Fred, 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 test or audiometry)
- Blood pressure and pulse rate
- Physical examination (systems review)
- Urinalysis (specific gravity, protein, glucose)
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, especially in Fred, VT.
Who needs a DOT Physical?
In Fred, WA, possessing a valid DOT medical certificate (card) is necessary if you:
- Hold a commercial driver's license (CDL)- class A, B, or C for cross-state trade
- Drive vehicles over 10,001 lbs. GVWR in cross-state trade
- Carry more than 8 passengers (for hire) or over 15 (not for hire)
- Transport hazardous materials needing DOT-regulated placarding
- Work under DOT agency regulations like FMCSA, FAA, FRA, FTA, or USCG requiring DOT medical credentials
DOT Physical Near Fred, TX
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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 Fred, NC, ensuring all these necessary materials are brought can smooth the health clearance process.
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 Fred, KS
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Vision below 20/40 in each eye (with correction), inability to differentiate signal colors, or hearing loss inhibiting recognition of a whispered message at 5 feet.
- Blood Pressure & Heart Disease: Uncontrolled high blood pressure (≥180/110 mmHg), recent myocardial infarction, stroke, uncontrolled angina, or cardiac devices requiring special permission.
- Diabetes: Poorly managed diabetes causing hypoglycemic episodes or complications (like neuropathy) impairing safe vehicle operation.
- Sleep Apnea & Respiratory Issues: Untreated sleep apnea causing sleepiness, or serious lung conditions affecting oxygen levels.
- Neurological Disorders: Conditions like epilepsy or seizure disorders (excluding exemptions) that may lead to loss of consciousness.
- Substance Abuse: Active illegal drug use, alcohol addiction, or misuse of medications impacting driving.
- Psychiatric & Cognitive Disorders: Severe mental health issues unmanaged by medication or cognitive defects impacting safety decisions.
DOT Physical Exam Locations | CDL Medical Card Near You
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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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