Nanson, ND DOT Physical - What You Need to Know
A DOT physical is a thorough health examination mandated by the Department of Transportation (DOT) for all drivers of commercial motor vehicles (CMVs). This checkup is crucial to confirm that drivers are in the right physical, mental, and emotional condition to safely maneuver large vehicles on public streets. A certified medical examiner (CME) enlisted on the National Registry of Certified Medical Examiners (NRCME) conducts the DOT physical. Successfully passing the physical allows drivers to obtain a DOT medical certificate (also recognized as a DOT medical card), which is necessary for maintaining a current CDL under FMCSA guidelines. If you're governed by a different DOT agency and require help identifying the necessary DOT physical, 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 of health history and evaluation of medication
- Visual examination (using corrective lenses is allowed; must meet minimum criteria)
- Auditory evaluation (via whispered voice or audiometry)
- Assessment of blood pressure and heart rate
- Physical assessment (reviewing various body systems)
- Urinalysis (checking specific gravity, protein, and glucose)
Once successfully completed, the Medical Examiner's Certificate (MEC) can be issued for up to 24 months in Nanson, CT; however, some health conditions might necessitate shorter certification or documentation from a specialist.
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 specifically to Nanson, WI.
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What to bring with you to a DOT Physical?
- Government-issued photo ID
- Eyewear and prescription details
- Oral medication list with dosages
- CPAP usage records (when relevant)
- Specialist clearances (e.g., cardiology, sleep apnea, diabetes) if needed
- Current A1C and blood pressure logs if under monitoring
Ensure these items are ready for your DOT exam in the Nanson, DC, complying with necessary documentation.
What happens if I fail a DOT Physical?
- No issuance of a Medical card
- Temporary ban from driving
- Referral for medical follow-up with your regular doctor
- FMCSA allowances for specific health conditions
- Notification sent to employer
- Proceed with resolving health issues and retake the exam
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What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Vision must be no worse than 20/40 per eye with correction, and must distinguish traffic signal colors. Hearing must detect a forced whisper at 5 feet.
- Blood Pressure & Heart Issues: Hypertension uncontrolled at above 180/110 mmHg, or recent cardiac events, including heart attack, stroke, or angina, may disqualify without clearance.
- Diabetes: Unmanaged diabetes leading to frequent hypoglycemic events or nerve and vision complications can bar safe driving.
- Sleep & Breathing Disorders: Untreated sleep apnea causing daytime sleepiness, or severe respiratory illnesses affecting oxygenation, are disqualifying.
- Neurological Conditions: Epilepsy or conditions provoking sudden unconsciousness or uncontrolled tremors generally disqualify unless exempted.
- Substance Concerns: Illegal drug use or alcohol dependence that prejudices safe driving are disqualifying.
- Mental & Cognitive Health: Severe uncontrolled mental health issues like untreated schizophrenia or bipolar disorder can affect driver eligibility under FMCSA standards.
Temporary disqualifications may occur until medical documentation or treatment proof is provided, as in manageably high blood pressure cases, whereas untreated seizures or defibrillator without exception may mean permanent disqualification.
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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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