Macedonia, AL DOT Physical - What You Need to Know
A DOT physical is a detailed health check mandated by the Department of Transportation for all commercial drivers. This examination confirms that they are physically, mentally, and emotionally equipped for safe operation of large trucks and buses. A certified medical examiner from the NRCME conducts the examination. Successfully passing grants a DOT medical certificate, essential for retaining a CDL under FMCSA rules. For guidance on specific DOT physical requirements, 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. Macedonia, NM can present unique challenges for drivers.
Who needs a DOT Physical?
A valid DOT medical certificate is necessary if you:
- Hold a commercial driver's license (CDL) class A, B, or C for interstate commerce
- Drive a vehicle with over 10,001 lbs. GVWR in interstate commerce
- Transport over 8 passengers (for hire) or over 15 passengers (not for hire)
- Transport hazardous materials needing placarding under DOT regulations
- Work for employers under DOT agencies such as FMCSA, FAA, FRA, FTA, or USCG where Macedonia, WV requires DOT medical qualification.
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What to bring with you to a DOT Physical?
- Government-issued photo ID
- 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
In Macedonia, DE, all the above documents are crucial for a smooth DOT physical exam process.
What happens if I fail a DOT Physical?
- No Medical card issuance
- Temporary disqualification indicated
- Referral to primary healthcare for treatment
- Eligibility for FMCSA condition-specific exemptions
- Employer must be notified
- Follow-up actions: Resolve health concerns and reattempt the exam
These protocols apply in Macedonia, OR too.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Inadequate vision (worse than 20/40), difficulty recognizing traffic signal colors, or significant hearing loss (can't hear a whispered voice at 5 feet).
- Blood Pressure & Heart Disease: Poorly controlled high blood pressure (≥180/110 mmHg), recent cardiac events, or defibrillator without approval.
- Diabetes: Unmanaged diabetes with frequent low sugar episodes or complications that hinder driving.
- Sleep Apnea & Respiratory Issues: Untreated sleep apnea causing sleepiness, or severe lung disease affecting breathing.
- Neurological Disorders: Epilepsy/seizures unless exempt, conditions causing unplanned unconsciousness, or tremors.
- Substance Abuse: Illegal drug use, alcohol addiction, or medication misuse impairing driving.
- Psychiatric & Cognitive Disorders: Serious uncontrolled mental illnesses or cognitive decline affecting decision-making and reflexes.
Certain conditions might lead to temporary disqualification needing medical clearance to resume driving. Others, like untreated seizure disorders, are usually deemed permanently disqualifying under FMCSA policy.
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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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