Olden, TX DOT Physical - What You Need to Know
A DOT physical examination is a detailed health check mandated by the Department of Transportation (DOT) for all commercial motor vehicle (CMV) operators. This test confirms that drivers have the physical, mental, and emotional capability to safely manage large vehicles on public highways. Conducted by a certified medical examiner (CME) listed in the National Registry of Certified Medical Examiners (NRCME), passing the examination grants drivers a DOT medical certificate, also known as a Medical Examiner's Certificate or DOT medical card, necessary to uphold a valid CDL license as per FMCSA standards. If another DOT agency regulates you and you require guidance on which DOT physical you need, 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
DOT Testing | DOT Breath Alcohol | DOT Consortium Services | MVR Reports Also Available
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 Olden, 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 (card) 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 for interstate travel
- Transport over 8 passengers (for hire) or more than 15 passengers (not for hire)
- Handle hazardous materials that require placarding under DOT rules
- Work for employers governed by DOT bodies such as FMCSA, FAA, FRA, FTA, or USCG where DOT medical certification is necessary
Including criteria for Olden, IA.
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What to bring with you to a DOT Physical?
- Official photo ID issued by government
- Glasses/contact lenses with prescription
- Medication list including doses
- Usage data for CPAP machines if needed
- Clearances from specialists like cardiology, sleep apnea, or diabetes experts
- Recent logs of A1C levels and blood pressure if monitored
State requirements in Olden, SD mandate these items.
What happens if I fail a DOT Physical?
- No Medical card issued
- Temporary disqualification
- Referral for treatment to your primary care doctor
- FMCSA exemptions for certain medical conditions
- Employer Notification
- Next Steps (address medical issues & retake the exam)
These procedures apply for medical exams in Olden, IA.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Fail to see 20/40 each eye (even with correction) or can't identify traffic signal colors; Hearing issues preventing a forced whisper at 5 ft.
- Blood Pressure & Heart Disease: High BP (≥180/110), a recent heart attack, stroke, uncontrolled angina, or an implanted defibrillator lacking medical clearance.
- Diabetes: Poorly controlled diabetes with complications like low blood sugar episodes, neuropathy, or visual impairment hampering safe driving.
- Sleep Apnea & Respiratory: Untreated sleep apnea causing day sleepiness or a severe lung disease.
- Neurological Disorders: Epilepsy unless exempt, conditions leading to sudden unconsciousness, dizziness, or uncontrolled tremors.
- Substance Abuse: Illegal drug use, alcohol addiction, or misuse of prescriptions impairing driving.
- Psychiatric & Cognitive: Severe mental illnesses like unmanaged schizophrenia or bipolar, or cognitive decline affecting judgment and responses.
Issues may temporarily disqualify you until providing clearance (e.g., managed blood pressure). Others, like untreated seizures or defibrillators, are often permanently disqualifying under 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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