DOT Physical Exams - Lexington, MS
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FMCSA | FAA | USCG | FTA | FRA | PHMSALexington, MS DOT Physical - What You Need to Know
A DOT physical is an in-depth health check required by the Department of Transportation for all commercial vehicle operators. The purpose of this exam is to confirm that drivers are in good physical, mental, and emotional health to handle large vehicles safely on public thoroughfares. Certified medical examiners, registered on the National Registry of Certified Medical Examiners, conduct this examination. A successful exam grants drivers a DOT medical certificate, essential for holding a valid CDL license as per FMCSA standards. If your regulation falls under another DOT agency and you need guidance, call 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?
Vision Test
Urinalysis
Physical Examination
DOT Testing | DOT Breath Alcohol | DOT Consortium Services | MVR Reports Also Available
What is checked in a DOT Physical?
- Review of medical history and medication assessment
- Eye test (corrective eyewear permissible; minimum norms apply)
- Hearing test (forced whisper test or audiometric assessment)
- Check blood pressure and pulse
- Physical exam (system review)
- Urinalysis (specific gravity, protein, glucose)
Upon successful completion, your Medical Examiner's Certificate (MEC) may be valid for 24 months. In Lexington, MT, some conditions may demand shorter certification or specialist papers.
Who needs a DOT Physical?
You must possess a valid DOT medical certificate if you:
- Hold a commercial driver's license (CDL) for interstate business, whether class A, B, or C
- Operate vehicles over 10,001 pounds GVWR interstate
- Transport 8+ passengers for hire or 15+ non-hire passengers
- Handle hazardous materials needing DOT placarding
- Work with employers governed by DOT agencies FMCSA, FAA, FRA, FTA or USCG requiring DOT medical qualification
In Lexington, UT, be sure to adhere to specific state guidelines.
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 Lexington, IL.
What happens if I fail a DOT Physical?
- Denial of the Medical card
- Temporary ineligibility
- Referral to your main healthcare provider for further treatment
- FMCSA waivers for specific medical conditions
- Notification to your employer
- Further actions include addressing health issues and retrying the exam
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.
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