Rockfish, NC DOT Physical - What You Need to Know
A DOT physical is an in-depth medical evaluation required for all commercial motor vehicle (CMV) operators by the Department of Transportation (DOT). This assessment guarantees that professional drivers are fit physically, mentally, and emotionally to handle large vehicles on public highways safely. Certified medical examiners (CMEs) listed on the National Registry of Certified Medical Examiners (NRCME) conduct the DOT physical. Successfully passing the evaluation enables drivers to acquire a DOT medical certificate, also known as a DOT medical card, necessary to uphold a valid CDL license as per FMCSA regulations. If you're governed by a different DOT entity and need help figuring out which DOT physical is needed, you can 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?
- Review of health history and medication check
- Vision test (corrective lenses allowed; must meet minimum standards)
- Hearing check (forced whisper or audiometry)
- Blood pressure and heart rate assessment
- Comprehensive physical examination (systems review)
- Urinalysis (specific gravity, protein, glucose)
In Rockfish, AL, successful completion can lead to a Medical Examiner's Certificate valid for up to 24 months. Some conditions might require a shorter certification period or additional specialist documentation.
Who needs a DOT Physical?
In Rockfish, ND, possessing a valid DOT medical certificate (card) is mandatory if you:
- Hold a commercial driver's license (CDL)- class A, B, or C for interstate commerce
- Operate a vehicle exceeding 10,001 lbs. GVWR in interstate commerce
- Carry over 8 passengers (for hire) or over 15 passengers (not for hire)
- Transport hazardous materials needing placarding as per DOT rules
- Are employed by agencies governed by DOT, such as FMCSA, FAA, FRA, FTA, or USCG, where DOT medical qualification is necessary
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What to bring with you to a DOT Physical?
- Government-issued photo ID
- Eyewear & prescription in Rockfish, AR
- Medications & dosages list
- CPAP usage data, if necessary
- Specialist clearances (heart health, sleep disorders, diabetes, etc.)
- Latest A1C/blood pressure logs if monitored
What happens if I fail a DOT Physical?
- No Medical card will be issued
- Temporary disqualification
- Referral for treatment to your primary care doctor
- FMCSA exemptions for certain medical conditions
- Employer Notification
- Next Steps (address the medical issues and retake the exam)
Drivers in Rockfish, WY should take note of these steps in the event of a failed exam.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Vision below 20/40 in each eye (even with correction), inability to recognize traffic colors, or hearing loss that makes it hard to discern a whispered sound at five feet.
- Blood Pressure & Heart Disease: Unmanaged high blood pressure (≥180/110 mmHg), recent heart events, unregulated angina, or a non-cleared implanted defibrillator.
- Diabetes: Unregulated diabetes causing frequent low sugar levels or complications (e.g., neuropathy) impacting safe driving.
- Sleep Apnea & Respiratory Issues: Unmanaged sleep apnea causing drowsiness, or severe respiratory diseases hindering proper oxygenation.
- Neurological Disorders: Epileptic conditions (unless exempted) or illnesses causing loss of consciousness, dizziness, or intense tremors.
- Substance Abuse: Current use of illicit drugs, habitual alcohol misuse, or prescription medication misuse impairing one's driving capabilities.
- Psychiatric & Cognitive Disorders: Significant unmanaged psychiatric conditions (e.g., schizophrenia) or cognitive dysfunction affecting decision-making or reaction speeds.
Some circumstances may temporarily disqualify you until you show the required medical documentation (e.g., managed diabetes). Issues like untreated seizure disorders or non-cleared defibrillators are typically seen as permanently disqualifying by FMCSA norms.
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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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