Florence, NC DOT Physical - What You Need to Know
DOT physicals are detailed medical check-ups mandated by the Department of Transportation for all commercial vehicle operators. These exams confirm that drivers are duly equipped physically, mentally, and emotionally to manage large vehicles on public highways. A certified medical examiner, listed on the National Registry of Certified Medical Examiners, conducts the exam. A successful assessment provides drivers with the DOT medical certificate, essential for keeping a CDL under FMCSA rules. If you need help figuring out the needed DOT physical or fall under another DOT authority, 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 your health history and medications
- Vision testing is required; glasses or contacts may be worn but must meet Florence, MI's minimum criteria
- Hearing check via forced whisper or audiometry testing
- Blood pressure and pulse monitoring
- Physical check-up (body systems examination)
- Urinalysis including specific gravity, protein, and glucose levels
After passing the examination, a Medical Examiner's Certificate (MEC) can be issued, usually valid for up to 24 months. In some cases, conditions might necessitate reduced certification durations or additional specialist documentation, especially in Florence, MI.
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
This applies to operations in Florence, WY as well.
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What to bring with you to a DOT Physical?
- State-issued photo ID
- Corrective lenses or contact lenses & current prescription
- List of current medications & their doses
- Data from CPAP machine if applicable
- Clearances from specialists (cardiology, sleep-related issues, diabetes, etc.)
- Latest A1C/blood pressure logs if monitored regularly
Remember to bring these documents if you're taking the exam in Florence, IL.
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: Visual acuity worse than 20/40 in either eye (even with glasses), difficulty identifying traffic lights, or inability to hear a whispered voice within 5 feet.
- Blood Pressure & Heart Disease: Severe hypertension (≥180/110 mmHg), recent heart attack or stroke, unstable angina, or an unapproved defibrillator.
- Diabetes: Frequent hypoglycemic events or complications like neuropathy impacting driving safety from uncontrolled diabetes.
- Sleep Apnea & Respiratory Issues: Untreated sleep apnea resulting in daytime sleepiness or severe lung conditions affecting breathing.
- Neurological Disorders: Epilepsy or seizures (unless exempt), conditions causing sudden blackouts or involuntary tremors.
- Substance Abuse: Current illegal drug use, alcohol abuse, or misuse of prescription drugs affecting motor skills.
- Psychiatric & Cognitive Disorders: Severe mental health issues (e.g., uncontrolled schizophrenia) or cognitive deficits harming decision-making skills.
Some conditions may temporarily prevent certification until resolved with documentation (e.g., controlled blood pressure). Other issues, like unmanaged seizures, usually lead to permanent ineligibility under FMCSA norms.
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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