DOT Physical Exams - Madison Heights, VA

Madison Heights, VA 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?

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 below 20/40 per eye (even with correction), inability to recognize traffic signal colors, or hearing deficiency failing detection of a forced whisper at 5 feet.
• Blood Pressure & Heart Disease: Unmanaged high blood pressure (≥180/110 mmHg), recent myocardial infarction, stroke, uncontrolled chest pain, or an implanted defibrillator.
• Diabetes: Poorly controlled diabetes with frequent hypoglycemia or complications (e.g., nerve damage, vision problems) that hinder safe vehicle operation.
• Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing excessive daytime sleepiness, or serious pulmonary disease affecting adequate oxygenation.
• Neurological Disorders: Seizure disorders (without exemption), conditions causing abrupt unconsciousness, dizziness, or uncontrollable tremors.
• Substance Abuse: Ongoing use of illicit substances, alcohol addiction, or abuse of prescription drugs affecting driving capabilities.
• Psychiatric & Cognitive Disorders: Severe untreated mental health conditions (e.g., schizophrenia, bipolar disorder) or cognitive decline impeding judgment and quick responses.

Temporary vs. Permanent Disqualification Some conditions might temporarily disqualify you until medical clearance is provided, while issues like untreated epilepsy or having an implanted defibrillator could permanently disqualify under FMCSA rules.