Reston, VA DOT Physical - What You Need to Know
DOT physicals are thorough medical exams mandated by the Department of Transportation for commercial motor vehicle drivers. They ensure that drivers are fit physically, mentally, and emotionally to handle large vehicles on the roads. Certified medical examiners listed on the National Registry conduct these exams. Successful candidates earn a DOT medical certificate to keep a CDL license valid, as required by FMCSA. For help with DOT physical requirements, 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 in Reston, SC.
Who needs a DOT Physical?
In Reston, CO, a valid DOT medical certificate (card) is necessary 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 over 8 passengers (for hire) or over 15 passengers (not for hire)
- Transport hazardous materials requiring placarding under DOT rules
- Are employed by entities under DOT agencies like FMCSA, FAA, FRA, FTA, or USCG needing DOT medical qualification
DOT Physical Near Reston, VA
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What to bring with you to a DOT Physical?
- Valid government-issued photo identification
- Eyeglasses/contact lenses and prescription details
- Comprehensive list of medications and dosages
- Data on CPAP machine usage if applicable
- Clearance from specialists in cardiology, sleep apnea, diabetes, etc.
- Recent logs for A1C levels or blood pressure if monitored
Ensure you have all necessary documents when in Reston, UT to facilitate the DOT physical process.
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)
After addressing any disqualifying medical issues, ensure to have your exam retaken in Reston, SC for reevaluation.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Failing to meet 20/40 vision standard in each eye with correction, inability to identify traffic signal colors, or hearing deficits that restrict forced whisper detection at 5 feet.
- Blood Pressure & Heart Disease: Uncontrolled high blood pressure (≥180/110 mmHg), recent cardiac event, stroke, unmanaged angina, or unapproved implanted defibrillator.
- Diabetes: Uncontrolled diabetes resulting in frequent low blood glucose incidents or complications (e.g., nerve or vision problems jeopardizing driving safety).
- Sleep Apnea & Respiratory Issues: Unaddressed sleep apnea causing daytime sleepiness, or severe lung disease interfering with proper oxygenation.
- Neurological Disorders: Epilepsy or other seizure conditions (barring exemptions), disorders causing sudden consciousness loss, dizziness, or tremors.
- Substance Abuse: Current illegal substance use, alcohol addiction, or misuse of prescriptions impairing driving abilities.
- Psychiatric & Cognitive Disorders: Uncontrolled serious psychiatric disorders (such as schizophrenia or bipolar events) or cognitive issues affecting judgment and reaction.
Temporary vs. Permanent Disqualification: Some problems may only temporarily disqualify until medical clearance or documentation is provided (e.g., controlled blood pressure). Others, like untreated seizure disorders or implanted defibrillators, are typically permanent disqualifications under FMCSA guidelines.
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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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