Speight, KY DOT Physical - What You Need to Know
The Department of Transportation mandates a thorough medical assessment for all commercial vehicle drivers. This examination verifies that drivers are capable of handling large vehicles safely, both physically and mentally, on public roads. Conducted by a certified medical examiner found on the National Registry, passing this exam grants a DOT medical certificate, required for a valid CDL under FMCSA rules. Call us at 800-221-4291 for assistance determining the necessary DOT physical for your agency.
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)
In Speight, WV, completion leads to a Medical Examiner's Certificate (MEC) valid for up to 24 months. Some conditions may require shorter certification or specialist documentation.
Who needs a DOT Physical?
You need a valid DOT medical card if you:
- Hold an Speight, IN CDL for interstate commerce (class A, B, or C)
- Operate a vehicle over 10,001 lbs. GVWR in interstate commerce
- Transport more than 8 passengers (for hire) or 15+ passengers (not for hire)
- Carry hazardous materials necessitating DOT placarding
- Work for DOT-regulated employers like FMCSA, FAA, FRA, FTA, USCG, where medical qualification is mandatory
DOT Physical Near Speight, KY
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What to bring with you to a DOT Physical?
- Government ID photo
- Eyewear & prescriptions
- Current medication details
- CPAP usage data (if needed)
- Doctor approvals (for heart, apnea, diabetes)
- Recent A1C/blood pressure logs if watched
Be prepared in Speight, TX for your appointment.
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)
Further clarification may be needed for state-specific regulations, especially in regions like Speight, HI.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Poor vision worse than 20/40 in each eye (with correction), inability to differentiate traffic signal colors, or hearing loss that restricts hearing a whisper at 5 feet.
- Blood Pressure & Heart Disease: Unmanaged hypertension (>=180/110 mmHg), recent heart attack, stroke, uncontrolled chest pain, or a defibrillator without approval.
- Diabetes: Poorly managed diabetes with frequent hypoglycemia or complications (neuropathy, eyesight issues) affecting safe driving.
- Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing daytime fatigue, or severe lung disease inhibiting oxygen exchange.
- Neurological Disorders: Epilepsy/seizure disorders (unless exempted), conditions leading to sudden consciousness loss, dizziness, or uncontrolled tremors.
- Substance Abuse: Current use of illegal substances, alcohol dependency, or misuse of prescribed drugs impairing driving.
- Psychiatric & Cognitive Disorders: Severe uncontrolled mental illnesses (e.g., schizophrenia, bipolar disorder with recent incidents) or cognitive difficulties affecting decision-making and reaction speed.
Temporary vs. Permanent Disqualification
Certain problems may temporarily disqualify you until you provide medical clearance (e.g., controlled high blood pressure, diabetes management). Others, such as untreated seizures or implanted defibrillators, are often considered permanently disqualifying based on 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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