St. George, MO DOT Physical - What You Need to Know
The DOT physical is an in-depth health screening mandated by the U.S. Department of Transportation for drivers of commercial motor vehicles. This test is essential to ensure that drivers are fit physically, mentally, and emotionally to handle large vehicles safely on the highways. A certified medical examiner (CME) from the National Registry of Certified Medical Examiners (NRCME) conducts the assessment. Successfully passing the exam results in obtaining a DOT medical certificate, also known as a Medical Examiners Certificate or DOT medical card, necessary for keeping a CDL license valid under FMCSA rules. If you are subject to other DOT regulations and need help understanding the specific exam required, you can contact 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 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)
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
This applies specifically to St. George, WI.
Who needs a DOT Physical?
In St. George, ND, possessing a valid DOT medical certificate (card) is mandatory if you:
- Hold a commercial driver's license (CDL)- class A, B, or C for interstate commerce
- Operate a vehicle exceeding 10,001 lbs. GVWR in interstate commerce
- Carry over 8 passengers (for hire) or over 15 passengers (not for hire)
- Transport hazardous materials needing placarding as per DOT rules
- Are employed by agencies governed by DOT, such as FMCSA, FAA, FRA, FTA, or USCG, where DOT medical qualification is necessary
DOT Physical Near St. George, MO
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What to bring with you to a DOT Physical?
- Government-issued photo
- 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
Ensure all necessary documents and equipment are with you when attending your exam in St. George, SC.
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)
These are the potential outcomes specifically in St. George, WI.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Visual acuity below 20/40 per eye (corrected), inability to recognize traffic light colors, or hearing loss hindering perception of a whispered voice at 5 feet.
- Blood Pressure & Heart Conditions: Unmanaged hypertension (≥180/110 mmHg), recent myocardial infarction, cerebrovascular accident, uncontrolled angina, or defibrillator implant without medical clearance.
- Diabetes: Poorly managed diabetes with frequent hypoglycemic events or complications (such as neuropathy or poor eyesight) impacting safe driving ability.
- Sleep Apnea & Respiratory Problems: Unaddressed obstructive sleep apnea causing daytime fatigue, or significant pulmonary disease impairing oxygen levels.
- Neurological Diseases: Epilepsy/seizure disorders (unless exempt), conditions causing sudden consciousness loss, balance issues, or involuntary movements.
- Substance Misuse: Current illicit drug usage, alcohol dependency, or prescription medication misuse that impairs driving.
- Mental & Cognitive Disorders: Severe uncontrolled psychiatric diseases (like schizophrenia or bipolar disorder with recent incidents) or cognitive deterioration affecting judgment and response times.
Certain issues can cause temporary disqualification until medical clearance is provided (like managed blood pressure or diabetes). Others, such as untreated seizure disorders or defibrillator implants, are usually deemed permanently disqualifying 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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