Tome, NM DOT Physical - What You Need to Know
A DOT physical is an all-encompassing health assessment mandated by the Department of Transportation for every commercial motor vehicle (CMV) operator. This examination establishes that drivers are physically, mentally, and emotionally capable of maneuvering large vehicles safely on public highways. A certified medical examiner, listed on the National Registry of Certified Medical Examiners, conducts the exam. Success in this exam awards the driver a DOT medical certificate, necessary to keep a valid CDL license as per FMCSA guidelines. If another DOT agency regulates you and you're unsure which DOT physical you require, 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
This applies specifically to Tome, WI.
Who needs a DOT Physical?
You need a valid DOT medical card if:
- Holding a commercial driver's license (CDL) - class A, B, or C for operating across states
- Driving vehicles over 10,001 lbs. GVWR interstate
- Transporting over 8 passengers (for hire) or more than 15 (not for hire)
- Handling hazardous materials requiring placards as per DOT standards
- Employed by DOT-regulated entities (FMCSA, FAA, FRA, FTA, USCG) where medical clearance is necessary in Tome, AZ
What to bring with you to a DOT Physical?
- Government-issued photo ID
- Eyewear and prescription details
- Oral medication list with dosages
- CPAP usage records (when relevant)
- Specialist clearances (e.g., cardiology, sleep apnea, diabetes) if needed
- Current A1C and blood pressure logs if under monitoring
Ensure these items are ready for your DOT exam in the Tome, DC, complying with necessary documentation.
What happens if I fail a DOT Physical?
- Without a medical card
- Face temporary barring
- Doctor-referred treatment needed
- FMCSA exceptions for specific conditions
- Notifying your employer
- Next steps: fix health issues and retake exam
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Subpar vision (worse than 20/40 per eye) with corrective lenses, inability to distinguish traffic lights, or failed hearing tests (unable to hear a forced whisper from five feet).
- Blood Pressure & Heart Disease: Poor management of hypertension (≥180/110 mmHg), recent cardiac events, stroke, unstable angina, or implanted defibrillator without approval.
- Diabetes: Poorly managed diabetes with frequent hypoglycemia or severe complications jeopardizing safe driving.
- Respiratory Issues & Sleep Apnea: Untreated sleep apnea causing fatigue or severe respiratory conditions affecting oxygen levels.
- Neurological Disorders: Epilepsy or seizures (unless exempted), disorders causing unexpected fainting, dizziness, or uncontrollable tremors.
- Substance Abuse: Use of banned substances, alcohol dependence, or prescription misuse impairing driving skills.
- Psychiatric & Cognitive Issues: Serious unmanaged psychiatric disorders (schizophrenia, recent bipolar episodes) or cognitive deficits affecting judgment and response times.
Some conditions may temporarily disqualify you until resolved. Others, such as untreated epilepsy or defibrillators, often 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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