Quincy, MA DOT Physical - What You Need to Know
A DOT physical is an in-depth medical evaluation mandated by the Department of Transportation (DOT) for individuals driving commercial motor vehicles (CMVs). This examination ensures that these drivers have the requisite physical, mental, and emotional capabilities to operate large vehicles safely on public thoroughfares. A certified medical examiner (CME) registered with the National Registry of Certified Medical Examiners (NRCME) conducts the DOT physical. Successfully passing results in a DOT medical certificate (Medical Examiner's Certificate, also known as a DOT medical card), essential for holding a valid CDL license per FMCSA rules. If governed by another DOT agency and need help determining the necessary DOT physical, 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
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What is checked in a DOT Physical?
- Review of health history and medication check
- Vision check (glasses/contacts if needed; standards apply)
- Hearing assessment (whisper test or audiometry)
- Blood pressure and pulse measure
- Complete physical examination (systematic review)
- Urine test (specific gravity, proteins, glucose levels)
Once you pass, a Medical Examiner's Certificate (MEC) could be issued valid for 24 months; however, some conditions may require shorter certification or require specialist documentation, especially in states like Quincy, ND.
Who needs a DOT Physical?
You must possess a valid DOT medical certificate (card) if you
- Hold a commercial driver's license (CDL)- class A, B, or C for interstate commerce
- Operate a vehicle exceeding 10,001 lbs. GVWR interstate
- Transport over 8 passengers (for hire) or over 15 (not for hire)
- Handle hazardous materials needing DOT placarding
- Work under DOT agency regulation like FMCSA, FAA, FRA, FTA, or USCG where medical qualification is mandated. Quincy, KY
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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 necessary documents and equipment are with you when attending your exam in Quincy, SC.
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)
After addressing any disqualifying medical issues, ensure to have your exam retaken in Quincy, SC for reevaluation.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Visual acuity below 20/40 in each eye (even with correction), inability to see traffic signal colors, or inability to hear a forced whisper from 5 feet away.
- Blood Pressure & Heart Disease: Uncontrolled high blood pressure (≥180/110 mmHg), recent heart attack or stroke, uncontrolled chest pain, or presence of an implanted defibrillator lacking approval.
- Diabetes: Uncontrolled blood sugar levels with episodes of hypoglycemia or complications like neuropathy that hinder safe driving.
- Sleep Apnea & Respiratory Issues: Untreated sleep apnea leading to daytime sleepiness, or severe lung issues compromising oxygen levels.
- Neurological Disorders: Epileptic conditions or other ailments causing unexpected collapses, dizziness, or uncontrollable tremors.
- Substance Abuse: Current illegal drug use, alcohol dependency, or misuse of medication affecting driving.
- Psychiatric & Cognitive Disorders: Serious uncontrolled psychiatric disorders (e.g., schizophrenia), or cognitive problems affecting decision-making and reaction speed.
Disqualifications can be temporary until medical clearance is obtained (e.g., regulated blood pressure), while conditions like untreated epilepsy may lead to permanent disqualification per 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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