DOT Physical Exams - Big Sky, MT

Big Sky, 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?

DOT Testing | DOT Breath Alcohol | DOT Consortium Services | MVR Reports Also Available

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

• Vision & Hearing: Vision worse than 20/40 in both eyes with correction, inability to identify traffic signal colors, or hearing loss obstructing hearing a forced whisper at a 5-foot range.
• Blood Pressure & Heart Disease: Severe hypertension (≥180/110 mmHg), recent heart attack or stroke, untreated angina, or an implanted defibrillator lacking medical clearance.
• Diabetes: Poorly managed diabetes leading to frequent low blood sugar events or complications like neuropathy or impaired vision that hinder safe driving.
• Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing daytime sleepiness or serious lung condition affecting oxygen intake.
• Neurological Disorders: Epilepsy or seizure conditions (except those exempted), disorders leading to sudden unconsciousness, dizziness, or uncontrollable shaking.
• Substance Abuse: Active illegal drug usage, alcohol dependency, or misuse of prescribed medicines that impair driving capabilities.
• Psychiatric & Cognitive Disorders: Severe unmanaged psychiatric disorders (like schizophrenia or bipolar disorder with recent mood episodes) or cognitive decline impacting decision-making and reflexes.

Some problems might only result in temporary disqualification until medical clearance or proof of control (e.g., regulated blood pressure, diabetes care) is supplied. Conversely, certain conditions such as untreated seizure disorders or the presence of an implanted defibrillator are generally viewed as permanently disqualifying based on FMCSA guidelines.