Geneva, 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
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What is checked in a DOT Physical?
- Review of health history and medications
- Vision check (corrective lenses allowed; must meet minimum standards)
- Hearing evaluation (such as forced whisper test)
- Blood pressure and pulse measurement
- Physical exam (including systems review)
- Urinalysis (for specific gravity, proteins, glucose)
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.
Location: Geneva, OH
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
These regulations are especially notable in Geneva, PA.
What to bring with you to a DOT Physical?
- Official photo ID issued by government
- Glasses/contact lenses with prescription
- Medication list including doses
- Usage data for CPAP machines if needed
- Clearances from specialists like cardiology, sleep apnea, or diabetes experts
- Recent logs of A1C levels and blood pressure if monitored
State requirements in Geneva, SD mandate these items.
What happens if I fail a DOT Physical?
- No medical card granted
- Temporary Eligibility Suspension
- Referral to your primary physician for treatment
- FMCSA Officail Medical Condition Exemptions
- Informed Employer
- Next Actions (address medical issues, reattempt exam)
In Geneva, MT, adherence to these next steps is advised.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Cannot see better than 20/40 in each eye (with correction), unable to identify traffic signal colors, or hearing loss hindering the perception of a whispered voice from 5 feet away.
- Blood Pressure & Heart Issues: Uncontrolled high blood pressure (≥180/110 mmHg), recent heart attacks or strokes, unstable angina, or an unapproved defibrillator.
- Diabetes: Unmanaged diabetes with frequent hypoglycemia, or its complications disrupting driving capabilities.
- Sleep & Breathing: Untreated obstructive sleep apnea causing fatigue or severe pulmonary illness limiting oxygen intake.
- Neurological Concerns: Epilepsy/seizures without exemption, or conditions leading to sudden unconsciousness, lightheadedness, or involuntary trembling.
- Substance Issues: Illegal drug usage, alcohol addiction, or misuse of prescription drugs impairing driving ability.
- Mental & Cognitive Health: Serious psychiatric conditions (e.g., untreated schizophrenia, recent severe bipolar episodes) or cognitive decline which affects decision-making and reaction speed.
Certain conditions might temporarily disqualify until medical proof is presented (e.g., proper hypertension or diabetes management). Conditions like uncontrolled epilepsy or unrevised defibrillators are often seen as permanent disqualifications following FMCSA rules.
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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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