Impact, TX DOT Physical - What You Need to Know
A DOT physical examination is a detailed health check mandated by the Department of Transportation (DOT) for all commercial motor vehicle (CMV) operators. This test confirms that drivers have the physical, mental, and emotional capability to safely manage large vehicles on public highways. Conducted by a certified medical examiner (CME) listed in the National Registry of Certified Medical Examiners (NRCME), passing the examination grants drivers a DOT medical certificate, also known as a Medical Examiner's Certificate or DOT medical card, necessary to uphold a valid CDL license as per FMCSA standards. If another DOT agency regulates you and you require guidance on which DOT physical you need, 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?
- Review of health history and medication adjustment
- Vision exam (correction permitted, minimum set)
- Hearing test (forced whisper or audiometry possible)
- Check blood pressure and pulse
- Overall bodily assessment (comprehensive system review)
- Basic urinalysis (includes tests for specific gravity, protein, glucose)
Success in these can get you a Medical Examiner's Certificate (MEC) valid up to two years. Some conditions in Impact, NH could mean less time certified or need specialist's records for a shorter timeframe.
Who needs a DOT Physical?
You must possess a valid DOT medical certificate (card) 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
- Transport over 8 passengers (for hire) or more than 15 passengers (not for hire)
- Carry hazardous materials needing placarding per DOT rules
- Work for DOT-agency-regulated employers like FMCSA, FAA, FRA, FTA or USCG requiring DOT medical qualification
Ensure compliance with Impact, MN regulations.
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What to bring with you to a DOT Physical?
- Government-issued photo identification
- Eyewear (glasses/contact lenses) & associated prescription
- Detailed medication list & dosages
- CPAP usage records (if it applies)
- Specialist medical clearances (e.g., cardiology, sleep apnea, or diabetes)
- Recent A1C or blood pressure records if they are being tracked
Impact, CT residents must prepare these for a thorough DOT physical examination.
What happens if I fail a DOT Physical?
- No issuance of a Medical card
- Temporary ban from driving
- Referral for medical follow-up with your regular doctor
- FMCSA allowances for specific health conditions
- Notification sent to employer
- Proceed with resolving health issues and retake the exam
Impact, AK
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, color blind to signals, or cannot hear a whisper at 5 feet, it poses issues.
- Blood Pressure & Heart Disease: Unmanaged high blood pressure, recent cardiac events, or implanted medical devices without a clearance can disqualify.
- Diabetes: If uncontrolled with frequent hypoglycemia or complications, it can hinder driving ability.
- Sleep Apnea & Respiratory Issues: Untreated apnea causing daytime fatigue or severe lung conditions can be problematic.
- Neurological Disorders: Conditions like epilepsy or frequent dizziness are generally disqualifying unless exempted.
- Substance Abuse: Use of illegal drugs, dependence on alcohol, or misuse of prescription drugs affecting driving can disqualify.
- Psychiatric & Cognitive Disorders: Severe mental health conditions or cognitive issues impacting safety are concerns.
Temporary vs. Permanent Disqualification: Issues may be temporary if controlled with documentation but certain conditions like untreated seizures or defibrillators are typically permanent under FMCSA standards.
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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