How, WI DOT Physical - What You Need to Know
A DOT physical is a thorough health check mandated by the Department of Transportation for every commercial motor vehicle driver. This examination ensures that drivers possess the necessary physical, mental, and emotional health to operate large vehicles safely on public roadways. A certified medical examiner listed in the National Registry of Certified Medical Examiners conducts the DOT physical. Successful completion grants drivers a DOT medical certificate, essential for maintaining a valid CDL license as per FMCSA rules. For guidance on the required DOT physical, particularly if regulated by another DOT agency, 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?
- Review of health history and medication assessment
- Eye test (glasses or contacts permitted; minimal criteria apply)
- Hearing examination (forced whisper or audiogram)
- Monitoring blood pressure and heart rate
- Full body examination (systematic review)
- Urine test (checking specific gravity, proteins, sugars)
If passed, the Medical Examiner's Certificate (MEC) is valid up to 24 months; some health conditions could require shorter certification or specialist validation. How, NM can present unique challenges for drivers.
Who needs a DOT Physical?
You must have 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 over 10,001 lbs. GVWR in interstate commerce
- Transport more than 8 passengers (for hire) or more than 15 passengers (not for hire)
- Transport hazardous materials that require placarding under DOT regulations
- Work for employers regulated by DOT agencies such as FMCSA, FAA, FRA, FTA or USCG where DOT medical qualification is required
How, RI and other states enforce these rules to ensure public safety on highways.
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What to bring with you to a DOT Physical?
- Official photo ID
- Eyewear & prescription
- Documents on medication & dose
- CPAP machine data (when applicable)
- Medical specialists' approval (i.e., cardiology, for sleep apnea, diabetes, etc.)
- Recent A1C/blood pressure logs if tracked
During your DOT physical in How, NY, these items will assist in ensuring all required information is available and reviewed.
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)
How, 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: Vision below 20/40 in either eye (even with correction), inability to differentiate traffic light colors, or hearing impairment preventing the detection of a forced whisper at 5 feet.
- Blood Pressure & Heart Disease: Uncontrolled high blood pressure (≥180/110 mmHg), recent cardiovascular events, uncontrolled chest pain, or unauthorized defibrillator implant.
- Diabetes: Poorly managed diabetes with often low blood sugar or complications like neuropathy or vision issues.
- Sleep Apnea & Respiratory Issues: Untreated sleep apnea causing drowsiness or serious lung diseases affecting oxygen levels.
- Neurological Disorders: Seizure conditions or illnesses causing sudden unconsciousness, dizziness, or difficult-to-control tremors.
- Substance Abuse: Current illegal drug use, alcohol reliance, or misuse of medications affecting driving.
- Psychiatric & Cognitive Disorders: Severe, unmanaged mental disorders or cognitive challenges impacting judgment.
Some issues might temporarily disqualify you until medically cleared, while others, like untreated seizures, are usually permanently disqualifying 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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