London, TX DOT Physical - What You Need to Know
A DOT physical is an in-depth medical evaluation mandated by the Department of Transportation (DOT) for individuals driving commercial motor vehicles (CMVs). This examination ensures that these drivers have the requisite physical, mental, and emotional capabilities to operate large vehicles safely on public thoroughfares. A certified medical examiner (CME) registered with the National Registry of Certified Medical Examiners (NRCME) conducts the DOT physical. Successfully passing results in a DOT medical certificate (Medical Examiner's Certificate, also known as a DOT medical card), essential for holding a valid CDL license per FMCSA rules. If governed by another DOT agency and need help determining the necessary DOT physical, reach out to 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 medications
- Vision test (corrective glasses allowed; basic standards enforced)
- Hearing check (use of forced whisper or audiometry)
- Blood pressure and heart rate assessment
- Complete physical examination (systematic review)
- Urinalysis (check for specific gravity, protein, and sugar levels)
Upon passing, you may obtain a Medical Examiner's Certificate (MEC) valid for up to 24 months. Some conditions might necessitate shorter certifications or additional specialized approvals. London, AK
Who needs a DOT Physical?
A DOT medical certificate (card) is mandatory if:
- You hold a commercial driver's license (CDL)- classes A, B, or C, for interstate activities
- Drive a vehicle exceeding 10,001 lbs. GVWR across states
- Convey 8+ passengers for pay, or 15+ passengers not for hire
- Handle hazardous materials needing placarding under DOT law
- Are employed by agencies like FMCSA, FAA, FRA, FTA, or USCG where DOT medical fitness is compulsory
Make sure to include London, MA in your requirements.
DOT Physical Near London, TX
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What to bring with you to a DOT Physical?
- Bring an official photo ID
- Remember your glasses/contacts and their prescriptions
- Medication details with dosages listed
- CPAP usage records (if applicable)
- Specialist approvals (re: cardiology, sleep apnea, diabetes, etc.)
- Current A1C/blood pressure records if tracked
Essential items to bring for your medical check-up in London, MI include the above for ensuring a precise examination and necessary documentation to aid the certification process.
What happens if I fail a DOT Physical?
- No Medical card will be issued
- Temporary disqualification
- Referral for treatment to your primary care doctor
- FMCSA exemptions for certain medical conditions
- Employer Notification
- Next Steps (address the medical issues and retake the exam)
These are the potential outcomes specifically in London, WI.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Vision under 20/40 in each eye (corrected), inability to identify signal colors, or hearing loss preventing comprehension of a forced whisper at 5 feet.
- Blood Pressure & Heart Disease: Hypertension uncontrolled at ≥180/110 mmHg, recent cardiac events, or defibrillator implantation without specialist approval.
- Diabetes: Poorly managed diabetes with frequent hypoglycemia or complications like neuropathy and impaired vision affecting driving safety.
- Sleep Apnea & Respiratory Issues: Untreated sleep apnea causing significant daytime fatigue or severe pulmonary disease reducing oxygen saturation.
- Neurological Disorders: Epilepsy or disorders causing sudden unconsciousness, vertigo, or unregulated tremors unless exempted.
- Substance Abuse: Current illegal drug use, alcohol dependency, or misuse of prescribed drugs impairing driving abilities.
- Psychiatric & Cognitive Disorders: Serious unmanaged psychiatric conditions or cognitive deficits affecting judgment and response velocity.
Temporary vs. Permanent Disqualification: Certain issues may temporarily disqualify pending medical proof (e.g., controlled hypertension), while others like untreated seizures or defibrillator dependency generally lead to permanent disqualification per FMCSA terms.
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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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