DOT Physical Exams - Geneva, NE

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Geneva, NE DOT Physical - What You Need to Know

A DOT physical is a thorough health examination mandated by the Department of Transportation (DOT) for all drivers of commercial motor vehicles (CMVs). This checkup is crucial to confirm that drivers are in the right physical, mental, and emotional condition to safely maneuver large vehicles on public streets. A certified medical examiner (CME) enlisted on the National Registry of Certified Medical Examiners (NRCME) conducts the DOT physical. Successfully passing the physical allows drivers to obtain a DOT medical certificate (also recognized as a DOT medical card), which is necessary for maintaining a current CDL under FMCSA guidelines. If you're governed by a different DOT agency and require help identifying the necessary DOT physical, reach out to 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 check
  • Vision test (corrective lenses allowed; must meet minimum standards)
  • Hearing check (forced whisper or audiometry)
  • Blood pressure and heart rate assessment
  • Comprehensive physical examination (systems review)
  • Urinalysis (specific gravity, protein, glucose)

In Geneva, AL, successful completion can lead to a Medical Examiner's Certificate valid for up to 24 months. Some conditions might require a shorter certification period or additional specialist documentation.

Who needs a DOT Physical?

You need a valid DOT medical card if you:

  • Hold an Geneva, IN CDL for interstate commerce (class A, B, or C)
  • Operate a vehicle over 10,001 lbs. GVWR in interstate commerce
  • Transport more than 8 passengers (for hire) or 15+ passengers (not for hire)
  • Carry hazardous materials necessitating DOT placarding
  • Work for DOT-regulated employers like FMCSA, FAA, FRA, FTA, USCG, where medical qualification is mandatory

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 you have these ready in Geneva, WI.

What happens if I fail a DOT Physical?

  • No medical card granted
  • Temporary Eligibility Suspension
  • Referral to your primary physician for treatment
  • FMCSA Officail Medical Condition Exemptions
  • Informed Employer
  • Next Actions (address medical issues, reattempt exam)
In Geneva, MT, adherence to these next steps is advised.

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

  • Vision & Hearing: Less than 20/40 in each eye (corrected), can't discern traffic signal hues, or hearing incapable of detecting a forced whisper at 5 feet.
  • Blood Pressure & Heart Disease: Uncontrolled hypertension (≥180/110 mmHg), recent myocardial infarction or stroke, unmanaged angina, or an implanted defibrillator lacking approval.
  • Diabetes: Uncontrolled diabetes leading to hypoglycemic incidents or complications (neuropathy, vision issues) impeding safe driving.
  • Sleep Apnea & Respiratory Issues: Untreated sleep apnea causing daytime fatigue, or grave lung disorder hindering oxygen levels.
  • Neurological Disorders: Epilepsy/seizure disorders (unless exempt), illnesses causing abrupt blackout, dizziness, or uncontrolled shaking.
  • Substance Abuse: Ongoing illegal drug use, alcoholism, or prescription misuse hindering driving ability.
  • Psychiatric & Cognitive Disorders: Severe unmanaged psychiatric condition (e.g., schizophrenia, recent bipolar episodes) or cognitive decline affecting judgment.

Temporary and Permanent Disqualification: Some issues might merely temporarily disqualify until clearance or documents available (e.g., managed blood pressure, diabetes); others like unmediated seizures or implanted defibrillators often permanently disqualify per FMCSA guidelines.

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