DOT Physical Exams - Keltys, TX

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Keltys, TX DOT Physical - What You Need to Know

A DOT physical is an all-encompassing health check mandated

by the Department of Transportation (DOT) for every commercial motor vehicle (CMV) driver. This examination checks if drivers are physically, mentally, and emotionally capable of handling large vehicles safely on public roads. Conducted by a certified medical examiner (CME) from the National Registry of Certified Medical Examiners (NRCME), passing the test grants a DOT medical certificate, necessary for maintaining a valid CDL license under FMCSA rules. If another DOT agency oversees your activities and you need help determining the required DOT physical, 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

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What is checked in a DOT Physical?

  • Review of health history and medication check
  • Vision check (glasses/contacts if needed; standards apply)
  • Hearing assessment (whisper test or audiometry)
  • Blood pressure and pulse measure
  • Complete physical examination (systematic review)
  • Urine test (specific gravity, proteins, glucose levels)

Once you pass, a Medical Examiner's Certificate (MEC) could be issued valid for 24 months; however, some conditions may require shorter certification or require specialist documentation, especially in states like Keltys, ND.

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 interstate
  • Transport over 8 passengers (for hire) or over 15 (not for hire)
  • Handle hazardous materials needing DOT placarding
  • Work under DOT agency regulation like FMCSA, FAA, FRA, FTA, or USCG where medical qualification is mandated. Keltys, KY

What to bring with you to a DOT Physical?

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

These requirements are essential for drivers in Keltys, WY undergoing a DOT physical.

What happens if I fail a DOT Physical?

  • No Medical card will be issued
  • Temporary disqualification notice
  • Directed to consult your primary care provider
  • Consider FMCSA exemptions for specific health issues
  • Notification given to your employer
  • Follow-up steps: address health concerns and schedule a retake of the exam

This process is in effect in Keltys, ME.

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

  • Vision & Hearing: Vision less than 20/40 in each eye (with correction), trouble distinguishing traffic signal colors, or hearing loss that prevents recognizing a forced whisper at 5 feet.
  • Blood Pressure & Heart Disease: Unmanaged hypertension (≥180/110 mmHg), recent heart attack, stroke, uncontrolled angina, or an implanted defibrillator without approval.
  • Diabetes: Uncontrolled diabetes with frequent hypoglycemia or complications (neuropathy, vision impairment) affecting safe driving.
  • Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing daytime sleepiness, or severe respiratory diseases affecting oxygen levels.
  • Neurological Disorders: Epilepsy or uncontrolled seizure disorders (unless exempted), conditions causing unexpected consciousness loss, dizziness, or uncontrolled tremors.
  • Substance Abuse: Use of illicit drugs, alcohol dependence, or misuse of medications impairing driving abilities.
  • Psychiatric & Cognitive Disorders: Severe untreated psychiatric illnesses (e.g., schizophrenia, bipolar disorder with recent episodes) or cognitive impairments affecting judgment and response time.

Temporary issues may temporarily disqualify you until you provide the necessary medical clearance or documentation (e.g., controlled blood pressure, diabetes management). Other conditions, such as untreated seizure disorders or implanted defibrillators, are usually considered permanently disqualifying according to FMCSA rules.

DOT Physical Exam Locations | CDL Medical Card Near You

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(800) 221-4291