Downing, MO DOT Physical - What You Need to Know
A DOT physical is an all-encompassing medical check mandated by the Department of Transportation for every commercial motor vehicle (CMV) driver. This assessment is crucial to verify that professional drivers are physically, mentally, and emotionally prepared to operate large vehicles safely on public roads. Conducted by a certified medical examiner from the National Registry of Certified Medical Examiners, passing this exam grants drivers a DOT medical certificate (also known as a DOT medical card), required to keep a valid CDL license in accordance with FMCSA regulations. If another DOT agency regulates you and you need help finding out which DOT physical you require, please 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?
Health History Review
Vision Test
Hearing Test
Urinalysis
Vital Signs
Physical Examination
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What is checked in a DOT Physical?
- Health assessment review and medication evaluation
- Vision check (corrective eyewear permissible; basic standards applicable)
- Hearing test (whisper or audiometry)
- Blood pressure and pulse tracking
- Physical check (system evaluation)
- Urine test (specific gravity, protein, glucose)
In Downing, NC, once completed successfully, the Medical Examiner's Certificate (MEC) can be valid for 24 months. Some cases may warrant shorter validity or specialist references.
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
Downing, RI and other states enforce these rules to ensure public safety on highways.
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What to bring with you to a DOT Physical?
- Official photo ID issued by the government
- Corrective eyewear and prescription
- List indicating medications and dosages
- CPAP usage data (if relevant)
- Clearances from specialists (for heart issues, sleep apnea, diabetes, etc.)
- Latest A1C/blood pressure logs if monitored
Ensure these are with you for the process in Downing, AZ.
What happens if I fail a DOT Physical?
- No issuance of a Medical card
- Temporary ineligibility
- Advice to seek treatment from a primary physician
- Possible FMCSA medical exemptions
- Notification to employer
- Further steps require medical resolution and exam retake
This applies within Downing, AZ.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Subpar vision (worse than 20/40 per eye) with corrective lenses, inability to distinguish traffic lights, or failed hearing tests (unable to hear a forced whisper from five feet).
- Blood Pressure & Heart Disease: Poor management of hypertension (≥180/110 mmHg), recent cardiac events, stroke, unstable angina, or implanted defibrillator without approval.
- Diabetes: Poorly managed diabetes with frequent hypoglycemia or severe complications jeopardizing safe driving.
- Respiratory Issues & Sleep Apnea: Untreated sleep apnea causing fatigue or severe respiratory conditions affecting oxygen levels.
- Neurological Disorders: Epilepsy or seizures (unless exempted), disorders causing unexpected fainting, dizziness, or uncontrollable tremors.
- Substance Abuse: Use of banned substances, alcohol dependence, or prescription misuse impairing driving skills.
- Psychiatric & Cognitive Issues: Serious unmanaged psychiatric disorders (schizophrenia, recent bipolar episodes) or cognitive deficits affecting judgment and response times.
Some conditions may temporarily disqualify you until resolved. Others, such as untreated epilepsy or defibrillators, often 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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