Sangrey, MT DOT Physical - What You Need to Know
A DOT physical is a thorough health assessment mandated by the Department of Transportation (DOT) for all commercial motor vehicle (CMV) operators. This examination verifies that drivers possess the physical, mental, and emotional capacity to safely maneuver large vehicles on public routes. Conducted by a certified medical examiner (CME) listed in the National Registry of Certified Medical Examiners (NRCME), passing the exam grants drivers a DOT medical certificate, essential for maintaining a valid CDL under FMCSA guidelines. For guidance on the specific DOT physical needed if overseen by a different DOT agency, 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 Sangrey, WI.
Who needs a DOT Physical?
A valid DOT medical card is necessary if you:
- Hold a CDL-class A, B, or C for interstate trade
- Operate vehicles exceeding 10,001 lbs. GVWR across state lines
- Carry more than 8 passengers for pay or over 15 passengers unpaid
- Transport hazardous goods needing DOT permits
- Are employed by entities overseen by DOT divisions like FMCSA, FAA, FRA, FTA, or USCG requiring DOT medical eligibility.
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What to bring with you to a DOT Physical?
- Official photo ID issued by government
- Glasses/contact lenses with prescription
- Medication list including doses
- Usage data for CPAP machines if needed
- Clearances from specialists like cardiology, sleep apnea, or diabetes experts
- Recent logs of A1C levels and blood pressure if monitored
State requirements in Sangrey, SD mandate these items.
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 Sangrey, PA. Follow the guidance to regain certification.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Visual acuity worse than 20/40 in both eyes with correction or inability to see traffic colors; hearing loss preventing a whispered voice recognition at 5 feet.
- Blood Pressure & Heart Disease: Uncontrolled high blood pressure (≥180/110 mmHg), recent myocardial infarction, stroke, untreated angina, or defibrillator implant without approval.
- Diabetes: Poorly managed diabetes with frequent hypoglycemic episodes or complications like neuropathy affecting driving.
- Sleep Apnea & Respiratory Issues: Untreated sleep apnea causing sleepiness during the day or severe respiratory disorder affecting oxygen supply.
- Neurological Disorders: Epileptic/seizure disorders unless exempt, or conditions triggering loss of consciousness, dizziness, or tremors.
- Substance Use: Current illegal drug use, alcohol dependency, or misuse of prescribed drugs affecting driving.
- Psychiatric & Cognitive Disorders: Severe unmanaged psychiatric conditions (e.g., schizophrenia, bipolar disorder with recent symptoms) or cognitive deficiencies affecting response and decision-making.
Some medical conditions might temporarily disqualify until medical evaluations or documentation are provided, such as managed blood pressure or diabetes control; whereas conditions like untreated seizures or defibrillator implants often lead to a permanent disqualification under FMCSA guidelines.
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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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