Basalt, ID DOT Physical - What You Need to Know
A DOT physical is an in-depth health check required by the Department of Transportation for all commercial vehicle operators. The purpose of this exam is to confirm that drivers are in good physical, mental, and emotional health to handle large vehicles safely on public thoroughfares. Certified medical examiners, registered on the National Registry of Certified Medical Examiners, conduct this examination. A successful exam grants drivers a DOT medical certificate, essential for holding a valid CDL license as per FMCSA standards. If your regulation falls under another DOT agency and you need guidance, 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?
- Health history evaluation including medications
- Vision test (corrective lenses acceptable per standard)
- Hearing test (using whisper or audiometry)
- Measurement of blood pressure and pulse
- Comprehensive physical exam (system review)
- Urine analysis (checking specific gravity, protein, glucose)
On passing, a Medical Examiner's Certificate (MEC) can be issued for up to 24 months. In Basalt, MA, some conditions may lead to reduced certification period or need for specialist letters.
Who needs a DOT Physical?
You must possess a current DOT medical certificate if:
- Holding a CDL - class A, B, C for interstate activities
- Operating vehicles over 10,001 lbs. GVWR for interstate trade
- Transporting more than 8 paid or over 15 unpaid passengers
- Conveying hazardous materials needing placards
- Working for DOT-regulated employers like FMCSA, FAA, FRA, FTA, or USCG that require medical qualification
Basalt, NE laws apply.
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What to bring with you to a DOT Physical?
- Government-issued photo
- 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
Preparing these items in advance will facilitate the examination process. Basalt, RI residents and others should ensure they have these documents ready before attending their medical examination.
What happens if I fail a DOT Physical?
- Failure to receive a Medical certificate
- Temporary disqualification issued
- Recommendation to seek medical treatment with your primary care provider
- Eligible FMCSA waivers for certain medical conditions
- Notification provided to employer about disqualification
- Following procedure for addressing medical issues and re-scheduling the examination for reevaluation.
In Basalt, CA, adhere to these steps should disqualification be the outcome.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Vision worse than 20/40 in each eye (even with correction), difficulty in recognizing traffic signal colors, or hearing deficiency affecting a forced whisper at a 5-foot distance.
- Blood Pressure & Heart Disease: Hypertension (≥180/110 mmHg) not under control, recent heart attack or stroke, uncontrolled angina, or a defibrillator implant lacking approval.
- Diabetes: Poorly managed diabetes with recurrent low blood sugar or complications disrupting safe driving.
- Sleep Apnea & Respiratory Concerns: Untreated sleep apnea causing daytime sleepiness, or serious lung disease affecting oxygen levels.
- Neurological Disorders: Seizure disorders (exceptions allowed), conditions leading to loss of consciousness, dizziness, or uncontrolled tremors.
- Substance Abuse: Present illegal drug use, alcohol addiction, or misuse of medications affecting driving.
- Psychiatric & Cognitive Disorders: Severe psychiatric disorders not under control (e.g., schizophrenia, recent bipolar episodes) or cognitive decline influencing decision-making and response times.
Some conditions may cause temporary disqualification till medical approval or documentation is provided (e.g., managed blood pressure, diabetes handled well). Others, like untreated seizure disorders or unapproved implanted defibrillators, are typically considered permanently disqualifying under FMCSA standards.
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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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