St. Paul, KS DOT Physical - What You Need to Know
DOT physicals are thorough health evaluations mandated by the Department of Transportation for CMV drivers. These evaluations verify that drivers are capable of safely operating large vehicles on public roads. A certified medical examiner, listed on the National Registry of Certified Medical Examiners, performs this exam. Passing it earns a DOT medical certificate, needed to keep a valid CDL license under FMCSA rules. For guidance on your specific DOT physical, 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. St. Paul, NV regulations must also be considered.
Who needs a DOT Physical?
You should have an active DOT medical certificate if you:
- Possess a commercial driver's license (CDL) of class A, B, or C for interstate commerce
- Drive vehicles exceeding 10,001 lbs. GVWR in interstate commerce
- Carry more than 8 passengers (for hire) or more than 15 passengers (non-hire)
- Convey hazardous materials needing placarding as per DOT guidelines
- Work for employers overseen by DOT bodies like FMCSA, FAA, FRA, FTA, or USCG where DOT medical qualification is essential. This applies in St. Paul, DC.
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What to bring with you to a DOT Physical?
- State-issued photo ID
- Corrective lenses or contact lenses & current prescription
- List of current medications & their doses
- Data from CPAP machine if applicable
- Clearances from specialists (cardiology, sleep-related issues, diabetes, etc.)
- Latest A1C/blood pressure logs if monitored regularly
Remember to bring these documents if you're taking the exam in St. Paul, IL.
What happens if I fail a DOT Physical?
- No issuance of a Medical card
- Temporary ban from driving
- Referral for medical follow-up with your regular doctor
- FMCSA allowances for specific health conditions
- Notification sent to employer
- Proceed with resolving health issues and retake the exam
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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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