San Luis, NM DOT Physical - What You Need to Know
A DOT physical is a thorough health assessment mandated by the Department of Transportation for those driving commercial motor vehicles. This examination certifies that drivers are capable, both physically and mentally, for the operation of heavy vehicles on public highways. A certified medical examiner, listed on the National Registry, conducts this evaluation. Success in the examination grants drivers a DOT medical card, essential for a valid CDL per FMCSA rules. If other DOT agency regulations apply to you and you need help understanding which DOT exam is necessary, 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?
- Health history review and medication assessment
- Vision screening (corrective lenses allowed; minimum standards apply)
- Hearing assessment (forced whisper or audiometry)
- Blood pressure and pulse rate
- Physical examination (systems review)
- Urinalysis (specific gravity, protein, glucose)
Upon successful completion, your Medical Examiner's Certificate (MEC) may be issued for up to 24 months. Some conditions may require shorter certification or specialist documentation. San Luis, RI drivers should be aware of this process as it applies to all states.
Who needs a DOT Physical?
You need a valid DOT medical card if you:
- Hold an San Luis, 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
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What to bring with you to a DOT Physical?
- Government-issued photo identification
- Eyeglasses/contact lenses & prescription
- Medication list & dosages
- CPAP use records (if applicable)
- Specialist medical clearances (cardiology, sleep apnea, diabetes, etc.)
- Recent A1C/blood pressure records if under monitoring. San Luis, NJ.
What happens if I fail a DOT Physical?
- No issuance of Medical card
- Disqualified temporarily
- Doctor's referral for follow-up
- FMCSA offers exemptions for specific health conditions
- Employer and relevant parties notified
- Steps to address health concerns, retake the exam and meet San Luis, MD requirements
Understanding these elements will guide your actions following any disqualification or requirement for further medical evaluations.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Visual acuity below 20/40 per eye (even with correction), inability to recognize traffic signal colors, or hearing deficiency failing detection of a forced whisper at 5 feet.
- Blood Pressure & Heart Disease: Unmanaged high blood pressure (≥180/110 mmHg), recent myocardial infarction, stroke, uncontrolled chest pain, or an implanted defibrillator.
- Diabetes: Poorly controlled diabetes with frequent hypoglycemia or complications (e.g., nerve damage, vision problems) that hinder safe vehicle operation.
- Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing excessive daytime sleepiness, or serious pulmonary disease affecting adequate oxygenation.
- Neurological Disorders: Seizure disorders (without exemption), conditions causing abrupt unconsciousness, dizziness, or uncontrollable tremors.
- Substance Abuse: Ongoing use of illicit substances, alcohol addiction, or abuse of prescription drugs affecting driving capabilities.
- Psychiatric & Cognitive Disorders: Severe untreated mental health conditions (e.g., schizophrenia, bipolar disorder) or cognitive decline impeding judgment and quick responses.
Temporary vs. Permanent Disqualification Some conditions might temporarily disqualify you until medical clearance is provided, while issues like untreated epilepsy or having an implanted defibrillator could permanently disqualify under 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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