DOT Physical Exams - Eureka, MT

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Eureka, MT DOT Physical - What You Need to Know

A DOT physical is an extensive health assessment mandated by the Department of Transportation (DOT) for all commercial motor vehicle (CMV) operators. This examination verifies that drivers are physically, mentally, and emotionally equipped to handle large vehicles on public roadways safely. A certified medical examiner (CME), listed in the National Registry of Certified Medical Examiners (NRCME), conducts the DOT physical. Success in the exam grants drivers a DOT medical certificate, or Medical Examiners Certificate, often referred to as a DOT medical card, necessary to uphold a valid CDL license per FMCSA guidelines. If you're subject to another DOT agency's regulation and require help identifying the required DOT physical, 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

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


What is checked in a DOT Physical?

  • Review of health history and medication use
  • Eyesight test (corrective lenses accepted, minimum levels required)
  • Hearing test (whisper test or audiometry)
  • Blood pressure and pulse check
  • Physical evaluation (systems assessment)
  • Urine test (specific gravity, protein, glucose)

Upon successful completion, your Medical Examiner's Certificate (MEC) may be issued for up to 24 months, with the potential for shorter duration requiring specialist validation in Eureka, MS.

Who needs a DOT Physical?

You must possess a current DOT medical certificate if:

  • Holding a CDL - class A, B, C for interstate activities
  • Operating vehicles over 10,001 lbs. GVWR for interstate trade
  • Transporting more than 8 paid or over 15 unpaid passengers
  • Conveying hazardous materials needing placards
  • Working for DOT-regulated employers like FMCSA, FAA, FRA, FTA, or USCG that require medical qualification

Eureka, NE laws apply.

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 Eureka, 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 steps are critical, particularly if you're operating in Eureka, PA. Follow the guidance to regain certification.

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

  • Vision & Hearing: Vision worse than 20/40 per eye (with glasses), inability to see traffic light colors, or hearing loss preventing detection of a whisper at 5 feet.
  • Blood Pressure & Heart Disease: Uncontrolled high blood pressure (≥180/110 mmHg), recent heart attack, stroke, uncontrolled chest pain, or an unapproved defibrillator.
  • Diabetes: Poorly managed diabetes with frequent hypoglycemia or complications (nerve damage, vision issues) disrupting safe driving.
  • Sleep Apnea & Respiratory Issues: Untreated sleep apnea causing daytime sleepiness, or severe lung disease impairing breathing.
  • Neurological Disorders: Epilepsy/seizures (unless exempted), conditions causing sudden unconsciousness, dizziness, or uncontrollable shakes.
  • Substance Abuse: Current illicit drug use, alcohol dependency, or misuse of prescription drugs impairing driving.
  • Psychiatric & Cognitive Disorders: Severe unchecked mental illness (e.g., schizophrenia, bipolar disorder with recent episodes) or cognitive decline affecting decision-making and response time.

Issues may temporarily disqualify you until you provide clearance or documentation (e.g., controlled blood pressure, diabetes management), while others like untreated seizures or unauthorized defibrillators are typically considered permanent disqualifiers by FMCSA.

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

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(800) 221-4291