DOT Physical Exams - San Diego, TX
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FMCSA | FAA | USCG | FTA | FRA | PHMSASan Diego, TX DOT Physical - What You Need to Know
A DOT physical is an extensive health assessment mandated by the Department of Transportation (DOT) for all operators of commercial motor vehicles (CMVs). This evaluation ensures drivers possess the necessary physical, mental, and emotional stability to safely handle large vehicles on the roads. Conducted by a certified medical examiner (CME) registered with the National Registry of Certified Medical Examiners (NRCME), clearing this exam grants drivers a DOT medical certificate (also known as a DOT medical card), essential for retaining a valid CDL license as per FMCSA guidelines. For guidance on the required DOT physical if you fall under another DOT agency's jurisdiction, 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?
Vision Test
Urinalysis
Physical Examination
DOT Testing | DOT Breath Alcohol | DOT Consortium Services | MVR Reports Also Available
What is checked in a DOT Physical?
- Health history check and drug assessment
- Vision test (corrective glasses allowed; minimum criteria apply)
- Hearing test (forced whisper or audiometry)
- Blood pressure and heart rate
- Physical exam (overall health overview)
- Urinalysis (checking specific gravity, protein, glucose)
In San Diego, LA, upon successful completion of these procedures, your Medical Examiner's Certificate (MEC) might be valid for up to 24 months. Some conditions could require shorter certificates or specialist verifications
Who needs a DOT Physical?
In San Diego, ND, possessing a valid DOT medical certificate (card) is mandatory 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 in interstate commerce
- Carry over 8 passengers (for hire) or over 15 passengers (not for hire)
- Transport hazardous materials needing placarding as per DOT rules
- Are employed by agencies governed by DOT, such as FMCSA, FAA, FRA, FTA, or USCG, where DOT medical qualification is necessary
What to bring with you to a DOT Physical?
- Government-issued photo identification
- Eyewear (glasses/contact lenses) & associated prescription
- Detailed medication list & dosages
- CPAP usage records (if it applies)
- Specialist medical clearances (e.g., cardiology, sleep apnea, or diabetes)
- Recent A1C or blood pressure records if they are being tracked
San Diego, CT residents must prepare these for a thorough DOT physical examination.
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)
After addressing any disqualifying medical issues, ensure to have your exam retaken in San Diego, SC for reevaluation.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Visual acuity below 20/40 in either eye (even with correction), difficulty identifying traffic signal colors, or hearing issues preventing a forced whisper test at 5 feet may affect eligibility.
- Blood Pressure & Heart Disease: Hypertension exceeding 180/110 mmHg, recent cardiac events, or implantation of a defibrillator without appropriate medical clearance may be disqualifying.
- Diabetes: Poorly controlled blood sugar contributing to hypoglycemic episodes or other complications that impair safe driving is concerning.
- Sleep Apnea & Respiratory Problems: Untreated sleep apnea or significant lung disease leading to daytime fatigue or oxygen deficiency can impede eligibility.
- Neurological Disorders: Epilepsy (absent waivers), conditions causing sudden unconsciousness, or uncontrollable tremors constitute risks.
- Substance Misuse: Current illicit drug use, alcohol dependency, or prescription drug misuse affecting driving capabilities is disqualifying.
- Mental & Cognitive Disorders: Severe psychiatric conditions like untreated schizophrenia or significant cognitive decline affecting judgment may prevent certification.
With FMCSA, issues like certain seizure conditions or defibrillator use could permanently disqualify you unless addressed. Temporary disqualifications occur upon presenting specific medical documentation.
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