DOT Physical Exams - Lancaster, TX

Lancaster, TX DOT Physical - What You Need to Know

A DOT physical is a thorough health assessment mandated by the Department of Transportation for those driving commercial motor vehicles. This examination certifies that drivers are capable, both physically and mentally, for the operation of heavy vehicles on public highways. A certified medical examiner, listed on the National Registry, conducts this evaluation. Success in the examination grants drivers a DOT medical card, essential for a valid CDL per FMCSA rules. If other DOT agency regulations apply to you and you need help understanding which DOT exam is necessary, 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?

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

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

• Vision & Hearing: Visual acuity worse than 20/40 in each eye (with correction), inability to differentiate traffic signal colors, or auditory loss that prevents hearing a forced whisper at 5 feet.
• Blood Pressure & Heart Disease: Unmonitored hypertension (≥180/110 mmHg), a recent heart event, stroke, uncontrolled angina, or an implanted defibrillator lacking approval.
• Diabetes: Unmanaged diabetes with recurrent episodes of low blood sugar or complications (neuropathy, visual issues) hindering safe driving.
• Sleep Apnea & Respiratory Issues: Neglected obstructive sleep apnea leading to daytime fatigue, or critical lung disease affecting oxygen levels.
• Neurological Disorders: Epilepsy/seizure conditions (unless exempt), conditions triggering sudden unconsciousness, vertigo, or uncontrolled tremors.
• Substance Abuse: Current use of illicit drugs, alcohol dependency, or misuse of prescribed medications impairing driving ability.
• Psychiatric & Cognitive Disorders: Serious uncontrolled mental illness (e.g., schizophrenia, bipolar disorder with recent episodes) or cognitive deficits impacting judgment and reaction.

There exists differentiation between temporary and permanent disqualification. Certain issues might only temporarily disqualify you until medical clearance or documentation such as controlled blood pressure or diabetes management is provided. In contrast, untreated seizure disorders or implanted defibrillators are generally considered permanent disqualifiers under FMCSA guidelines.