DOT Physical Exams - Advance, MO
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FMCSA | FAA | USCG | FTA | FRA | PHMSAAdvance, MO DOT Physical - What You Need to Know
A DOT physical is an all-encompassing health assessment mandated for every commercial motor vehicle operator by the Department of Transportation. This evaluation verifies that drivers are in the right physical, mental, and emotional condition to manage large vehicles safely on roads. Conducted by a certified medical examiner from the National Registry of Certified Medical Examiners, a successful result grants a DOT medical certificate needed to keep a CDL valid under FMCSA rules. For assistance with other DOT agency regulations, 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?
- 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 Advance, MN, 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
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
This applies specifically to Advance, WI.
What to bring with you to a DOT Physical?
- State ID or government-issued ID
- Glasses or contacts with prescription
- List of medications and doses
- CPAP usage report (if applicable)
- Specialist approvals (for heart, sleep disorders, diabetes, etc.)
- Recent A1C or blood pressure readings if monitored
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 Advance, SC for reevaluation.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Vision worse than 20/40 in both eyes with correction, inability to identify traffic signal colors, or hearing loss obstructing hearing a forced whisper at a 5-foot range.
- Blood Pressure & Heart Disease: Severe hypertension (≥180/110 mmHg), recent heart attack or stroke, untreated angina, or an implanted defibrillator lacking medical clearance.
- Diabetes: Poorly managed diabetes leading to frequent low blood sugar events or complications like neuropathy or impaired vision that hinder safe driving.
- Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing daytime sleepiness or serious lung condition affecting oxygen intake.
- Neurological Disorders: Epilepsy or seizure conditions (except those exempted), disorders leading to sudden unconsciousness, dizziness, or uncontrollable shaking.
- Substance Abuse: Active illegal drug usage, alcohol dependency, or misuse of prescribed medicines that impair driving capabilities.
- Psychiatric & Cognitive Disorders: Severe unmanaged psychiatric disorders (like schizophrenia or bipolar disorder with recent mood episodes) or cognitive decline impacting decision-making and reflexes.
Some problems might only result in temporary disqualification until medical clearance or proof of control (e.g., regulated blood pressure, diabetes care) is supplied. Conversely, certain conditions such as untreated seizure disorders or the presence of an implanted defibrillator are generally viewed as permanently disqualifying based on FMCSA guidelines.
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