Cashmere, WA 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
DOT Testing | DOT Breath Alcohol | DOT Consortium Services | MVR Reports Also Available
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 Cashmere, MN, upon successful completion, your Medical Examiner's Certificate (MEC) may be issued for up to 24 months. Some conditions may require shorter certification or specialist documentation
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
Cashmere, DE enforcement ensures compliance.
DOT Physical Near Cashmere, WA
Winton, WA
Plain, WA
Rock Island, WA
Malaga, WA
Entiat, WA
Ardenvoir, WA
East Wenatchee Bench, WA
East Wenatchee, WA
Leavenworth, WA
Wenatchee, WA
West Wenatchee, WA
Sunnyslope, WA
Peshastin, WA
Monitor, WA
What to bring with you to a DOT Physical?
- Government-issued photo ID
- Glasses/contacts & prescriptions
- Medication list & dosages
- CPAP usage data (if applicable)
- Specialist clearances (cardiology, sleep apnea, diabetes, etc.)
- Recent A1C/blood pressure logs if monitored
This pertains to all medical exams conducted in Cashmere, IA.
What happens if I fail a DOT Physical?
- Without a medical card
- Face temporary barring
- Doctor-referred treatment needed
- FMCSA exceptions for specific conditions
- Notifying your employer
- Next steps: fix health issues and retake exam
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Poor vision (<20/40) in each eye (even with aids), inability to see traffic signal colors, or hearing loss that fails a 5-foot whisper test.
- Blood Pressure & Heart Disease: Uncontrolled high blood pressure (>=180/110 mmHg), recent heart event or stroke, unmanaged angina, or implanted defibrillator without medical approval.
- Diabetes: Unmanaged diabetes marked by frequent low sugar episodes or complications like neuropathy impacting safety.
- Sleep Apnea & Respiratory Issues: Untreated sleep apnea causing drowsiness, or severe respiratory diseases affecting oxygen levels.
- Neurological Disorders: Epilepsy/seizure disorders without exemption, conditions with sudden consciousness loss, dizziness, or tremors uncontrolled.
- Substance Abuse: Use of illegal drugs, alcohol dependency, or improper prescription use that affects driving.
- Psychiatric & Cognitive Disorders: Serious psychiatric conditions (e.g., severe schizophrenia, recent bipolar episode) or cognitive deficiencies affecting decision-making and reaction.
Temporary vs. Permanent Disqualification: Some issues might temporarily disqualify someone pending medical documentation or condition management. Meanwhile, certain conditions like untreated seizure disorders or unapproved defibrillators are likely seen as permanently disqualifying by FMCSA.
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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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