DOT Physical Exams - Nichols, IA

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Nichols, IA DOT Physical - What You Need to Know

A DOT physical examination is an all-encompassing health check mandated by the Department of Transportation for every commercial motor vehicle driver. This exam ensures that drivers are in sound physical, mental, and emotional health to safely manage large vehicles on roads. A certified medical examiner from the National Registry conducts the test. Success leads to obtaining a DOT medical certificate, which is essential for keeping a valid CDL under FMCSA rules. If regulated by another DOT body and need guidance on the required DOT physical, please reach out to 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

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


What is checked in a DOT Physical?

  • Review of health history and medications
  • Vision check (corrective lenses allowed; must meet minimum standards)
  • Hearing evaluation (such as forced whisper test)
  • Blood pressure and pulse measurement
  • Physical exam (including systems review)
  • Urinalysis (for specific gravity, proteins, 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.

Location: Nichols, OH

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

This applies to operations in Nichols, WY as well.

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

Ensure all required documents are up-to-date, especially when operating outside your home state, like Nichols, HI.

What happens if I fail a DOT Physical?

  • No Medical card will be issued
  • Temporary disqualification
  • Referral for treatment to your primary care doctor
  • FMCSA exemptions for certain medical conditions
  • Employer Notification
  • Next Steps (address the medical issues and retake the exam)

Nichols, NV's specific protocols must be followed for resolution.

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

  • Vision & Hearing: Vision below 20/40 in each eye (even with correction), inability to discern signal colors, or hearing inability to detect a whisper from 5 feet away.
  • Blood Pressure & Heart Disease: Unmanaged hypertension (≥180/110 mmHg), recent heart events, stroke, uncontrolled angina, or non-cleared defibrillator implants.
  • Diabetes: Poorly controlled diabetes with frequent hypoglycemia or complications that hinder safe operation.
  • Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing fatigue, or severe pulmonary disease impairing oxygen levels.
  • Neurological Disorders: Epilepsy or other seizure conditions (unless exempted), disorders causing sudden consciousness loss, vertigo, or tremors.
  • Substance Abuse: Current use of illicit drugs, alcohol dependency, or misuse of prescriptions affecting driving capabilities.
  • Psychiatric & Cognitive Disorders: Severe unmanaged psychiatric conditions or cognitive deficits that affect decision-making and reflexes.

Temporary vs. Permanent Disqualification: Some conditions might temporarily disqualify you until medical documentation is provided (e.g., hypertension control, diabetes management). Others, such as untreated seizures or defibrillators, are often deemed permanently disqualifying by FMCSA.

DOT Physical Exam Locations | CDL Medical Card Near You

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(800) 221-4291