Arcade, TX DOT Physical - What You Need to Know
A DOT physical is an in-depth medical evaluation required for all commercial motor vehicle (CMV) operators by the Department of Transportation (DOT). This assessment guarantees that professional drivers are fit physically, mentally, and emotionally to handle large vehicles on public highways safely. Certified medical examiners (CMEs) listed on the National Registry of Certified Medical Examiners (NRCME) conduct the DOT physical. Successfully passing the evaluation enables drivers to acquire a DOT medical certificate, also known as a DOT medical card, necessary to uphold a valid CDL license as per FMCSA regulations. If you're governed by a different DOT entity and need help figuring out which DOT physical is needed, you can call 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 records and medication use
- Vision check (corrective lenses possible; minimum standards must be met)
- Hearing test (using whisper or audiometry methods)
- Blood pressure and pulse measures
- Overall physical health examination (system review)
- Urinalysis (to check gravity, protein, glucose levels)
In Arcade, WA, upon success, a Medical Examiner's Certificate (MEC) could be valid for up to 24 months. Some health issues might require shorter certification periods or additional specialist input.
Who needs a DOT Physical?
You need a valid DOT medical card if you:
- Hold an Arcade, 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
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What to bring with you to a DOT Physical?
- Official photo id
- Prescription glasses/contacts and related prescription
- Medication list & dosages
- CPAP usage records (if relevant)
- Specialist authorizations (e.g., cardiology, sleep apnea, diabetes)
- Recent A1C/blood pressure data if monitored
Remember, in Arcade, NC, ensuring all these necessary materials are brought can smooth the health clearance process.
What happens if I fail a DOT Physical?
- Without a medical card
- Face temporary barring
- Doctor-referred treatment needed
- FMCSA exceptions for specific conditions
- Notifying your employer
- Next steps: fix health issues and retake exam
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Vision below 20/40 in each eye (even with correction), inability to differentiate traffic signal colors, or an inability to hear a forced whisper at 5 feet.
- Blood Pressure & Heart Disease: Unmanaged hypertension (≥180/110 mmHg), recent heart attack or stroke, uncontrolled angina, or an implanted defibrillator without approval.
- Diabetes: Unmanaged diabetes with frequent hypoglycemic episodes or complications that affect safe driving.
- Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea leading to daytime sleepiness, or severe respiratory disease affecting oxygenation.
- Neurological Disorders: Epilepsy/seizure disorders (without exemption), conditions causing sudden consciousness loss, dizziness, or uncontrolled tremors.
- Substance Abuse: Current usage of illegal drugs, alcohol dependence, or misuse of prescription drugs that impair driving.
- Psychiatric & Cognitive Disorders: Severe unmanaged mental illness or cognitive dysfunction affecting judgment and response time.
Issues might only temporarily disqualify you until clearance or documentation is provided (e.g., controlled blood pressure, managed diabetes). Others, like untreated seizure disorders or implanted defibrillators, are usually permanently disqualifying under FMCSA rules.
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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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