DOT Physical Exams - Midland, SD

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Midland, SD DOT Physical - What You Need to Know

A DOT physical is an in-depth medical evaluation mandated by the Department of Transportation (DOT) for individuals driving commercial motor vehicles (CMVs). This examination ensures that these drivers have the requisite physical, mental, and emotional capabilities to operate large vehicles safely on public thoroughfares. A certified medical examiner (CME) registered with the National Registry of Certified Medical Examiners (NRCME) conducts the DOT physical. Successfully passing results in a DOT medical certificate (Medical Examiner's Certificate, also known as a DOT medical card), essential for holding a valid CDL license per FMCSA rules. If governed by another DOT agency and need help determining the necessary DOT physical, reach out to 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?

  • Health history assessment and medication review
  • Vision assessment (corrective lenses acceptable; minimum criteria apply)
  • Hearing assessment (whisper test or audiometry)
  • Blood pressure measurement and pulse check
  • Physical exam (systematic review)
  • Urinalysis (specific gravity, protein, glucose levels)

On successful completion, your Medical Examiner's Certificate (MEC) may be issued for up to 24 months; some conditions may demand shorter certification or specialist verification, including in Midland, GA.

Who needs a DOT Physical?

Keeping a valid DOT medical certificate (card) is necessary if you:

  • Hold a CDL (Class A, B, or C) for interstate trade
  • Operate a vehicle exceeding 10,001 lbs. GVWR across state lines
  • Transport 8+ paying passengers or 15+ non-paying passengers
  • Handle hazardous materials needing DOT-mandated placards
  • Are employed by companies regulated by DOT bodies like FMCSA, FAA, FRA, FTA, or USCG where DOT medical qualification is crucial
In Midland, MT, complying with these mandates is critical.

What to bring with you to a DOT Physical?

  • Government-issued photo 
  • Glasses/contacts & prescription
  • List of medications & dosages
  • CPAP usage data (if applicable)
  • Specialist clearances (cardiology, sleep apnea, diabetes, etc.)
  • Recent A1C/blood pressure logs if monitored

These requirements are essential for drivers in Midland, WY undergoing a DOT physical.

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)

In Midland, WV, if you fail, you must address the medical conditions before retaking your DOT physical to obtain certification.

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

  • Vision & Hearing: A vision weaker than 20/40 per eye (with correction), issues recognizing traffic signal colors, or inability to hear a forced whisper from 5 feet.
  • Blood Pressure & Heart Disease: High blood pressure (≥180/110 mmHg), recent cardiac incident, stroke, severe angina, or an implanted defibrillator without clearance.
  • Diabetes: Poorly controlled diabetes with frequent hypoglycemic episodes or complications (neuropathy, vision curses) affecting safe driving.
  • Sleep Apnea & Breathing Problems: Untreated obstructive sleep apnea causing daytime somnolence, or serious lung disease hindering oxygen intake.
  • Neurological Conditions: Seizures/epilepsy (unless exempt), disorders causing sudden mightiness, disorientation, or uncontrolled movements.
  • Substance Issues: Ongoing use of illicit substances, alcohol dependency, or prescription drug misuse affecting driving abilities.
  • Mental & Cognitive Disorders: Severe psychiatric disorders that are uncontrolled (like schizophrenia, bipolar disorder episodes) or cognitive impairments hampering reaction and judgment.

Temporary vs. permanent qualification status can arise. Some conditions allow temporary disqualification till proper medical documentation is given, such as blood pressure control or diabetes management. Others, like untreated seizures or heart defibrillator implants, are generally deemed permanently disqualifying by FMCSA.

DOT Physical Exam Locations | CDL Medical Card Near You

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(800) 221-4291