Caddo, TX DOT Physical - What You Need to Know
A DOT physical is an in-depth health check required by the Department of Transportation for all commercial vehicle operators. The purpose of this exam is to confirm that drivers are in good physical, mental, and emotional health to handle large vehicles safely on public thoroughfares. Certified medical examiners, registered on the National Registry of Certified Medical Examiners, conduct this examination. A successful exam grants drivers a DOT medical certificate, essential for holding a valid CDL license as per FMCSA standards. If your regulation falls under another DOT agency and you need guidance, 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 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. Caddo, NM can present unique challenges for drivers.
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
This applies specifically to Caddo, WI.
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What to bring with you to a DOT Physical?
- State-issued photo ID
- Corrective lenses & prescription details
- Complete list of medicines & doses
- Data showing CPAP device usage (when relevant)
- Specialist approvals (cardiology, sleep apnea, diabetes, etc.)
- Recent A1C/blood pressure logs if tracked
Ensuring compliance within Caddo, MS is crucial for adequate documentation at the exam.
What happens if I fail a DOT Physical?
- Denial of Medical card issuance
- Imposition of short-term disqualification
- Recommendations for primary care consultation
- FMCSA can provide certain medical conditional exemptions
- Your employer receives notice regarding status
- It is essential to voice the medical challenges, seek remedies, and take the exam again, especially within Caddo, OK.
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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