DOT Physical Exams - Lexington, NC

Lexington, NC DOT Physical - What You Need to Know

A DOT physical is an extensive health assessment mandated by the Department of Transportation (DOT) for all operators of commercial motor vehicles (CMVs). This evaluation ensures drivers possess the necessary physical, mental, and emotional stability to safely handle large vehicles on the roads. Conducted by a certified medical examiner (CME) registered with the National Registry of Certified Medical Examiners (NRCME), clearing this exam grants drivers a DOT medical certificate (also known as a DOT medical card), essential for retaining a valid CDL license as per FMCSA guidelines. For guidance on the required DOT physical if you fall under another DOT agency's jurisdiction, 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?

DOT Testing | DOT Breath Alcohol | DOT Consortium Services | MVR Reports Also Available

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

• Vision & Hearing: If vision falls below 20/40 in each eye (even with correction), can't distinguish traffic light colors, or if hearing a forced whisper at 5 feet is not possible.
• Blood Pressure & Heart Disease: Uncontrolled hypertension (180/110 mmHg or more), recent heart attack or stroke, severe angina without regulation, or an implanted defibrillator without clearance.
• Diabetes: Unmanaged diabetes with frequent hypo episodes or complications like neuropathy affecting safe driving.
• Sleep Apnea & Respiratory Issues: Neglected obstructive sleep apnea leading to daytime sleepiness or severe lung conditions impairing oxygen intake.
• Neurological Disorders: Epilepsy or related disorders (unless exempted), conditions causing sudden consciousness loss, dizziness, or uncontrollable tremors.
• Substance Abuse: Ongoing illegal drug use, alcohol addiction, or misuse of prescription medications impairing driving.
• Psychiatric & Cognitive Disorders: Severe psychiatric disorders uncontrolled, like schizophrenia or bipolar disorder with recent episodes, or cognitive issues impairing judgment and response time.

Temporary versus Permanent Disqualification: Some conditions may temporarily disqualify you until medical clearance or documentation is provided (e.g., controlled blood pressure or diabetes management), whereas problems like untreated seizure conditions or implanted defibrillators are broadly permanently disqualifying per FMCSA codes.