DOT Physical Exams - Oregon

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Oregon DOT Physical - What You Need to Know

A DOT physical is an all-encompassing health evaluation mandated by the Department of Transportation for commercial motor vehicle operators. This assessment guarantees drivers are fit on physical, mental, and emotional levels to safely handle large vehicles on public roadways. A certified medical examiner from the National Registry performs the exam. Successful completion awards a DOT medical certificate, necessary for a valid CDL per FMCSA rules. Questions? 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 and medication review
  • Vision screening with corrective lenses allowed; standards must be met
  • Hearing test via whisper or audiometry
  • Blood pressure and pulse rate check
  • Physical examination covering various systems
  • Urinalysis for specific readings like gravity, protein, glucose

After successful evaluation in Oregon, a Medical Examiner's Certificate (MEC) is issued, valid for up to 24 months, though certain health conditions might require more frequent renewals or specialist documentation.

Who needs a DOT Physical?

Holding a current DOT medical certificate is mandatory if you:

  • Possess a commercial driver's license (CDL) – class A, B, or C for interstate commerce
  • Operate a vehicle with a GVWR over 10,001 lbs in interstate trade
  • Transport over 8 paying passengers or 15 non-paying ones
  • Handle hazardous materials needing DOT regulation placards
  • Are employed by DOT-regulated bodies like FMCSA, FAA, FRA, FTA, or USCG with medical qualification requisites

This includes Oregon drivers.

What to bring with you to a DOT Physical?

  • Government-issued identification with photo
  • Spectacles/contact lenses and prescription
  • Medication list with dosages
  • CPAP usage records if relevant
  • Specialist medical approvals (cardiology, sleep apnea, diabetes, etc.)
  • Recent logs for A1C or blood pressure when monitored

Note: Oregon requires these for a smooth process.

What happens if I fail a DOT Physical?

  • No Medical card issuance
  • Temporary disqualification indicated
  • Referral to primary healthcare for treatment
  • Eligibility for FMCSA condition-specific exemptions
  • Employer must be notified
  • Follow-up actions: Resolve health concerns and reattempt the exam

These protocols apply in Oregon too.

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

  • Vision & Hearing: Visual acuity worse than 20/40 in each eye (with correction), inability to recognize traffic light colors, or hearing loss preventing understanding of a whisper at 5 feet.
  • Blood Pressure & Heart Disease: Hypertension uncontrolled (≥180/110 mmHg), recent heart event, stroke, uncontrolled angina, or defibrillator without clearance.
  • Diabetes: Diabetes not managed properly with frequent hypoglycemia or complications affecting safe driving.
  • Sleep Apnea & Respiratory Issues: Untreated sleep apnea causing daytime sleepiness or severe lung disease impairing oxygen intake.
  • Neurological Disorders: Epilepsy/seizures, or conditions with sudden consciousness loss, dizziness, or uncontrolled tremors without exemptions.
  • Substance Abuse: Current illicit drug use, alcohol dependency, or prescription misuse affecting driving.
  • Psychiatric & Cognitive Disorders: Serious untreated psychiatric conditions or cognitive problems impacting decision-making and reaction time.

Temporary vs. Permanent Disqualification: Some conditions may cause temporary disqualification until medical clearance (e.g., controlled blood pressure). Others, like untreated seizures or defibrillators, are generally permanently disqualifying under FMCSA.

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(800) 221-4291