Borth, WI DOT Physical - What You Need to Know
DOT physical exams are thorough medical checks mandated by the Department of Transportation for drivers of commercial vehicles. These exams are vital to confirm drivers have the physical, mental, and emotional ability to drive on public roads safely. A certified medical examiner (CME) on the National Registry of Certified Medical Examiners (NRCME) conducts the test. A passing result earns a DOT Medical Certificate, required for holding a CDL under FMCSA rules. For inquiries about specific DOT exams, 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 medications
- Vision test (glasses allowed; minimum standards required)
- Hearing check (forced whisper or audiometry used)
- Blood pressure and heart rate measurements
- Complete physical exam
- Urinalysis to check specific gravity, protein, glucose
If successful, receive a Medical Examiner's Certificate (MEC) valid up to 24 months. Some cases may demand note or shorter duration. Borth, NE's rules apply.
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 Borth, PA.
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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
Ensure all required documents are up-to-date, especially when operating outside your home state, like Borth, HI.
What happens if I fail a DOT Physical?
- No Medical card issuance
- Temporary disqualification indicated
- Referral to primary healthcare for treatment
- Eligibility for FMCSA condition-specific exemptions
- Employer must be notified
- Follow-up actions: Resolve health concerns and reattempt the exam
These protocols apply in Borth, OR too.
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.
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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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