DOT Physical Exams - Nebraska
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FMCSA | FAA | USCG | FTA | FRA | PHMSANebraska DOT Physical - What You Need to Know
A DOT physical is an in-depth health check mandated by the Department of Transportation (DOT) for all commercial drivers. This assessment ensures that drivers are physically, mentally, and emotionally capable of managing large vehicles on public roads. A certified medical examiner (CME) listed on the NRCME conducts the exam. Passing results in obtaining a DOT medical card, essential for maintaining a valid CDL license under FMCSA regulations. Call us at 800-221-4291 if another DOT agency regulates you and you need guidance on the required exam.
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 medications
- Vision test (glasses allowed; minimum standards required)
- Hearing check (forced whisper or audiometry used)
- Blood pressure and heart rate measurements
- Complete physical exam
- Urinalysis to check specific gravity, protein, glucose
If successful, receive a Medical Examiner's Certificate (MEC) valid up to 24 months. Some cases may demand note or shorter duration. Nebraska's rules apply.
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
Nebraska laws apply.
What to bring with you to a DOT Physical?
- State-issued identification photo
- Corrective eyewear & prescription
- Medication list with dosages
- CPAP documentation if needed
- Clearance letters from specialists (heart, apnea, diabetes)
- Recent A1C/blood pressure logs, if tracked
Nebraska's regulations are relevant.
What happens if I fail a DOT Physical?
- No medical certification issued
- Disqualification on a temporary basis
- Treatment referrals to primary care doctors
- FMCSA allowance for specific conditions
- Informing employer
- Steps forward include addressing health issues and retesting
Nebraska's policies are enforced.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Vision not meeting 20/40 in each eye (even with correction), failing to identify traffic colors, or hearing deficiently.
- Blood Pressure & Heart Disease: Uncontrolled high blood pressure, recent cardiac events, or certain heart devices.
- Diabetes: Poorly controlled diabetes causing dangerous conditions or nerve damage interfering with driving.
- Sleep Apnea & Respiratory: Untreated apnea causing sleepiness or serious lung conditions.
- Neurological: Epilepsy or conditions causing blackouts.
- Substance Abuse: Illegal drug use or unsafe prescription medication use.
- Psychiatric & Cognitive: Severe mental illness or cognitive issues affecting judgment.
Sometimes, such conditions may only result in temporary disqualification while waiting for medical documentation like blood pressure control.
DOT Physical Exam Locations | CDL Medical Card Near You
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