DOT Physical Exams - Salem, NH

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Salem, NH DOT Physical - What You Need to Know

A DOT physical is an in-depth health check mandated by the Department of Transportation for all CMV operators. The examination verifies that these drivers are capable physically, mentally, and emotionally to control large vehicles safely on public roads. Conducted by a registered medical examiner on the NRCME, passing this exam permits drivers to obtain a DOT medical certificate. This is essential for maintaining a valid CDL under FMCSA requirements. For guidance on the correct DOT physical, please call 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?

  • Health history evaluation including medications
  • Vision test (corrective lenses acceptable per standard)
  • Hearing test (using whisper or audiometry)
  • Measurement of blood pressure and pulse
  • Comprehensive physical exam (system review)
  • Urine analysis (checking specific gravity, protein, glucose)

On passing, a Medical Examiner's Certificate (MEC) can be issued for up to 24 months. In Salem, MA, some conditions may lead to reduced certification period or need for specialist letters.

Who needs a DOT Physical?

In Salem, WA, possessing a valid DOT medical certificate (card) is necessary if you:

  • Hold a commercial driver's license (CDL)- class A, B, or C for cross-state trade
  • Drive vehicles over 10,001 lbs. GVWR in cross-state trade
  • Carry more than 8 passengers (for hire) or over 15 (not for hire)
  • Transport hazardous materials needing DOT-regulated placarding
  • Work under DOT agency regulations like FMCSA, FAA, FRA, FTA, or USCG requiring DOT medical credentials

What to bring with you to a DOT Physical?

  • Valid government photo ID
  • Eyewear or prescription contacts
  • Current medication list with dosages
  • CPAP use file if relevant
  • Expert confirmations (heart, sleep, diabetes, etc.)
  • Up-to-date A1C/blood pressure logs if being tracked

Important for the state of Salem, NH.

What happens if I fail a DOT Physical?

  • No Medical card issued
  • Temporary disqualification
  • Referral for treatment to your primary care doctor
  • FMCSA exemptions for certain medical conditions
  • Employer Notification
  • Next Steps (address medical issues & retake the exam)

These procedures apply for medical exams in Salem, IA.

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

  • Vision & Hearing: Inability to achieve 20/40 vision in each eye even with correction, trouble distinguishing traffic signal colors, or hearing issues affecting a forced whisper test at 5 feet.
  • Blood Pressure & Heart Disease: Blood pressure above 180/110 mmHg, recent heart attack or stroke, unchecked angina, or an implanted defibrillator lacking medical clearance.
  • Diabetes: Unmanaged diabetes causing frequent hypoglycemia or issues like neuropathy and impaired vision affecting safe vehicle operation.
  • Sleep Apnea & Respiratory Problems: Untreated obstructive sleep apnea leading to daytime sleepiness, or severe respiratory disease impacting oxygen levels.
  • Neurological Disorders: Epilepsy or seizures without exemption, conditions resulting in unpredictable unconsciousness, dizziness, or tremors not under control.
  • Substance Use: Use of illicit substances, alcohol addiction, or misuse of prescribed medications affecting driving abilities.
  • Mental & Cognitive Disorders: Severe and unstable mental illnesses such as schizophrenia, bipolar disorder with recent episodes, or cognitive issues impacting decision-making and reaction times.

Temporary or permanent disqualification applies depending on the medical issue. Conditions such as seizure disorders without treatment or implanted defibrillators are typically deemed permanent disqualifications per FMCSA standards.

DOT Physical Exam Locations | CDL Medical Card Near You

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(800) 221-4291