DOT Physical Exams - Keene, TX

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Keene, TX DOT Physical - What You Need to Know

A DOT physical is a thorough medical checkup mandated by the Department of Transportation (DOT) for all commercial motor vehicle (CMV) drivers. This examination verifies that professional drivers are physically, mentally, and emotionally capable of safely operating large vehicles on public roads. Conducted by a certified medical examiner (CME) listed on the National Registry of Certified Medical Examiners (NRCME), passing this exam grants drivers a DOT medical certificate (Medical Examiners Certificate, also known as a DOT medical card), essential to maintain a valid CDL license under FMCSA guidelines. For assistance in determining which DOT physical applies to you, especially if regulated by a different DOT agency, 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

DOT Testing | DOT Breath Alcohol | DOT Consortium Services | MVR Reports Also Available


What is checked in a DOT Physical?

  • Health history evaluation including medications
  • Vision test (corrective lenses acceptable per standard)
  • Hearing test (using whisper or audiometry)
  • Measurement of blood pressure and pulse
  • Comprehensive physical exam (system review)
  • Urine analysis (checking specific gravity, protein, glucose)

On passing, a Medical Examiner's Certificate (MEC) can be issued for up to 24 months. In Keene, MA, some conditions may lead to reduced certification period or need for specialist letters.

Who needs a DOT Physical?

You are required to hold a valid DOT medical certificate (card) if you:

  • Possess a commercial driver's license (CDL) in class A, B, or C for interstate trade
  • Drive vehicles exceeding 10,001 lbs. Gross Vehicle Weight Rating in interstate trade
  • Transport more than 8 for-hire or over 15 non-hire passengers
  • Carry hazardous materials needing DOT placards
  • Are employed by DOT-regulated entities such as FMCSA, FAA, FRA, FTA, or USCG where DOT medical clearance is essential

Location: Keene, OH

What to bring with you to a DOT Physical?

  • Government-issued photo ID
  • Glasses/contacts & prescription
  • Medication & dosage list
  • CPAP usage data (if applicable)
  • Specialist clearances (cardiology, sleep apnea, diabetes, etc.)
  • Recent A1C/blood pressure logs if monitored

These are required when getting a DOT physical in Keene, WV to ensure all necessary information is available for proper certification.

What happens if I fail a DOT Physical?

  • No medical card issued
  • Temporary disqualification
  • Referral to your primary care for treatment
  • FMCSA exemptions available for select medical issues
  • Employer receives notification
  • Next steps involve addressing medical concerns before retrying the exam

This is also applicable in Keene, SD.

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.

DOT Physical Exam Locations | CDL Medical Card Near You

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(800) 221-4291