Palisades, WA DOT Physical - What You Need to Know
The DOT physical is an in-depth health screening mandated by the U.S. Department of Transportation for drivers of commercial motor vehicles. This test is essential to ensure that drivers are fit physically, mentally, and emotionally to handle large vehicles safely on the highways. A certified medical examiner (CME) from the National Registry of Certified Medical Examiners (NRCME) conducts the assessment. Successfully passing the exam results in obtaining a DOT medical certificate, also known as a Medical Examiners Certificate or DOT medical card, necessary for keeping a CDL license valid under FMCSA rules. If you are subject to other DOT regulations and need help understanding the specific exam required, you can 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 completion, your Medical Examiner's Certificate (MEC) may last up to 24 months. Some conditions may need shorter certification or specialist input. This applies for drivers in Palisades, IA.
Who needs a DOT Physical?
You must prove an active DOT medical certificate (card) in cases like these:
- Ownership of a commercial driver's license (CDL)- class A, B, or C for crossing state lines
- Piloting any vehicle beyond 10,001 pounds GVWR during interstate duties
- Conveying more than 8 passengers (paid) or upward of 15 (non-paid)
- Transporting hazardous substances needing DOT sign off
- Employment under DOT agency rules like FMCSA, FAA, FRA, FTA, or USCG in Palisades, NH requesting DOT health competency
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What to bring with you to a DOT Physical?
- Official photo ID issued by the government
- Corrective eyewear and prescription
- List indicating medications and dosages
- CPAP usage data (if relevant)
- Clearances from specialists (for heart issues, sleep apnea, diabetes, etc.)
- Latest A1C/blood pressure logs if monitored
Ensure these are with you for the process in Palisades, AZ.
What happens if I fail a DOT Physical?
- No medical card granted
- Get temporarily disqualified
- Be referred for treatment by your main healthcare provider
- Seek FMCSA specific condition exemptions
- Employers receive notifications
- Address health concern and re-attempt examination as next steps in Palisades, NH
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Visual acuity below 20/40 in each eye (even with correction), inability to see traffic signal colors, or inability to hear a forced whisper from 5 feet away.
- Blood Pressure & Heart Disease: Uncontrolled high blood pressure (≥180/110 mmHg), recent heart attack or stroke, uncontrolled chest pain, or presence of an implanted defibrillator lacking approval.
- Diabetes: Uncontrolled blood sugar levels with episodes of hypoglycemia or complications like neuropathy that hinder safe driving.
- Sleep Apnea & Respiratory Issues: Untreated sleep apnea leading to daytime sleepiness, or severe lung issues compromising oxygen levels.
- Neurological Disorders: Epileptic conditions or other ailments causing unexpected collapses, dizziness, or uncontrollable tremors.
- Substance Abuse: Current illegal drug use, alcohol dependency, or misuse of medication affecting driving.
- Psychiatric & Cognitive Disorders: Serious uncontrolled psychiatric disorders (e.g., schizophrenia), or cognitive problems affecting decision-making and reaction speed.
Disqualifications can be temporary until medical clearance is obtained (e.g., regulated blood pressure), while conditions like untreated epilepsy may lead to permanent disqualification per 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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