Coldstream, KY 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. Coldstream, NV regulations must also be considered.
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
Coldstream, DE enforcement ensures compliance.
DOT Physical Near Coldstream, KY
Keeneland, KY
Langdon Place, KY
Ten Broeck, KY
Crestwood, KY
Hickory, KY
Hickory Hill, KY
Creekside, KY
Pewee Valley, KY
Fincastle, KY
Worthington Hills, KY
Orchard Grass Hills, KY
What to bring with you to a DOT Physical?
- Valid government photo ID
- Eyewear or prescription contacts
- Current medication list with dosages
- CPAP use file if relevant
- Expert confirmations (heart, sleep, diabetes, etc.)
- Up-to-date A1C/blood pressure logs if being tracked
Important for the state of Coldstream, NH.
What happens if I fail a DOT Physical?
- No medical card issued
- Temporary disqualification
- Referral to your primary care for treatment
- FMCSA exemptions available for select medical issues
- Employer receives notification
- Next steps involve addressing medical concerns before retrying the exam
This is also applicable in Coldstream, SD.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Worse than 20/40 vision per eye (with correction), inability to discern traffic colors, or inability to hear a whisper at five feet.
- Blood Pressure & Heart Disease: Uncontrolled hypertension (≥180/110), recent heart issues like attacks or strokes, or defibrillators needing clearance.
- Diabetes: Issues with uncontrolled diabetes, such as frequent hypoglycemia or vision-affecting neuropathy.
- Respiratory & Sleep: Untreated sleep apnea or significant lung disease causing day fatigue or low oxygen.
- Neuro Disorders: Epilepsy/seizures (unless exempt), conditions with blackout risks or tremors.
- Substance Issues: Illegal drug use, alcohol misuse, or problematic prescription medication usage.
- Mental & Cognitive: Severe psychiatric conditions with recent episodes or impairments affecting decision-making.
Some cases can temporarily disqualify until medical documentation is provided (e.g., controlled blood pressure). Others, like untreated epilepsy or implanted defibrillators, are permanent disqualifications under FMCSA rules.
DOT Physical Exam Locations | CDL Medical Card Near You
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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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