DOT Physical Exams - Fincastle, VA

Fincastle, VA 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?

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 worse than 20/40 in each eye (with correction), inability to differentiate traffic signal colors, or auditory loss that prevents hearing a forced whisper at 5 feet.
• Blood Pressure & Heart Disease: Unmonitored hypertension (≥180/110 mmHg), a recent heart event, stroke, uncontrolled angina, or an implanted defibrillator lacking approval.
• Diabetes: Unmanaged diabetes with recurrent episodes of low blood sugar or complications (neuropathy, visual issues) hindering safe driving.
• Sleep Apnea & Respiratory Issues: Neglected obstructive sleep apnea leading to daytime fatigue, or critical lung disease affecting oxygen levels.
• Neurological Disorders: Epilepsy/seizure conditions (unless exempt), conditions triggering sudden unconsciousness, vertigo, or uncontrolled tremors.
• Substance Abuse: Current use of illicit drugs, alcohol dependency, or misuse of prescribed medications impairing driving ability.
• Psychiatric & Cognitive Disorders: Serious uncontrolled mental illness (e.g., schizophrenia, bipolar disorder with recent episodes) or cognitive deficits impacting judgment and reaction.

There exists differentiation between temporary and permanent disqualification. Certain issues might only temporarily disqualify you until medical clearance or documentation such as controlled blood pressure or diabetes management is provided. In contrast, untreated seizure disorders or implanted defibrillators are generally considered permanent disqualifiers under FMCSA guidelines.