Can high blood pressure make you fail a DOT physical?

Yes. Drivers with blood pressure at or above 180/110 mmHg will fail the DOT physical. Lower levels of hypertension may result in shorter certification periods if under treatment.

Does diabetes disqualify you from a DOT physical?

Not always. Controlled diabetes with proper documentation may be allowed. Uncontrolled diabetes with frequent hypoglycemia or complications can cause disqualification until managed.

Will sleep apnea cause you to fail a DOT physical?

Untreated or uncontrolled sleep apnea that causes daytime drowsiness can disqualify a driver. However, drivers who are compliant with CPAP or other treatments may qualify with documentation.

What does the Madison, SD DOT physical include?

The DOT physical exam in Madison, SD typically includes a review of medical history and medications, vision and hearing tests, measurement of blood pressure, pulse and heart rate, urinalysis and a general physical exam by a certified medical examiner. Upon passing, you may receive a medical examiner’s certificate valid for up to 24 months.

Who in Madison, SD needs to get a DOT physical?

Any driver holding a commercial driver’s license (CDL) for interstate or intrastate commerce in Madison, SD, or operating a commercial motor vehicle regulated by the DOT, must have a valid medical certificate issued by a certified medical examiner.

Where can I have the DOT physical done in Madison, SD?

Madison, SD drivers can schedule their DOT physical through Accredited Drug Testing’s network of certified examiners and collection sites across the state, ensuring compliance with both federal and Madison, SD state requirements.

What should I bring with me to the DOT physical in Madison, SD?

Bring a photo ID, your current medical certificate if applicable, list of medications and dosages, any specialist clearance letters (for conditions such as sleep apnea or cardiac issues) and glasses or contact lens prescription if used.

What happens if I don’t pass my Madison, SD DOT physical?

If you fail the exam, you will not receive the medical certificate and your driving privileges under the DOT‐regulated commercial vehicle operations may be suspended until you meet the qualifying medical requirements and are re-examined.

DOT Physical - Madison, SD

Madison, SD DOT Physical - What You Need to Know

The DOT physical examination is a thorough health evaluation mandated by the Department of Transportation (DOT) for all commercial motor vehicle (CMV) drivers. This examination makes sure that drivers are capable physically, mentally, and emotionally of handling large road vehicles. A certified medical examiner listed on the National Registry conducts the test. Successfully passing grants a DOT medical certificate essential for a CDL under FMCSA rules. For guidance on which specific DOT physical you need, 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 assessment
Eye test (glasses or contacts permitted; minimal criteria apply)
Hearing examination (forced whisper or audiogram)
Monitoring blood pressure and heart rate
Full body examination (systematic review)
Urine test (checking specific gravity, proteins, sugars)

If passed, the Medical Examiner's Certificate (MEC) is valid up to 24 months; some health conditions could require shorter certification or specialist validation. Madison, NM can present unique challenges for drivers.

Who needs a DOT Physical?

You need a valid DOT medical card if you:

Hold an Madison, 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-issued photo ID
Eyewear & prescription in Madison, AR
Medications & dosages list
CPAP usage data, if necessary
Specialist clearances (heart health, sleep disorders, diabetes, etc.)
Latest A1C/blood pressure logs if monitored

What happens if I fail a DOT Physical?

No Medical card will be issued
Temporary barring period
Referred for treatment to your main healthcare provider
FMCSA exemptions for specific medical concerns
Employer Notification of the situation
Next Steps: Address medical problems and retake the examination

In Madison, LA, resolving the medical issues is crucial for retaking the exam and securing your medical card.

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

Vision & Hearing: Vision below 20/40 in either eye (even with correction), inability to differentiate traffic light colors, or hearing impairment preventing the detection of a forced whisper at 5 feet.
Blood Pressure & Heart Disease: Uncontrolled high blood pressure (â‰¥180/110 mmHg), recent cardiovascular events, uncontrolled chest pain, or unauthorized defibrillator implant.
Diabetes: Poorly managed diabetes with often low blood sugar or complications like neuropathy or vision issues.
Sleep Apnea & Respiratory Issues: Untreated sleep apnea causing drowsiness or serious lung diseases affecting oxygen levels.
Neurological Disorders: Seizure conditions or illnesses causing sudden unconsciousness, dizziness, or difficult-to-control tremors.
Substance Abuse: Current illegal drug use, alcohol reliance, or misuse of medications affecting driving.
Psychiatric & Cognitive Disorders: Severe, unmanaged mental disorders or cognitive challenges impacting judgment.

Some issues might temporarily disqualify you until medically cleared, while others, like untreated seizures, are usually permanently disqualifying under FMCSA guidelines.

DOT Physical Exam Locations | CDL Medical Card Near You

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

After Hours Scheduling

DOT Physical Exams - Madison, SD

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26 DOT Drug-Testing Centers in Madison

120 Nw 2nd St2.39 miles

903 N Washington Ave3.97 miles

206 S Veterans St23.89 miles

214 N Prairie St24.71 miles

400 22nd Ave25.37 miles

300 22nd Ave25.47 miles

3405 6th St26.44 miles

4928 N Cliff Ave34.17 miles

306 Prairie Ave Sw34.64 miles

2221 W Russell St34.73 miles

1305 W 18th St37.25 miles

Po Box 184037.29 miles

6000 W 41st St37.35 miles

1100 S Euclid Ave37.52 miles

1200 S 7th Ave37.89 miles

911 5th Ave Sw37.95 miles

916 4th Ave Sw38.02 miles

1101 E Holly Blvd38.54 miles

5027 S Bur Oak Pl39.07 miles

20615 484th Ave39.09 miles

6701 S Louise Ave39.59 miles

900 E 54th St N Ste 20040.11 miles

8100 E 38th St41.31 miles

220 S Cliff Ave Ste 12044.59 miles

108 S Main St Attn Lab47.92 miles

1600 N Kniss Ave49.59 miles

Madison, SD DOT Physical - What You Need to Know

What Does a DOT Physical Include?

What is checked in a DOT Physical?

Who needs a DOT Physical?

What to bring with you to a DOT Physical?

What happens if I fail a DOT Physical?

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

DOT Physical Exam Locations | CDL Medical Card Near You

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