Combes, TX DOT Physical - What You Need to Know
A DOT physical exam is an in-depth health evaluation mandated by the Department of Transportation for all commercial motor vehicle operators. This test ascertains the physical, mental, and emotional wellness required for safe operation of large vehicles on roads open to the public. Only certified medical examiners listed on the National Registry administer the DOT physical. Successful completion awards a DOT medical certificate, necessary for maintaining a valid CDL per FMCSA rules. For guidance on which DOT physical applies, particularly if you're in another DOT-regulated sector, give us a call 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?
- Health history review and medication assessment
- Vision screening (corrective lenses allowed; minimum standards apply)
- Hearing assessment (forced whisper or audiometry)
- Blood pressure and pulse rate
- Physical examination (systems review)
- Urinalysis (specific gravity, protein, glucose)
In Combes, WV, completion leads to a Medical Examiner's Certificate (MEC) valid for up to 24 months. Some conditions may require shorter certification or specialist documentation.
Who needs a DOT Physical?
In Combes, ND, possessing a valid DOT medical certificate (card) is mandatory if you:
- Hold a commercial driver's license (CDL)- class A, B, or C for interstate commerce
- Operate a vehicle exceeding 10,001 lbs. GVWR in interstate commerce
- Carry over 8 passengers (for hire) or over 15 passengers (not for hire)
- Transport hazardous materials needing placarding as per DOT rules
- Are employed by agencies governed by DOT, such as FMCSA, FAA, FRA, FTA, or USCG, where DOT medical qualification is necessary
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What to bring with you to a DOT Physical?
- State-issued photo ID
- Corrective lenses and updated prescription
- Medication details & dosages
- CPAP utilization records if relevant
- Expert clearances (heart, sleep apnea, diabetes, etc.)
- Recent A1C or blood pressure readings if tracked
Fulfill these requirements prior to your visit in Combes, MO to facilitate the process and secure proper certification as needed for your CDL.
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)
Residents of Combes, DE must follow these steps if disqualified.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Visual acuity below 20/40 in each eye (even with correction), inability to see traffic signal colors, or inability to hear a forced whisper from 5 feet away.
- Blood Pressure & Heart Disease: Uncontrolled high blood pressure (≥180/110 mmHg), recent heart attack or stroke, uncontrolled chest pain, or presence of an implanted defibrillator lacking approval.
- Diabetes: Uncontrolled blood sugar levels with episodes of hypoglycemia or complications like neuropathy that hinder safe driving.
- Sleep Apnea & Respiratory Issues: Untreated sleep apnea leading to daytime sleepiness, or severe lung issues compromising oxygen levels.
- Neurological Disorders: Epileptic conditions or other ailments causing unexpected collapses, dizziness, or uncontrollable tremors.
- Substance Abuse: Current illegal drug use, alcohol dependency, or misuse of medication affecting driving.
- Psychiatric & Cognitive Disorders: Serious uncontrolled psychiatric disorders (e.g., schizophrenia), or cognitive problems affecting decision-making and reaction speed.
Disqualifications can be temporary until medical clearance is obtained (e.g., regulated blood pressure), while conditions like untreated epilepsy may lead to permanent disqualification per FMCSA standards.
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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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