Harlem, FL DOT Physical - What You Need to Know
A DOT physical is an extensive health assessment mandated by the Department of Transportation (DOT) for all commercial motor vehicle (CMV) operators. This examination verifies that drivers are physically, mentally, and emotionally equipped to handle large vehicles on public roadways safely. A certified medical examiner (CME), listed in the National Registry of Certified Medical Examiners (NRCME), conducts the DOT physical. Success in the exam grants drivers a DOT medical certificate, or Medical Examiners Certificate, often referred to as a DOT medical card, necessary to uphold a valid CDL license per FMCSA guidelines. If you're subject to another DOT agency's regulation and require help identifying the required DOT physical, 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?
- Medical history and drug review
- Vision test (corrective lenses permissible; must meet basic criteria)
- Hearing test (whisper test or audiometry)
- Monitoring of blood pressure & pulse
- Comprehensive physical assessment
- Urine test (specific gravity, protein, glucose)
After clearing the exam, a Medical Examiner's Certificate (MEC) can be granted for up to two years. Specific health issues might warrant shorter certification terms or additional specialist documentation required in Harlem, NY.
Who needs a DOT Physical?
You must possess a valid DOT medical certificate (card) if you:
- Hold a commercial driver's license (CDL) - class A, B, or C for cross-state commerce
- Operate a vehicle exceeding 10,001 lbs. GVWR across state lines
- Carry more than 8 passengers (for hire) or over 15 passengers (not for hire)
- Transport hazardous materials requiring DOT-compliant placards
- Work in roles governed by DOT authorities such as FMCSA, FAA, FRA, FTA, or USCG mandating DOT medical qualification, inclusive of Harlem, GA.
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What to bring with you to a DOT Physical?
- Government ID photo
- Eyewear & prescriptions
- Current medication details
- CPAP usage data (if needed)
- Doctor approvals (for heart, apnea, diabetes)
- Recent A1C/blood pressure logs if watched
Be prepared in Harlem, TX for your appointment.
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 Harlem, 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: Vision below 20/40 in each eye (with correction), inability to detect traffic light colors, or hearing loss hindering the ability to hear a forced whisper at 5 feet.
- Blood Pressure & Heart Disease: Uncontrolled hypertension (≥180/110 mmHg), recent myocardial infarction, stroke, unchecked angina, or an implanted defibrillator without authorization.
- Diabetes: Inadequately controlled diabetes with frequent hypoglycemic events or complications (neuropathy, vision issues) affecting safe driving.
- Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing daytime drowsiness, or severe pulmonary disease impairing oxygen levels.
- Neurological Disorders: Epilepsy/seizure conditions (unless exempted), issues leading to sudden loss of consciousness, dizziness, or uncontrolled tremors.
- Substance Abuse: Ongoing illegal drug use, alcohol addiction, or misuse of prescribed drugs affecting driving abilities.
- Psychiatric & Cognitive Disorders: Severe uncontrolled mental health conditions (e.g., schizophrenia, bipolar disorder with recent episodes) or cognitive impairments hampering judgment and reaction speed.
Some conditions may cause temporary disqualification pending medical clearance or documentation (e.g., controlled blood pressure, diabetes control). Others, like untreated seizure disorders or having an implanted defibrillator, are generally deemed permanently disqualifying according to FMCSA policies.
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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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