Excello, MO DOT Physical - What You Need to Know
A DOT physical exam is an in-depth health evaluation mandated by the Department of Transportation for all commercial motor vehicle operators. This test ascertains the physical, mental, and emotional wellness required for safe operation of large vehicles on roads open to the public. Only certified medical examiners listed on the National Registry administer the DOT physical. Successful completion awards a DOT medical certificate, necessary for maintaining a valid CDL per FMCSA rules. For guidance on which DOT physical applies, particularly if you're in another DOT-regulated sector, give us a call 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 evaluation of medication
- Eye test (corrective eyewear permitted; minimal criteria must be met)
- Ear examination (forced whisper or hearing test)
- Measurement of blood pressure and pulse
- Physical inspection of body systems
- Urine analysis (checking specific gravity, protein, and sugar)
In Excello, IL, after passing, the Medical Examiner's Certificate (MEC) can be issued for up to 24 months. Certain conditions may warrant a shorter certification or necessitate specialist documentation.
Who needs a DOT Physical?
A valid DOT medical certificate is required if you:
- Hold a commercial driver's license (CDL) in classes A, B, or C for crossing state lines
- Operate vehicles exceeding 10,001 lbs. GVWR in interstate commerce
- Transport beyond 8 passengers for hire or 15 passengers not for hire
- Carry placarded hazardous materials under DOT rules
- Are employed by DOT-regulated bodies like FMCSA, FAA, or FTA, where medical qualification is essential. Ensure compliance, especially in Excello, FL.
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What to bring with you to a DOT Physical?
- Government-issued photo ID
- 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 in Excello, KS
What happens if I fail a DOT Physical?
- No issuance of Medical card
- Disqualified temporarily
- Doctor's referral for follow-up
- FMCSA offers exemptions for specific health conditions
- Employer and relevant parties notified
- Steps to address health concerns, retake the exam and meet Excello, MD requirements
Understanding these elements will guide your actions following any disqualification or requirement for further medical evaluations.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Poor vision (<20/40) in each eye (even with aids), inability to see traffic signal colors, or hearing loss that fails a 5-foot whisper test.
- Blood Pressure & Heart Disease: Uncontrolled high blood pressure (>=180/110 mmHg), recent heart event or stroke, unmanaged angina, or implanted defibrillator without medical approval.
- Diabetes: Unmanaged diabetes marked by frequent low sugar episodes or complications like neuropathy impacting safety.
- Sleep Apnea & Respiratory Issues: Untreated sleep apnea causing drowsiness, or severe respiratory diseases affecting oxygen levels.
- Neurological Disorders: Epilepsy/seizure disorders without exemption, conditions with sudden consciousness loss, dizziness, or tremors uncontrolled.
- Substance Abuse: Use of illegal drugs, alcohol dependency, or improper prescription use that affects driving.
- Psychiatric & Cognitive Disorders: Serious psychiatric conditions (e.g., severe schizophrenia, recent bipolar episode) or cognitive deficiencies affecting decision-making and reaction.
Temporary vs. Permanent Disqualification: Some issues might temporarily disqualify someone pending medical documentation or condition management. Meanwhile, certain conditions like untreated seizure disorders or unapproved defibrillators are likely seen as permanently disqualifying by FMCSA.
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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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