Izee, OR DOT Physical - What You Need to Know
A DOT physical is an in-depth health evaluation mandated by the Department of Transportation for all drivers of commercial motor vehicles. This examination certifies that drivers are equipped physically, mentally, and emotionally to handle large vehicles on public streets safely. A medical examiner, verified by the National Registry of Certified Medical Examiners, conducts this test. Successful completion allows drivers to obtain a DOT medical certificate, necessary for keeping a valid CDL license in compliance with FMCSA regulations.
If regulated by another DOT body and need help recognizing the necessary physical, dial 800-221-4291 for assistance.
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 check (glasses/contacts if needed; standards apply)
- Hearing assessment (whisper test or audiometry)
- Blood pressure and pulse measure
- Complete physical examination (systematic review)
- Urine test (specific gravity, proteins, glucose levels)
Once you pass, a Medical Examiner's Certificate (MEC) could be issued valid for 24 months; however, some conditions may require shorter certification or require specialist documentation, especially in states like Izee, ND.
Who needs a DOT Physical?
You must possess a valid DOT medical certificate if you:
- Hold a commercial driver's license (CDL) for interstate business, whether class A, B, or C
- Operate vehicles over 10,001 pounds GVWR interstate
- Transport 8+ passengers for hire or 15+ non-hire passengers
- Handle hazardous materials needing DOT placarding
- Work with employers governed by DOT agencies FMCSA, FAA, FRA, FTA or USCG requiring DOT medical qualification
In Izee, UT, be sure to adhere to specific state guidelines.
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What to bring with you to a DOT Physical?
- Government-Issued Picture ID
- Glasses/Contacts & Prescription
- Complete Medication List & Dosages
- CPAP Data (if used)
- Specialist Clearances (Cardiology, Sleep Apnea, Diabetes)
- Recent A1C/Blood Pressure Logs (if monitored)
In Izee, MT, ensure these documents are ready for your consultation.
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 Izee, 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: Visual acuity below 20/40 per eye (even with correction), inability to recognize traffic signal colors, or hearing deficiency failing detection of a forced whisper at 5 feet.
- Blood Pressure & Heart Disease: Unmanaged high blood pressure (≥180/110 mmHg), recent myocardial infarction, stroke, uncontrolled chest pain, or an implanted defibrillator.
- Diabetes: Poorly controlled diabetes with frequent hypoglycemia or complications (e.g., nerve damage, vision problems) that hinder safe vehicle operation.
- Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing excessive daytime sleepiness, or serious pulmonary disease affecting adequate oxygenation.
- Neurological Disorders: Seizure disorders (without exemption), conditions causing abrupt unconsciousness, dizziness, or uncontrollable tremors.
- Substance Abuse: Ongoing use of illicit substances, alcohol addiction, or abuse of prescription drugs affecting driving capabilities.
- Psychiatric & Cognitive Disorders: Severe untreated mental health conditions (e.g., schizophrenia, bipolar disorder) or cognitive decline impeding judgment and quick responses.
Temporary vs. Permanent Disqualification Some conditions might temporarily disqualify you until medical clearance is provided, while issues like untreated epilepsy or having an implanted defibrillator could permanently disqualify under FMCSA rules.
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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