DOT Physical Exams - Agency, MT
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FMCSA | FAA | USCG | FTA | FRA | PHMSAAgency, MT DOT Physical - What You Need to Know
A DOT physical is a thorough medical assessment mandated by the Department of Transportation (DOT) for all drivers of commercial motor vehicles (CMV). This examination ensures that those driving large vehicles on public routes are fit physically, mentally, and emotionally. Conducted by a certified medical examiner (CME) from the National Registry of Certified Medical Examiners (NRCME), passing the exam grants drivers a DOT medical certificate (Medical Examiners Certificate, also known as a DOT medical card), necessary for maintaining a valid CDL license according to FMCSA guidelines. If you're overseen by a different DOT agency and require help determining the specific DOT physical needed, 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?
Vision Test
Urinalysis
Physical Examination
DOT Testing | DOT Breath Alcohol | DOT Consortium Services | MVR Reports Also Available
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 Agency, 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?
Possession of a valid DOT medical certificate (card) is necessary if you:
- Have a CDL class A, B, or C for interstate commerce
- Operate a vehicle over 10,001 lbs. gross vehicle weight rating in interstate transit
- Transport 8+ paid passengers or 15+ unpaid passengers
- Convey hazardous materials requiring placarding by DOT
- Work for DOT-governed employers like FMCSA, FAA, FRA, FTA, or USCG, needing medical qualification
This applies in Agency, SD too.
What to bring with you to a DOT Physical?
- Official photo ID
- Corrective lenses/glasses & prescription
- Medication list & dosages
- Data on CPAP usage (if required)
- Expert clearances (heart, apnea, diabetes, etc.)
- Recent A1C/blood pressure logs if monitored
Ensure to have this in Agency, VA.
What happens if I fail a DOT Physical?
- No Medical card will be issued
- Temporary disqualification applies
- Directed treatment with your general practitioner
- FMCSA exceptions for particular medical concerns
- Informing the employer
- Follow-up actions involve tackling health issues and re-attempting the examination
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Vision under 20/40 in each eye (corrected), inability to identify signal colors, or hearing loss preventing comprehension of a forced whisper at 5 feet.
- Blood Pressure & Heart Disease: Hypertension uncontrolled at ≥180/110 mmHg, recent cardiac events, or defibrillator implantation without specialist approval.
- Diabetes: Poorly managed diabetes with frequent hypoglycemia or complications like neuropathy and impaired vision affecting driving safety.
- Sleep Apnea & Respiratory Issues: Untreated sleep apnea causing significant daytime fatigue or severe pulmonary disease reducing oxygen saturation.
- Neurological Disorders: Epilepsy or disorders causing sudden unconsciousness, vertigo, or unregulated tremors unless exempted.
- Substance Abuse: Current illegal drug use, alcohol dependency, or misuse of prescribed drugs impairing driving abilities.
- Psychiatric & Cognitive Disorders: Serious unmanaged psychiatric conditions or cognitive deficits affecting judgment and response velocity.
Temporary vs. Permanent Disqualification: Certain issues may temporarily disqualify pending medical proof (e.g., controlled hypertension), while others like untreated seizures or defibrillator dependency generally lead to permanent disqualification per FMCSA terms.
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