Day, WI DOT Physical - What You Need to Know
A DOT physical is a thorough health evaluation mandated by the Department of Transportation (DOT) for all commercial motor vehicle (CMV) operators. This assessment ensures that drivers are in a condition suitable for handling large vehicles on public roadways. 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 or DOT medical card), essential for keeping a valid CDL per FMCSA rules. For assistance with DOT physical requirements, contact 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 test 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, especially in Day, VT.
Who needs a DOT Physical?
A current DOT medical certificate (card) is required if you:
- Possess a commercial driver's license (CDL) - classes A, B, or C, for interstate activities
- Operate vehicles over 10,001 lbs GVWR in interstate commerce
- Transport over 8 paying or more than 15 non-paying passengers
- Carry hazardous substances that necessitate DOT warning placards
- Work for DOT-supervised companies like FMCSA, FAA, FRA, FTA, or USCG needing DOT medical credentials, applicable in Day, ME
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What to bring with you to a DOT Physical?
- Government-issued photo identification
- Eyeglasses or contacts and their prescription details
- List of current medications with their dosages
- CPAP usage records (if relevant)
- Clearance from specialists (heart, sleep apnea, diabetes, etc.)
- Most recent A1C and blood pressure monitoring logs if tracked
Be prepared in Day, NM for specific regulation compliance to facilitate a smooth medical examination process.
What happens if I fail a DOT Physical?
- No medical certification issued
- Disqualification on a temporary basis
- Treatment referrals to primary care doctors
- FMCSA allowance for specific conditions
- Informing employer
- Steps forward include addressing health issues and retesting
Day, NE's policies are enforced.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: If vision is worse than 20/40 in either eye with correction, inability to differentiate traffic light colors, or hearing loss stopping a forced whisper at 5 feet, it may affect qualification.
- Blood Pressure & Heart Disease: Unmanaged high blood pressure (≥180/110 mmHg), recent heart attack, stroke, unstable angina, or a non-cleared defibrillator placement can threaten eligibility.
- Diabetes: Poor diabetes control, recurrent hypoglycemia, or complications like neuropathy and visual issues that impact safe driving pose risks.
- Sleep Apnea & Respiratory Issues: Unaddressed sleep apnea causing daytime sleepiness or severe lung disease reducing oxygenation may lead to disqualification.
- Neurological Disorders: Epileptic or seizure disorders without exemption, or any condition causing unexpected consciousness loss, dizziness, or involuntary tremors can be disqualifying.
- Substance Abuse: Current use of illicit drugs, alcohol dependency, or prescription misuse impairing driving skills can result in immediate disqualification.
- Psychiatric & Cognitive Disorders: Serious psychiatric illnesses like untreated schizophrenia or recent severe bipolar episodes, as well as cognitive impairments impacting judgment, may result in disqualification.
Classification of disqualification into temporary or permanent is crucial. Conditions that might be temporarily disqualifying can be reversed with medical documentation or clearance (e.g., managed blood pressure or diabetes control). However, untreated seizure disorders or defibrillator implants are generally seen as permanently disqualifying under FMCSA rules.
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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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