Milford, NH DOT Physical - What You Need to Know
A DOT physical is an in-depth medical evaluation required for all commercial motor vehicle (CMV) operators by the Department of Transportation (DOT). This assessment guarantees that professional drivers are fit physically, mentally, and emotionally to handle large vehicles on public highways safely. Certified medical examiners (CMEs) listed on the National Registry of Certified Medical Examiners (NRCME) conduct the DOT physical. Successfully passing the evaluation enables drivers to acquire a DOT medical certificate, also known as a DOT medical card, necessary to uphold a valid CDL license as per FMCSA regulations. If you're governed by a different DOT entity and need help figuring out which DOT physical is needed, you can call 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?
- Review of health history and medication
- Vision test (corrective lenses okay; minimum standards apply)
- Hearing test (forced whisper/audiometry)
- Blood pressure and pulse check
- Physical exam (systems check)
- Urinalysis (specific gravity, protein, glucose)
Upon successful completion, the Medical Examiner's Certificate (MEC) can be issued for up to 24 months. In some cases, shorter certification or specialist documentation might be required. This applies in the Milford, DC and beyond.
Who needs a DOT Physical?
A current DOT medical certificate (card) is necessary if you:
- Possess a CDL- class A, B, or C for interstate work
- Operate vehicles exceeding 10,001 lbs. GVWR interstate
- Convey more than 8 fare-paying passengers or over 15 non-fare passengers
- Carry hazardous materials needing DOT placards
- Are employed by companies under DOT regulation, like FMCSA, FAA, FRA, FTA, or USCG, requiring DOT medical approval in Milford, NY
DOT Physical Near Milford, NH
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East Merrimack, NH
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What to bring with you to a DOT Physical?
- Valid government-issued photo ID
- Corrective lenses or prescription details
- Medication list with dosages
- Data on CPAP usage, if applicable
- Specialist advice for conditions like cardiology, apnea, or diabetes
- Recent A1C or blood pressure records if required
Make sure to have all necessary documents ready, as requirements apply in Milford, ME.
What happens if I fail a DOT Physical?
- No Medical card is provided
- Experience a temporary disqualification
- Directed to seek treatment with a primary care physician
- Available FMCSA exemptions for specific medical issues
- Employer is informed
- Next Steps involve addressing health issues and retaking the examination
This process is consistent within Milford, DC.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Vision less than 20/40 in each eye (with correction), trouble distinguishing traffic signal colors, or hearing loss that prevents recognizing a forced whisper at 5 feet.
- Blood Pressure & Heart Disease: Unmanaged hypertension (≥180/110 mmHg), recent heart attack, stroke, uncontrolled angina, or an implanted defibrillator without approval.
- Diabetes: Uncontrolled diabetes with frequent hypoglycemia or complications (neuropathy, vision impairment) affecting safe driving.
- Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing daytime sleepiness, or severe respiratory diseases affecting oxygen levels.
- Neurological Disorders: Epilepsy or uncontrolled seizure disorders (unless exempted), conditions causing unexpected consciousness loss, dizziness, or uncontrolled tremors.
- Substance Abuse: Use of illicit drugs, alcohol dependence, or misuse of medications impairing driving abilities.
- Psychiatric & Cognitive Disorders: Severe untreated psychiatric illnesses (e.g., schizophrenia, bipolar disorder with recent episodes) or cognitive impairments affecting judgment and response time.
Temporary issues may temporarily disqualify you until you provide the necessary medical clearance or documentation (e.g., controlled blood pressure, diabetes management). Other conditions, such as untreated seizure disorders or implanted defibrillators, are usually considered permanently disqualifying according to FMCSA rules.
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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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