Can high blood pressure make you fail a DOT physical?

Yes. Drivers with blood pressure at or above 180/110 mmHg will fail the DOT physical. Lower levels of hypertension may result in shorter certification periods if under treatment.

Does diabetes disqualify you from a DOT physical?

Not always. Controlled diabetes with proper documentation may be allowed. Uncontrolled diabetes with frequent hypoglycemia or complications can cause disqualification until managed.

Will sleep apnea cause you to fail a DOT physical?

Untreated or uncontrolled sleep apnea that causes daytime drowsiness can disqualify a driver. However, drivers who are compliant with CPAP or other treatments may qualify with documentation.

What does the Saint Louis, MO DOT physical include?

The DOT physical exam in Saint Louis, MO typically includes a review of medical history and medications, vision and hearing tests, measurement of blood pressure, pulse and heart rate, urinalysis and a general physical exam by a certified medical examiner. Upon passing, you may receive a medical examiner’s certificate valid for up to 24 months.

Who in Saint Louis, MO needs to get a DOT physical?

Any driver holding a commercial driver’s license (CDL) for interstate or intrastate commerce in Saint Louis, MO, or operating a commercial motor vehicle regulated by the DOT, must have a valid medical certificate issued by a certified medical examiner.

Where can I have the DOT physical done in Saint Louis, MO?

Saint Louis, MO drivers can schedule their DOT physical through Accredited Drug Testing’s network of certified examiners and collection sites across the state, ensuring compliance with both federal and Saint Louis, MO state requirements.

What should I bring with me to the DOT physical in Saint Louis, MO?

Bring a photo ID, your current medical certificate if applicable, list of medications and dosages, any specialist clearance letters (for conditions such as sleep apnea or cardiac issues) and glasses or contact lens prescription if used.

What happens if I don’t pass my Saint Louis, MO DOT physical?

If you fail the exam, you will not receive the medical certificate and your driving privileges under the DOT‐regulated commercial vehicle operations may be suspended until you meet the qualifying medical requirements and are re-examined.

DOT Physical - Saint Louis, MO

Saint Louis, MO DOT Physical - What You Need to Know

A DOT physical is an all-encompassing health assessment mandated by the Department of Transportation for every commercial motor vehicle (CMV) operator. This examination establishes that drivers are physically, mentally, and emotionally capable of maneuvering large vehicles safely on public highways. A certified medical examiner, listed on the National Registry of Certified Medical Examiners, conducts the exam. Success in this exam awards the driver a DOT medical certificate, necessary to keep a valid CDL license as per FMCSA guidelines. If another DOT agency regulates you and you're unsure which DOT physical you require, 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?

Review of medical history and medication list
Eye test with optional corrective lenses to meet minimum vision requirements
Hearing test either through audiometry or forced whisper check
Pulse rate and blood pressure assessment
Physical evaluation of bodily systems
Urine test for specific gravity, protein, and sugar

After passing, a Medical Examiner's Certificate (MEC) might be granted for a period of up to 24 months in Saint Louis, SD. Certain conditions could necessitate a shorter certification period or further specialist evaluation.

Who needs a DOT Physical?

To possess a valid DOT medical card, you must:

Hold a commercial driver's license (CDL)- class A,B, or C for interstate travel
Operate vehicles over 10,001 lbs. in interstate commerce
Transport either more than 8 hired passengers or over 15 non-hired passengers
Carry hazardous materials necessitating DOT-required placarding
Be employed by organizations under DOT regulatory entities, such as FMCSA, FAA, FRA, FTA, or USCG, where DOT medical qualification is mandated in Saint Louis, MI

What to bring with you to a DOT Physical?

Government-issued photo ID from Saint Louis, IN
Glasses/contacts with prescription
Medication list with dosages
Data on CPAP usage (if applicable)
Specialist clearances (cardiology, sleep, diabetes)
Recent A1C/blood pressure logs if tracked: Ensure to have these items for your DOT physical exam in Saint Louis, IN.

What happens if I fail a DOT Physical?

No Medical card will be issued
Temporary disqualification may occur
Referral for treatment to your main physician
FMCSA exceptions for some medical conditions
Employer notification
Next steps include resolving medical concerns and reattempting the exam

If you're in Saint Louis, CO, address these issues and pursue the necessary steps to regain eligibility and fulfill the requirements as indicated for successful qualification.

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.

DOT Physical Exam Locations | CDL Medical Card Near You

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References:
- FMCSA Medical Examiner Physical Qualification Standards (Â§391.41)
- 49 CFR Part 391 - Qualification of Drivers
- Medical Examiner's Handbook
- FMCSA Driver Exemptions

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DOT Physical Exams - Saint Louis, MO

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29 DOT Drug-Testing Centers in Saint Louis

3100 Market St0.86 miles

40 N Kingshighway,1.41 miles

5000 Manchester Ave1.71 miles

1720 Olive St1.93 miles

400 N Tucker Blvd2.33 miles

916 Olive Street, Unit 22.50 miles

2331 Hampton Ave2.95 miles

2348 Hampton Ave2.96 miles

6542 Manchester Ave3.46 miles

642 Clayton Rd.3.89 miles

2321 Mccausland Ave Ste B3.99 miles

6555 Chippewa St Ste 1004.63 miles

8340 N Broadway5.36 miles

225 S Meramec Ave Ste 3055.48 miles

120 Kenrick Plz6.10 miles

2044 Madison Ave Ste G16.74 miles

2044 Madison Ave Ste G-46.74 miles

2100 Madison Ave6.81 miles

9556 Manchester Rd6.98 miles

8300 Valcour Ave7.21 miles

8730 Big Bend Blvd Ste A7.43 miles

119 Church St Ste 2238.28 miles

State Highway 76 & State Highway Lower Level Claybough Plaza Ma8.30 miles

3701 Nameoki Rd Ste E8.94 miles

2900 Lemay Ferry Rd Ste 1019.17 miles

2880 Netherton, Ste 1019.68 miles

10296 Big Bend Rd Ste 1109.72 miles

455 S Kirkwood Rd9.93 miles

28 Ronnies Plz9.94 miles

Saint Louis, MO DOT Physical - What You Need to Know

What Does a DOT Physical Include?

What is checked in a DOT Physical?

Who needs a DOT Physical?

What to bring with you to a DOT Physical?

What happens if I fail a DOT Physical?

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

DOT Physical Exam Locations | CDL Medical Card Near You

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