Lakota, WA DOT Physical - What You Need to Know
A DOT physical is a detailed health assessment mandated by the Department of Transportation for all drivers of commercial motor vehicles. This examination ensures drivers are capable of handling large vehicles on public roads safely. A certified medical examiner, listed on the National Registry, conducts the evaluation. Successfully passing the exam results in gaining a DOT medical certificate, essential for maintaining a valid CDL as per FMCSA rules. For assistance with DOT agency requirements, 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?
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 medication assessment
- Eye test (glasses or contacts permitted; minimal criteria apply)
- Hearing examination (forced whisper or audiogram)
- Monitoring blood pressure and heart rate
- Full body examination (systematic review)
- Urine test (checking specific gravity, proteins, sugars)
If passed, the Medical Examiner's Certificate (MEC) is valid up to 24 months; some health conditions could require shorter certification or specialist validation. Lakota, NM can present unique challenges for drivers.
Who needs a DOT Physical?
A valid DOT medical certification (card) is essential if you:
- Possess 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 over 8 passengers (for hire) or over 15 passengers (not for hire)
- Convey hazardous materials needing DOT placarding
- Are employed by companies governed by DOT bodies like FMCSA, FAA, FRA, FTA, or USCG for which DOT medical qualification is mandatory in Lakota, CT
What to bring with you to a DOT Physical?
- Government-issued photo
- Glasses/contacts & prescription
- List of medications & dosages
- CPAP usage data (if applicable)
- Specialist clearances (cardiology, sleep apnea, diabetes, etc.)
- Recent A1C/blood pressure logs if monitored
Preparing these items in advance will facilitate the examination process. Lakota, RI residents and others should ensure they have these documents ready before attending their medical examination.
What happens if I fail a DOT Physical?
- No medical card issued
- Temporary disqualification
- Referral to your primary care for treatment
- FMCSA exemptions available for select medical issues
- Employer receives notification
- Next steps involve addressing medical concerns before retrying the exam
This is also applicable in Lakota, SD.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Vision less accurate than 20/40 in each eye (even with correction), struggles distinguishing traffic light colors, or hearing deficits affecting the detection of a whisper at 5 feet distance.
- Blood Pressure & Heart Conditions: Hypertension with levels ≥180/110 mmHg, recent heart attack, strokes, poorly managed angina, or a defibrillator without approval.
- Diabetes: Poorly controlled diabetes with frequent hypoglycemic episodes or complications (like neuropathy or impaired vision) compromising safe driving.
- Sleep Apnea & Breathing Problems: Unmanaged sleep apnea causing excessive daytime sleepiness, or severe lung diseases disturbing oxygen levels.
- Neurological Issues: Epilepsy or seizure disorders (without an exemption), conditions causing sudden unconsciousness, dizziness, or unmanageable tremors.
- Substance Abuse: Current use of illegal drugs, alcohol addiction, or misuse of prescribed drugs affecting driving capability.
- Mental & Cognitive Disorders: Severe unmanaged psychiatric disorders (like schizophrenia or bipolar disorder with recent episodes) or cognitive impairments affecting judgment and response time.
Temporary vs. Permanent Disqualification: Certain issues could only temporarily disqualify an individual until they provide medical clearances or documents (e.g., stable blood pressure or diabetes control). Others like untreated seizure disorders or defibrillators are generally regarded as permanent disqualifiers according to FMCSA.
DOT Physical Exam Locations | CDL Medical Card Near You
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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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