Lincoln, NM DOT Physical - What You Need to Know
A DOT physical is an in-depth medical evaluation mandated by the Department of Transportation (DOT) for individuals driving commercial motor vehicles (CMVs). This examination ensures that these drivers have the requisite physical, mental, and emotional capabilities to operate large vehicles safely on public thoroughfares. A certified medical examiner (CME) registered with the National Registry of Certified Medical Examiners (NRCME) conducts the DOT physical. Successfully passing results in a DOT medical certificate (Medical Examiner's Certificate, also known as a DOT medical card), essential for holding a valid CDL license per FMCSA rules. If governed by another DOT agency and need help determining 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
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What is checked in a DOT Physical?
- Review of health history and medications
- Vision test (corrective lenses allowed, with standards to meet)
- Hearing check (using forced whisper or audiometer)
- Blood pressure and pulse check
- Full physical exam (system checks)
- Urinalysis (looking at specific gravity, protein, glucose)
Upon successful completion, your Medical Examiner's Certificate (MEC) may be valid for up to 24 months. Specific conditions could necessitate shorter certification or additional documentation from a specialist. Lincoln, KY
Who needs a DOT Physical?
You must have a valid DOT medical certificate (card) if you:
- Have a commercial driver's license (CDL)- class A,B, or C for interstate commerce
- Drive a vehicle over 10,001 lbs. GVWR in interstate commerce
- Transport more than 8 passengers (for hire) or more than 15 passengers (not for hire)
- Transport hazardous materials that require placarding under DOT regulations
- Work for employers regulated by DOT agencies such as FMCSA, FAA, FRA, FTA or USCG where DOT medical qualification is required
Lincoln, DE enforcement ensures compliance.
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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
These requirements are essential for drivers in Lincoln, WY undergoing a DOT physical.
What happens if I fail a DOT Physical?
- Medical card will not be granted
- Temporary ineligibility
- Recommendation for treatment by your doctor
- FMCSA exemptions for specific conditions
- Notification to the employer
- Subsequent actions (resolve medical concerns and redo the examination)
This procedure applies to Lincoln, KY-based drivers needing medical clearance due to listed conditions.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Visual acuity below 20/40 in each eye (even with correction), inability to see traffic signal colors, or inability to hear a forced whisper from 5 feet away.
- Blood Pressure & Heart Disease: Uncontrolled high blood pressure (≥180/110 mmHg), recent heart attack or stroke, uncontrolled chest pain, or presence of an implanted defibrillator lacking approval.
- Diabetes: Uncontrolled blood sugar levels with episodes of hypoglycemia or complications like neuropathy that hinder safe driving.
- Sleep Apnea & Respiratory Issues: Untreated sleep apnea leading to daytime sleepiness, or severe lung issues compromising oxygen levels.
- Neurological Disorders: Epileptic conditions or other ailments causing unexpected collapses, dizziness, or uncontrollable tremors.
- Substance Abuse: Current illegal drug use, alcohol dependency, or misuse of medication affecting driving.
- Psychiatric & Cognitive Disorders: Serious uncontrolled psychiatric disorders (e.g., schizophrenia), or cognitive problems affecting decision-making and reaction speed.
Disqualifications can be temporary until medical clearance is obtained (e.g., regulated blood pressure), while conditions like untreated epilepsy may lead to permanent disqualification per FMCSA standards.
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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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