Hostetter, PA DOT Physical - What You Need to Know
A DOT physical is a thorough medical assessment mandated by the Department of Transportation (DOT) for all drivers of commercial motor vehicles (CMV). This examination ensures that those driving large vehicles on public routes are fit physically, mentally, and emotionally. Conducted by a certified medical examiner (CME) from the National Registry of Certified Medical Examiners (NRCME), passing the exam grants drivers a DOT medical certificate (Medical Examiners Certificate, also known as a DOT medical card), necessary for maintaining a valid CDL license according to FMCSA guidelines. If you're overseen by a different DOT agency and require help determining the specific DOT physical needed, contact 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 use
- Eyesight test (corrective lenses accepted, minimum levels required)
- Hearing test (whisper test or audiometry)
- Blood pressure and pulse check
- Physical evaluation (systems assessment)
- Urine test (specific gravity, protein, glucose)
Upon successful completion, your Medical Examiner's Certificate (MEC) may be issued for up to 24 months, with the potential for shorter duration requiring specialist validation in Hostetter, MS.
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
These regulations are especially notable in Hostetter, PA.
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What to bring with you to a DOT Physical?
- Valid government-issued photo identification
- Eyeglasses/contact lenses and prescription details
- Comprehensive list of medications and dosages
- Data on CPAP machine usage if applicable
- Clearance from specialists in cardiology, sleep apnea, diabetes, etc.
- Recent logs for A1C levels or blood pressure if monitored
Ensure you have all necessary documents when in Hostetter, UT to facilitate the DOT physical process.
What happens if I fail a DOT Physical?
- Medical card will not be granted
- Temporary ineligibility
- Recommendation for treatment by your doctor
- FMCSA exemptions for specific conditions
- Notification to the employer
- Subsequent actions (resolve medical concerns and redo the examination)
This procedure applies to Hostetter, KY-based drivers needing medical clearance due to listed conditions.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Visual acuity worse than 20/40 in both eyes with correction or inability to see traffic colors; hearing loss preventing a whispered voice recognition at 5 feet.
- Blood Pressure & Heart Disease: Uncontrolled high blood pressure (≥180/110 mmHg), recent myocardial infarction, stroke, untreated angina, or defibrillator implant without approval.
- Diabetes: Poorly managed diabetes with frequent hypoglycemic episodes or complications like neuropathy affecting driving.
- Sleep Apnea & Respiratory Issues: Untreated sleep apnea causing sleepiness during the day or severe respiratory disorder affecting oxygen supply.
- Neurological Disorders: Epileptic/seizure disorders unless exempt, or conditions triggering loss of consciousness, dizziness, or tremors.
- Substance Use: Current illegal drug use, alcohol dependency, or misuse of prescribed drugs affecting driving.
- Psychiatric & Cognitive Disorders: Severe unmanaged psychiatric conditions (e.g., schizophrenia, bipolar disorder with recent symptoms) or cognitive deficiencies affecting response and decision-making.
Some medical conditions might temporarily disqualify until medical evaluations or documentation are provided, such as managed blood pressure or diabetes control; whereas conditions like untreated seizures or defibrillator implants often lead to a permanent disqualification under FMCSA guidelines.
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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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