DOT Physical Exams - Creston, IA

Creston, IA DOT Physical - What You Need to Know

A DOT physical is an extensive health assessment mandated by the Department of Transportation (DOT) for all operators of commercial motor vehicles (CMVs). This evaluation ensures drivers possess the necessary physical, mental, and emotional stability to safely handle large vehicles on the roads. Conducted by a certified medical examiner (CME) registered with the National Registry of Certified Medical Examiners (NRCME), clearing this exam grants drivers a DOT medical certificate (also known as a DOT medical card), essential for retaining a valid CDL license as per FMCSA guidelines. For guidance on the required DOT physical if you fall under another DOT agency's jurisdiction, 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?

DOT Testing | DOT Breath Alcohol | DOT Consortium Services | MVR Reports Also Available

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.