Paris, IA DOT Physical - What You Need to Know
A DOT physical exam is an in-depth health evaluation mandated by the Department of Transportation for all commercial motor vehicle operators. This test ascertains the physical, mental, and emotional wellness required for safe operation of large vehicles on roads open to the public. Only certified medical examiners listed on the National Registry administer the DOT physical. Successful completion awards a DOT medical certificate, necessary for maintaining a valid CDL per FMCSA rules. For guidance on which DOT physical applies, particularly if you're in another DOT-regulated sector, give us a call 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 review and medication assessment
- Vision screening (corrective lenses allowed; minimum standards apply)
- Hearing assessment (forced whisper 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. Ensure compliance, especially in Paris, PA.
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 requiring 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, including Paris, VT.
DOT Physical Near Paris, IA
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Hiawatha, IA
Quasqueton, IA
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Viola, IA
Robins, IA
Toddville, IA
Center Point, IA
Walker, IA
Ryan, IA
Prairieburg, IA
Robinson, IA
Alburnett, IA
Coggon, IA
Central City, IA
What to bring with you to a DOT Physical?
- Official photo ID issued by government
- Glasses/contact lenses with prescription
- Medication list including doses
- Usage data for CPAP machines if needed
- Clearances from specialists like cardiology, sleep apnea, or diabetes experts
- Recent logs of A1C levels and blood pressure if monitored
State requirements in Paris, SD mandate these items.
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)
Residents of Paris, DE must follow these steps if disqualified.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Unable to see better than 20/40 in each eye with correction, trouble identifying traffic signal colors, or hearing loss affecting ability to hear whispers at 5 feet.
- Blood Pressure & Heart Disease: Unmanaged high blood pressure (≥180/110 mmHg), recent heart attack, stroke, uncontrolled angina, or an unapproved defibrillator.
- Diabetes: Poorly controlled diabetes with frequent low sugar incidents or complications like neuropathy or vision issues impacting driving safety.
- Sleep Apnea & Respiratory Issues: Untreated sleep apnea leading to daytime sleepiness or severe lung disease hindering oxygen levels.
- Neurological Disorders: Epilepsy/seizure disorders unless exempt, sudden loss of consciousness, dizziness, or involuntary tremors.
- Substance Abuse: Use of illegal substances, reliance on alcohol, or misuse of medications impacting driving.
- Psychiatric & Cognitive Disorders: Severe unmanaged psychiatric problems or cognitive decline affecting decision making or reaction times.
Some issues might only temporarily disqualify you if you fail to provide medical approval or records (like regulated blood pressure, diabetes care). Others, such as untreated seizures or implanted defibrillators, are usually seen as permanently disqualifying by 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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