Needham, AL DOT Physical - What You Need to Know
A DOT physical is an in-depth medical evaluation required for all commercial motor vehicle (CMV) operators by the Department of Transportation (DOT). This assessment guarantees that professional drivers are fit physically, mentally, and emotionally to handle large vehicles on public highways safely. Certified medical examiners (CMEs) listed on the National Registry of Certified Medical Examiners (NRCME) conduct the DOT physical. Successfully passing the evaluation enables drivers to acquire a DOT medical certificate, also known as a DOT medical card, necessary to uphold a valid CDL license as per FMCSA regulations. If you're governed by a different DOT entity and need help figuring out which DOT physical is needed, you can 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?
- Review of health history and evaluation of medication
- Visual examination (using corrective lenses is allowed; must meet minimum criteria)
- Auditory evaluation (via whispered voice or audiometry)
- Assessment of blood pressure and heart rate
- Physical assessment (reviewing various body systems)
- Urinalysis (checking specific gravity, protein, and glucose)
Once successfully completed, the Medical Examiner's Certificate (MEC) can be issued for up to 24 months in Needham, CT; however, some health conditions might necessitate shorter certification or documentation from a specialist.
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 in Needham, SC
DOT Physical Near Needham, AL
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What to bring with you to a DOT Physical?
- Government-issued photo ID
- Eyewear & prescription details
- Medication list with dosages
- CPAP data (if relevant)
- Specialist authorizations (cardiac, sleep apnea, diabetes, etc.)
- Recent A1C/blood pressure records if applicable
Ensure your documents are in order for DOT physical assessment, maintaining adherence to rules and regulations, particularly within Needham, GA.
What happens if I fail a DOT Physical?
- Medical card will not be granted
- Temporary ineligibility
- Recommendation for treatment by your doctor
- FMCSA exemptions for specific conditions
- Notification to the employer
- Subsequent actions (resolve medical concerns and redo the examination)
This procedure applies to Needham, KY-based drivers needing medical clearance due to listed conditions.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Visual acuity worse than 20/40 in each eye (with correction), inability to recognize traffic light colors, or hearing loss preventing understanding of a whisper at 5 feet.
- Blood Pressure & Heart Disease: Hypertension uncontrolled (≥180/110 mmHg), recent heart event, stroke, uncontrolled angina, or defibrillator without clearance.
- Diabetes: Diabetes not managed properly with frequent hypoglycemia or complications affecting safe driving.
- Sleep Apnea & Respiratory Issues: Untreated sleep apnea causing daytime sleepiness or severe lung disease impairing oxygen intake.
- Neurological Disorders: Epilepsy/seizures, or conditions with sudden consciousness loss, dizziness, or uncontrolled tremors without exemptions.
- Substance Abuse: Current illicit drug use, alcohol dependency, or prescription misuse affecting driving.
- Psychiatric & Cognitive Disorders: Serious untreated psychiatric conditions or cognitive problems impacting decision-making and reaction time.
Temporary vs. Permanent Disqualification: Some conditions may cause temporary disqualification until medical clearance (e.g., controlled blood pressure). Others, like untreated seizures or defibrillators, are generally permanently disqualifying under FMCSA.
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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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