DOT Physical Exams - Union, SC

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Union, SC DOT Physical - What You Need to Know

A DOT physical is a thorough health assessment mandated by the Department of Transportation (DOT) for all commercial motor vehicle (CMV) operators. This examination verifies that drivers possess the physical, mental, and emotional capacity to safely maneuver large vehicles on public routes. Conducted by a certified medical examiner (CME) listed in the National Registry of Certified Medical Examiners (NRCME), passing the exam grants drivers a DOT medical certificate, essential for maintaining a valid CDL under FMCSA guidelines. For guidance on the specific DOT physical needed if overseen by a different DOT agency, 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

DOT Testing | DOT Breath Alcohol | DOT Consortium Services | MVR Reports Also Available


What is checked in a DOT Physical?

  • Review your health history and medications
  • Vision testing is required; glasses or contacts may be worn but must meet Union, MI's minimum criteria
  • Hearing check via forced whisper or audiometry testing
  • Blood pressure and pulse monitoring
  • Physical check-up (body systems examination)
  • Urinalysis including specific gravity, protein, and glucose levels

After passing the examination, a Medical Examiner's Certificate (MEC) can be issued, usually valid for up to 24 months. In some cases, conditions might necessitate reduced certification durations or additional specialist documentation, especially in Union, MI.

Who needs a DOT Physical?

You need a valid DOT medical card if you:

  • Hold an Union, IN CDL for interstate commerce (class A, B, or C)
  • Operate a vehicle over 10,001 lbs. GVWR in interstate commerce
  • Transport more than 8 passengers (for hire) or 15+ passengers (not for hire)
  • Carry hazardous materials necessitating DOT placarding
  • Work for DOT-regulated employers like FMCSA, FAA, FRA, FTA, USCG, where medical qualification is mandatory

What to bring with you to a DOT Physical?

  • Government ID with photo
  • Corrective eyewear and prescriptions
  • Medication list with dosages
  • CPAP data usage (if applicable)
  • Specialist approvals like cardiology, sleep apnea, diabetes
  • Recent A1C or blood pressure logs if watched

Remember to incorporate Union, MA in your preparations.

What happens if I fail a DOT Physical?

  • No Medical card can be granted
  • Temporary disqualification may follow
  • Advice to see your primary care provider for treatment
  • FMCSA exceptions might be available for specific health concerns
  • Employer will be informed
  • Next actions: tackle the medical problems and sit the test again

This applies to situations occurring in Union, IL as well.

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

  • Vision & Hearing: Vision less than 20/40 in each eye (with correction), trouble distinguishing traffic signal colors, or hearing loss that prevents recognizing a forced whisper at 5 feet.
  • Blood Pressure & Heart Disease: Unmanaged hypertension (≥180/110 mmHg), recent heart attack, stroke, uncontrolled angina, or an implanted defibrillator without approval.
  • Diabetes: Uncontrolled diabetes with frequent hypoglycemia or complications (neuropathy, vision impairment) affecting safe driving.
  • Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing daytime sleepiness, or severe respiratory diseases affecting oxygen levels.
  • Neurological Disorders: Epilepsy or uncontrolled seizure disorders (unless exempted), conditions causing unexpected consciousness loss, dizziness, or uncontrolled tremors.
  • Substance Abuse: Use of illicit drugs, alcohol dependence, or misuse of medications impairing driving abilities.
  • Psychiatric & Cognitive Disorders: Severe untreated psychiatric illnesses (e.g., schizophrenia, bipolar disorder with recent episodes) or cognitive impairments affecting judgment and response time.

Temporary issues may temporarily disqualify you until you provide the necessary medical clearance or documentation (e.g., controlled blood pressure, diabetes management). Other conditions, such as untreated seizure disorders or implanted defibrillators, are usually considered permanently disqualifying according to FMCSA rules.

References:
- FMCSA Medical Examiner Physical Qualification Standards (§391.41)
- 49 CFR Part 391 - Qualification of Drivers
- Medical Examiner's Handbook
- FMCSA Driver Exemptions

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(800) 221-4291