DOT Physical Exams - Nacogdoches, TX

Nacogdoches, TX DOT Physical - What You Need to Know

DOT physical examinations are comprehensive health assessments mandated by the Department of Transportation for CMV drivers. These evaluations verify that drivers are physically, mentally, and emotionally capable of safely managing large vehicles on public roadways. Conducted by certified medical examiners on the NRCME, successfully passing results in obtaining a DOT medical certificate, needed for a valid CDL under FMCSA rules. If assistance is required with DOT regulations, call 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: Failing to meet 20/40 vision in each eye (even with correction), unable to identify traffic signals' colors, or hearing loss not allowing recognition of a forced whisper at 5 feet can cause disqualification.
• Blood Pressure & Cardiac Conditions: Unchecked hypertension (≥180/110 mmHg), past heart attack, stroke, uncontrolled angina, or a defibrillator without appropriate clearance are grounds for disqualification.
• Diabetes: Out-of-control diabetes causing regular hypoglycemia or complications like neuropathy and impaired sight can hinder safe driving.
• Sleep Apnea & Respiratory Issues: Untreated sleep apnea leading to daytime drowsiness or severe respiratory diseases impairing oxygenation could disqualify.
• Neurological Disorders: Conditions such as epilepsy (unless exempted), abrupt consciousness losses, dizziness, or unmanageable tremors might disqualify.
• Substance Misuse: Active illegal drug use, alcohol dependence, or prescription misuse affecting driving capability is disqualifying.
• Mental & Cognitive Disorders: Severe, unmanaged psychiatric conditions (e.g., schizophrenia, bipolar disorder with recent episodes) or cognitive deficits that impair judgment and reaction are disqualifying.

Issues resulting in temporary disqualification may be addressed by providing medical documentation, like managed blood pressure. Conversely, untreated seizure disorders or defibrillators often result in permanent disqualification under FMCSA guidelines.