Nageezi, NM DOT Physical - What You Need to Know
A DOT physical is a thorough medical check mandated by the Department of Transportation for commercial motor vehicle operators. This examination ascertains the driver's ability to handle large vehicles safely on public highways, ensuring they are fit physically, mentally, and emotionally. Conducted by certified medical examiners listed on the National Registry, passing this exam grants drivers a DOT medical certificate, vital for a CDL under FMCSA rules. For DOT agency-specific exam needs, 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 assessment
- Eye test (glasses or contacts permitted; minimal criteria apply)
- Hearing examination (forced whisper or audiogram)
- Monitoring blood pressure and heart rate
- Full body examination (systematic review)
- Urine test (checking specific gravity, proteins, sugars)
If passed, the Medical Examiner's Certificate (MEC) is valid up to 24 months; some health conditions could require shorter certification or specialist validation. Nageezi, NM can present unique challenges for drivers.
Who needs a DOT Physical?
Holding a current DOT medical certificate is mandatory if you:
- Possess a commercial driver's license (CDL) – class A, B, or C for interstate commerce
- Operate a vehicle with a GVWR over 10,001 lbs in interstate trade
- Transport over 8 paying passengers or 15 non-paying ones
- Handle hazardous materials needing DOT regulation placards
- Are employed by DOT-regulated bodies like FMCSA, FAA, FRA, FTA, or USCG with medical qualification requisites
This includes Nageezi, OR drivers.
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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
Ensure all required documents are up-to-date, especially when operating outside your home state, like Nageezi, HI.
What happens if I fail a DOT Physical?
- No Medical card will be issued
- Temporary barring period
- Referred for treatment to your main healthcare provider
- FMCSA exemptions for specific medical concerns
- Employer Notification of the situation
- Next Steps: Address medical problems and retake the examination
In Nageezi, LA, resolving the medical issues is crucial for retaking the exam and securing your medical card.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Vision worse than 20/40 per eye (with glasses), inability to see traffic light colors, or hearing loss preventing detection of a whisper at 5 feet.
- Blood Pressure & Heart Disease: Uncontrolled high blood pressure (≥180/110 mmHg), recent heart attack, stroke, uncontrolled chest pain, or an unapproved defibrillator.
- Diabetes: Poorly managed diabetes with frequent hypoglycemia or complications (nerve damage, vision issues) disrupting safe driving.
- Sleep Apnea & Respiratory Issues: Untreated sleep apnea causing daytime sleepiness, or severe lung disease impairing breathing.
- Neurological Disorders: Epilepsy/seizures (unless exempted), conditions causing sudden unconsciousness, dizziness, or uncontrollable shakes.
- Substance Abuse: Current illicit drug use, alcohol dependency, or misuse of prescription drugs impairing driving.
- Psychiatric & Cognitive Disorders: Severe unchecked mental illness (e.g., schizophrenia, bipolar disorder with recent episodes) or cognitive decline affecting decision-making and response time.
Issues may temporarily disqualify you until you provide clearance or documentation (e.g., controlled blood pressure, diabetes management), while others like untreated seizures or unauthorized defibrillators are typically considered permanent disqualifiers by FMCSA.
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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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