Erwin, NC DOT Physical - What You Need to Know
A DOT physical is an all-encompassing health check mandated
by the Department of Transportation (DOT) for every commercial motor vehicle (CMV) driver. This examination checks if drivers are physically, mentally, and emotionally capable of handling large vehicles safely on public roads. Conducted by a certified medical examiner (CME) from the National Registry of Certified Medical Examiners (NRCME), passing the test grants a DOT medical certificate, necessary for maintaining a valid CDL license under FMCSA rules. If another DOT agency oversees your activities and you need help determining the required DOT physical, 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. Erwin, NV regulations must also be considered.
Who needs a DOT Physical?
A DOT medical certificate (card) is mandatory if:
- You hold a commercial driver's license (CDL)- classes A, B, or C, for interstate activities
- Drive a vehicle exceeding 10,001 lbs. GVWR across states
- Convey 8+ passengers for pay, or 15+ passengers not for hire
- Handle hazardous materials needing placarding under DOT law
- Are employed by agencies like FMCSA, FAA, FRA, FTA, or USCG where DOT medical fitness is compulsory
Make sure to include Erwin, MA in your requirements.
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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. Erwin, NJ.
What happens if I fail a DOT Physical?
- No medical certification issued
- Disqualification on a temporary basis
- Treatment referrals to primary care doctors
- FMCSA allowance for specific conditions
- Informing employer
- Steps forward include addressing health issues and retesting
Erwin, NE's policies are enforced.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Visual acuity below 20/40 in either eye (even with correction), difficulty identifying traffic signal colors, or hearing issues preventing a forced whisper test at 5 feet may affect eligibility.
- Blood Pressure & Heart Disease: Hypertension exceeding 180/110 mmHg, recent cardiac events, or implantation of a defibrillator without appropriate medical clearance may be disqualifying.
- Diabetes: Poorly controlled blood sugar contributing to hypoglycemic episodes or other complications that impair safe driving is concerning.
- Sleep Apnea & Respiratory Problems: Untreated sleep apnea or significant lung disease leading to daytime fatigue or oxygen deficiency can impede eligibility.
- Neurological Disorders: Epilepsy (absent waivers), conditions causing sudden unconsciousness, or uncontrollable tremors constitute risks.
- Substance Misuse: Current illicit drug use, alcohol dependency, or prescription drug misuse affecting driving capabilities is disqualifying.
- Mental & Cognitive Disorders: Severe psychiatric conditions like untreated schizophrenia or significant cognitive decline affecting judgment may prevent certification.
With FMCSA, issues like certain seizure conditions or defibrillator use could permanently disqualify you unless addressed. Temporary disqualifications occur upon presenting specific medical documentation.
DOT Physical Exam Locations | CDL Medical Card Near You
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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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