Cunningham, TX DOT Physical - What You Need to Know
The DOT physical is an in-depth health screening mandated by the U.S. Department of Transportation for drivers of commercial motor vehicles. This test is essential to ensure that drivers are fit physically, mentally, and emotionally to handle large vehicles safely on the highways. A certified medical examiner (CME) from the National Registry of Certified Medical Examiners (NRCME) conducts the assessment. Successfully passing the exam results in obtaining a DOT medical certificate, also known as a Medical Examiners Certificate or DOT medical card, necessary for keeping a CDL license valid under FMCSA rules. If you are subject to other DOT regulations and need help understanding the specific exam required, you can 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?
- 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 Cunningham, MN, upon successful completion, your Medical Examiner's Certificate (MEC) may be issued for up to 24 months. Some conditions may require shorter certification or specialist documentation
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 Cunningham, WI.
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What to bring with you to a DOT Physical?
- Official photo ID
- Corrective lenses/glasses & prescription
- Medication list & dosages
- Data on CPAP usage (if required)
- Expert clearances (heart, apnea, diabetes, etc.)
- Recent A1C/blood pressure logs if monitored
Ensure to have this in Cunningham, VA.
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)
After addressing any disqualifying medical issues, ensure to have your exam retaken in Cunningham, SC for reevaluation.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: If vision is worse than 20/40 per eye (corrected) or unable to discern traffic lights; hearing cannot detect a forced whisper at 5 feet.
- Blood Pressure & Heart Disease: Unmanaged hypertension (≥180/110 mmHg), a recent heart episode or stroke, uncontrolled angina, or having an unsanctioned defibrillator.
- Diabetes: Unregulated diabetes with frequent hypoglycemia or complications like neuropathy or vision issues that hinder safe driving.
- Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing drowsiness or severe lung disease impairing oxygen levels.
- Neurological Disorders: Epilepsy/seizure disorders (without exemptions), conditions causing sudden consciousness loss or uncontrolled tremors.
- Substance Abuse: Current use of illegal substances, alcohol dependency, or misuse of prescription drugs that hinder driving abilities.
- Psychiatric & Cognitive Disorders: Severe uncontrolled mental illness (e.g., schizophrenia, bipolar with recent episodes) or cognitive issues affecting reaction time and judgment.
Under FMCSA rules, some issues may result in temporary disqualification while addressing them with medical documentation (e.g., controlled hypertension). Others, like untreated seizures or defibrillators, are considered generally permanently disqualifying.
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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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