San Patricio, TX DOT Physical - What You Need to Know
A DOT physical is an all-encompassing health assessment mandated by the Department of Transportation (DOT) for all commercial motor vehicle (CMV) operators. It confirms that professional drivers possess the physical, mental, and emotional fitness necessary to operate large vehicles safely on public highways. Conducted by a certified medical examiner (CME) listed on the National Registry of Certified Medical Examiners (NRCME), passing this exam grants drivers a DOT medical certificate (Medical Examiners Certificate, also known as a DOT medical card), essential for retaining a valid CDL license under FMCSA rules. If adherence to another DOT agency is required, and you need guidance on the appropriate DOT physical, contact 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?
- Health history review and medication assessment
- Vision screening (corrective lenses allowed; minimum standards apply)
- Hearing assessment (forced whisper or audiometry)
- Blood pressure and pulse rate
- Physical examination (systems review)
- Urinalysis (specific gravity, protein, glucose)
In the state of San Patricio, CO, upon successfully finishing these steps, your Medical Examiner's Certificate (MEC) could be valid for up to 24 months, subject to specific conditions needing shorter certification or specialist's approval.
Who needs a DOT Physical?
You must have a valid DOT medical certificate (card) if you:
- Have a commercial driver's license (CDL)- class A,B, or C for interstate commerce
- Drive a vehicle over 10,001 lbs. GVWR in interstate commerce
- Transport more than 8 passengers (for hire) or more than 15 passengers (not for hire)
- Transport hazardous materials that require placarding under DOT regulations
- Work for employers regulated by DOT agencies such as FMCSA, FAA, FRA, FTA or USCG where DOT medical qualification is required
This applies to operations in San Patricio, WY as well.
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What to bring with you to a DOT Physical?
- Government-issued identification with photo
- Spectacles/contact lenses and prescription
- Medication list with dosages
- CPAP usage records if relevant
- Specialist medical approvals (cardiology, sleep apnea, diabetes, etc.)
- Recent logs for A1C or blood pressure when monitored
Note: San Patricio, OR requires these for a smooth process.
What happens if I fail a DOT Physical?
- No Medical card will be issued
- Temporary disqualification applies
- Directed treatment with your general practitioner
- FMCSA exceptions for particular medical concerns
- Informing the employer
- Follow-up actions involve tackling health issues and re-attempting the examination
San Patricio, ID.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Fail to see 20/40 each eye (even with correction) or can't identify traffic signal colors; Hearing issues preventing a forced whisper at 5 ft.
- Blood Pressure & Heart Disease: High BP (≥180/110), a recent heart attack, stroke, uncontrolled angina, or an implanted defibrillator lacking medical clearance.
- Diabetes: Poorly controlled diabetes with complications like low blood sugar episodes, neuropathy, or visual impairment hampering safe driving.
- Sleep Apnea & Respiratory: Untreated sleep apnea causing day sleepiness or a severe lung disease.
- Neurological Disorders: Epilepsy unless exempt, conditions leading to sudden unconsciousness, dizziness, or uncontrolled tremors.
- Substance Abuse: Illegal drug use, alcohol addiction, or misuse of prescriptions impairing driving.
- Psychiatric & Cognitive: Severe mental illnesses like unmanaged schizophrenia or bipolar, or cognitive decline affecting judgment and responses.
Issues may temporarily disqualify you until providing clearance (e.g., managed blood pressure). Others, like untreated seizures or defibrillators, are often permanently disqualifying under FMCSA standards.
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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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