Cave Spring, VA DOT Physical - What You Need to Know
DOT physicals are thorough health evaluations mandated by the Department of Transportation for CMV drivers. These evaluations verify that drivers are capable of safely operating large vehicles on public roads. A certified medical examiner, listed on the National Registry of Certified Medical Examiners, performs this exam. Passing it earns a DOT medical certificate, needed to keep a valid CDL license under FMCSA rules. For guidance on your specific DOT physical, call 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?
- Medical history and drug review
- Vision test (corrective lenses permissible; must meet basic criteria)
- Hearing test (whisper test or audiometry)
- Monitoring of blood pressure & pulse
- Comprehensive physical assessment
- Urine test (specific gravity, protein, glucose)
After clearing the exam, a Medical Examiner's Certificate (MEC) can be granted for up to two years. Specific health issues might warrant shorter certification terms or additional specialist documentation required in Cave Spring, NY.
Who needs a DOT Physical?
A valid DOT medical card is mandatory if you:
- Operate a commercial driver's license (CDL) class A, B, or C for interstate travel
- Drive a vehicle exceeding 10,001 lbs. GVWR across state lines
- Transport over 8 paying passengers or more than 15 non-paying passengers
- Carry hazardous materials needing placards under DOT guidelines
- Work for DOT-regulated employers like FMCSA, FAA, FRA, FTA or USCG necessitating DOT medical certifications. Cave Spring, NM drivers must comply.
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What to bring with you to a DOT Physical?
- Government-issued photo ID
- Glasses/contact lenses & prescription
- List of medications & dosages
- CPAP usage data (if applicable)
- Specialist clearances (cardiology, sleep apnea, diabetes, etc.)
- Recent A1C/blood pressure logs if monitored
Make sure you bring these important documents to your exam in Cave Spring, VT.
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)
Further clarification may be needed for state-specific regulations, especially in regions like Cave Spring, HI.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Vision under 20/40 per eye (corrected), inability to differentiate traffic light colors, or hearing failure to detect a whisper at 5 feet.
- Blood Pressure & Heart Disease: Uncontrolled high blood pressure (≥180/110 mmHg), recent cardiac event, stroke, unmanaged angina, or unapproved defibrillator.
- Diabetes: Uncontrolled cases causing hypoglycemic episodes, or complications like neuropathy impairing safe driving.
- Sleep Apnea & Respiratory Issues: Untreated apnea causing fatigue, or serious lung conditions reducing oxygen levels.
- Neurological Disorders: Epilepsy (without exemptions), conditions causing sudden unconsciousness or tremors.
- Substance Abuse: Current illegal drug use, alcohol addiction, or prescription abuse impacting driving abilities.
- Psychiatric & Cognitive Disorders: Severe mental illness (e.g., untreated schizophrenia, severe bipolar) or cognitive deficits affecting decision-making.
Temporary vs. Permanent Disqualification: Some issues might temporarily disqualify you until clearance is given (e.g., stabilized hypertension). Others, like unmanaged epilepsy, might cause a permanent disqualification under 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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