Red Cross, NC 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 in Red Cross, KS.
Who needs a DOT Physical?
A current DOT medical certificate (card) is required if you:
- Possess a commercial driver's license (CDL) - classes A, B, or C, for interstate activities
- Operate vehicles over 10,001 lbs GVWR in interstate commerce
- Transport over 8 paying or more than 15 non-paying passengers
- Carry hazardous substances that necessitate DOT warning placards
- Work for DOT-supervised companies like FMCSA, FAA, FRA, FTA, or USCG needing DOT medical credentials, applicable in Red Cross, ME
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What to bring with you to a DOT Physical?
- Official photo ID issued by the government
- Corrective eyewear and prescription
- List indicating medications and dosages
- CPAP usage data (if relevant)
- Clearances from specialists (for heart issues, sleep apnea, diabetes, etc.)
- Latest A1C/blood pressure logs if monitored
Ensure these are with you for the process in Red Cross, AZ.
What happens if I fail a DOT Physical?
- Issuance of Medical card denied
- Imposed temporary disqualification
- Directed to primary care doctor for treatment
- Seek FMCSA exemptions for specific health issues
- Notification to employer required
- Plan next actions (tackle medical concerns and retake the test)
Ensure compliance with Red Cross, MO regulations and guidelines, and prepare for potential reevaluation as necessitated.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Inadequate vision (worse than 20/40), difficulty recognizing traffic signal colors, or significant hearing loss (can't hear a whispered voice at 5 feet).
- Blood Pressure & Heart Disease: Poorly controlled high blood pressure (≥180/110 mmHg), recent cardiac events, or defibrillator without approval.
- Diabetes: Unmanaged diabetes with frequent low sugar episodes or complications that hinder driving.
- Sleep Apnea & Respiratory Issues: Untreated sleep apnea causing sleepiness, or severe lung disease affecting breathing.
- Neurological Disorders: Epilepsy/seizures unless exempt, conditions causing unplanned unconsciousness, or tremors.
- Substance Abuse: Illegal drug use, alcohol addiction, or medication misuse impairing driving.
- Psychiatric & Cognitive Disorders: Serious uncontrolled mental illnesses or cognitive decline affecting decision-making and reflexes.
Certain conditions might lead to temporary disqualification needing medical clearance to resume driving. Others, like untreated seizure disorders, are usually deemed permanently disqualifying under FMCSA policy.
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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