Leakey, 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
DOT Testing | DOT Breath Alcohol | DOT Consortium Services | MVR Reports Also Available
What is checked in a DOT Physical?
- Review of health history and medications
- Vision test (glasses allowed; minimum standards required)
- Hearing check (forced whisper or audiometry used)
- Blood pressure and heart rate measurements
- Complete physical exam
- Urinalysis to check specific gravity, protein, glucose
If successful, receive a Medical Examiner's Certificate (MEC) valid up to 24 months. Some cases may demand note or shorter duration. Leakey, NE's rules apply.
Who needs a DOT Physical?
Keeping a valid DOT medical certificate (card) is necessary if you:
- Hold a CDL (Class A, B, or C) for interstate trade
- Operate a vehicle exceeding 10,001 lbs. GVWR across state lines
- Transport 8+ paying passengers or 15+ non-paying passengers
- Handle hazardous materials needing DOT-mandated placards
- Are employed by companies regulated by DOT bodies like FMCSA, FAA, FRA, FTA, or USCG where DOT medical qualification is crucial
In Leakey, MT, complying with these mandates is critical.
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What to bring with you to a DOT Physical?
- Valid government photo ID
- Eyewear or prescription contacts
- Current medication list with dosages
- CPAP use file if relevant
- Expert confirmations (heart, sleep, diabetes, etc.)
- Up-to-date A1C/blood pressure logs if being tracked
Important for the state of Leakey, NH.
What happens if I fail a DOT Physical?
- No Medical certification will be provided
- Possible temporary disqualification
- Recommendation for treatment by your primary care physician
- FMCSA exemptions applicable for specific medical conditions
- Employer will be informed
- Subsequent steps involve addressing the medical conditions and retaking the examination in Leakey, CT
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Inability to achieve 20/40 vision in each eye even with correction, trouble distinguishing traffic signal colors, or hearing issues affecting a forced whisper test at 5 feet.
- Blood Pressure & Heart Disease: Blood pressure above 180/110 mmHg, recent heart attack or stroke, unchecked angina, or an implanted defibrillator lacking medical clearance.
- Diabetes: Unmanaged diabetes causing frequent hypoglycemia or issues like neuropathy and impaired vision affecting safe vehicle operation.
- Sleep Apnea & Respiratory Problems: Untreated obstructive sleep apnea leading to daytime sleepiness, or severe respiratory disease impacting oxygen levels.
- Neurological Disorders: Epilepsy or seizures without exemption, conditions resulting in unpredictable unconsciousness, dizziness, or tremors not under control.
- Substance Use: Use of illicit substances, alcohol addiction, or misuse of prescribed medications affecting driving abilities.
- Mental & Cognitive Disorders: Severe and unstable mental illnesses such as schizophrenia, bipolar disorder with recent episodes, or cognitive issues impacting decision-making and reaction times.
Temporary or permanent disqualification applies depending on the medical issue. Conditions such as seizure disorders without treatment or implanted defibrillators are typically deemed permanent disqualifications per 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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