
- Medication list & respective dosages
- CPAP compliance data (if applicable)
- Specialist endorsements (heart, sleep apnea, diabetes, etc.)
- Recent A1C/blood pressure records if tracking
Ensure all are valid for locations like New York, AK.
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)
Drivers in New York, WY should take note of these steps in the event of a failed exam.
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.
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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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