DOT Physical Exams - Lacey, WA
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FMCSA | FAA | USCG | FTA | FRA | PHMSALacey, WA DOT Physical - What You Need to Know
A DOT physical is an in-depth medical evaluation mandated by the Department of Transportation (DOT) for individuals driving commercial motor vehicles (CMVs). This examination ensures that these drivers have the requisite physical, mental, and emotional capabilities to operate large vehicles safely on public thoroughfares. A certified medical examiner (CME) registered with the National Registry of Certified Medical Examiners (NRCME) conducts the DOT physical. Successfully passing results in a DOT medical certificate (Medical Examiner's Certificate, also known as a DOT medical card), essential for holding a valid CDL license per FMCSA rules. If governed by another DOT agency and need help determining the necessary DOT physical, reach out to 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?
Vision Test
Urinalysis
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 medication adjustment
- Vision exam (correction permitted, minimum set)
- Hearing test (forced whisper or audiometry possible)
- Check blood pressure and pulse
- Overall bodily assessment (comprehensive system review)
- Basic urinalysis (includes tests for specific gravity, protein, glucose)
Success in these can get you a Medical Examiner's Certificate (MEC) valid up to two years. Some conditions in Lacey, NH could mean less time certified or need specialist's records for a shorter timeframe.
Who needs a DOT Physical?
In Lacey, WA, possessing a valid DOT medical certificate (card) is necessary if you:
- Hold a commercial driver's license (CDL)- class A, B, or C for cross-state trade
- Drive vehicles over 10,001 lbs. GVWR in cross-state trade
- Carry more than 8 passengers (for hire) or over 15 (not for hire)
- Transport hazardous materials needing DOT-regulated placarding
- Work under DOT agency regulations like FMCSA, FAA, FRA, FTA, or USCG requiring DOT medical credentials
What to bring with you to a DOT Physical?
- Government-issued photo ID
- Corrective eyewear & prescription
- List of current medications & dosages
- CPAP compliance data (if relevant)
- Specialist approvals (cardiology, sleep apnea, diabetes, etc.)
- Recent A1C or blood pressure records if under monitoring
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 Lacey, HI.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Vision below 20/40 in each eye (with correction), inability to differentiate signal colors, or hearing loss inhibiting recognition of a whispered message at 5 feet.
- Blood Pressure & Heart Disease: Uncontrolled high blood pressure (≥180/110 mmHg), recent myocardial infarction, stroke, uncontrolled angina, or cardiac devices requiring special permission.
- Diabetes: Poorly managed diabetes causing hypoglycemic episodes or complications (like neuropathy) impairing safe vehicle operation.
- Sleep Apnea & Respiratory Issues: Untreated sleep apnea causing sleepiness, or serious lung conditions affecting oxygen levels.
- Neurological Disorders: Conditions like epilepsy or seizure disorders (excluding exemptions) that may lead to loss of consciousness.
- Substance Abuse: Active illegal drug use, alcohol addiction, or misuse of medications impacting driving.
- Psychiatric & Cognitive Disorders: Severe mental health issues unmanaged by medication or cognitive defects impacting safety decisions.
DOT Physical Exam Locations | CDL Medical Card Near You
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