Cashton, WI DOT Physical - What You Need to Know
A thorough medical evaluation mandated by the Department of Transportation (DOT) for commercial motor vehicle (CMV) operators is known as a DOT physical. This examination verifies that drivers are physically, mentally, and emotionally capable of safely handling large transports on public roads. Conducted by a certified medical examiner (CME) listed on the National Registry of Certified Medical Examiners (NRCME), passing ensures receipt of a DOT medical certificate, essential for a valid CDL under FMCSA guidelines. For assistance with DOT agency-specific requirements, call 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 analysis and medication examination
- Vision check (corrective eyewear allowed, minimum benchmarks apply)
- Hearing evaluation (forced whisper or audiometry)
- Blood pressure and heart rate
- Physical exam (system assessment)
- Urine test (specific gravity, proteins, glucose)
When finished successfully, your Medical Examiner's Certificate (MEC) in Cashton, VA may be granted for up to 24 months. Certain conditions might necessitate a shorter certification period or specialist's note.
Who needs a DOT Physical?
You must hold a valid DOT medical certificate (card) if you:
- Have a commercial driver's license (CDL) - class A, B, or C for interstate commerce
- Drive a vehicle weighing over 10,001 lbs. GVWR in interstate commerce
- Transport over 8 passengers (for hire) or over 15 passengers (not for hire)
- Move hazardous materials needing placarding as per DOT regulations
- Work for DOT-regulated employers like FMCSA, FAA, FRA, FTA, or USCG needing DOT medical qualification in Cashton, AR
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What to bring with you to a DOT Physical?
- Government-issued photo
- Glasses/contacts & prescription
- List of medications & dosages
- CPAP usage data (if applicable)
- Specialist clearances (cardiology, sleep apnea, diabetes, etc.)
- Recent A1C/blood pressure logs if monitored
Ensure all necessary documents and equipment are with you when attending your exam in Cashton, SC.
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)
Cashton, NV's specific protocols must be followed for resolution.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Visual acuity worse than 20/40 in both eyes with correction or inability to see traffic colors; hearing loss preventing a whispered voice recognition at 5 feet.
- Blood Pressure & Heart Disease: Uncontrolled high blood pressure (≥180/110 mmHg), recent myocardial infarction, stroke, untreated angina, or defibrillator implant without approval.
- Diabetes: Poorly managed diabetes with frequent hypoglycemic episodes or complications like neuropathy affecting driving.
- Sleep Apnea & Respiratory Issues: Untreated sleep apnea causing sleepiness during the day or severe respiratory disorder affecting oxygen supply.
- Neurological Disorders: Epileptic/seizure disorders unless exempt, or conditions triggering loss of consciousness, dizziness, or tremors.
- Substance Use: Current illegal drug use, alcohol dependency, or misuse of prescribed drugs affecting driving.
- Psychiatric & Cognitive Disorders: Severe unmanaged psychiatric conditions (e.g., schizophrenia, bipolar disorder with recent symptoms) or cognitive deficiencies affecting response and decision-making.
Some medical conditions might temporarily disqualify until medical evaluations or documentation are provided, such as managed blood pressure or diabetes control; whereas conditions like untreated seizures or defibrillator implants often lead to a permanent disqualification 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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