DOT Physical Exams - Cato, AR
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FMCSA | FAA | USCG | FTA | FRA | PHMSACato, AR DOT Physical - What You Need to Know
A DOT physical is a detailed health assessment mandated by the Department of Transportation for all drivers of commercial motor vehicles. This examination ensures drivers are capable of handling large vehicles on public roads safely. A certified medical examiner, listed on the National Registry, conducts the evaluation. Successfully passing the exam results in gaining a DOT medical certificate, essential for maintaining a valid CDL as per FMCSA rules. For assistance with DOT agency requirements, call 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?
Vision Test
Urinalysis
Physical Examination
DOT Testing | DOT Breath Alcohol | DOT Consortium Services | MVR Reports Also Available
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 Cato, VT.
Who needs a DOT Physical?
In Cato, CO, a valid DOT medical certificate (card) is necessary 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 over 8 passengers (for hire) or over 15 passengers (not for hire)
- Transport hazardous materials requiring placarding under DOT rules
- Are employed by entities under DOT agencies like FMCSA, FAA, FRA, FTA, or USCG needing DOT medical qualification
What to bring with you to a DOT Physical?
- Government-issued photo ID
- Corrective eyewear & prescription
- List of current medications & dosages
- CPAP compliance data (if relevant)
- Specialist approvals (cardiology, sleep apnea, diabetes, etc.)
- Recent A1C or blood pressure records if under monitoring
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
Cato, NE's policies are enforced.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Visual acuity below 20/40 per eye (corrected), inability to recognize traffic light colors, or hearing loss hindering perception of a whispered voice at 5 feet.
- Blood Pressure & Heart Conditions: Unmanaged hypertension (≥180/110 mmHg), recent myocardial infarction, cerebrovascular accident, uncontrolled angina, or defibrillator implant without medical clearance.
- Diabetes: Poorly managed diabetes with frequent hypoglycemic events or complications (such as neuropathy or poor eyesight) impacting safe driving ability.
- Sleep Apnea & Respiratory Problems: Unaddressed obstructive sleep apnea causing daytime fatigue, or significant pulmonary disease impairing oxygen levels.
- Neurological Diseases: Epilepsy/seizure disorders (unless exempt), conditions causing sudden consciousness loss, balance issues, or involuntary movements.
- Substance Misuse: Current illicit drug usage, alcohol dependency, or prescription medication misuse that impairs driving.
- Mental & Cognitive Disorders: Severe uncontrolled psychiatric diseases (like schizophrenia or bipolar disorder with recent incidents) or cognitive deterioration affecting judgment and response times.
Certain issues can cause temporary disqualification until medical clearance is provided (like managed blood pressure or diabetes). Others, such as untreated seizure disorders or defibrillator implants, are usually deemed permanently disqualifying per FMCSA standards.
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