What Is a DOT Physical?
A Department of Transportation (DOT) physical is a physical exam that is required of people who drive commercial vehicles. The point of a DOT physical is to make sure that people who are driving commercial motor vehicles are physically, mentally, and emotionally fit. The Federal Motor Carrier Safety Administration (FMCSA) requires them for the safety of the public.
Who Needs a DOT Physical?
You will need a DOT physical if you:
- Drive
a vehicle designed to carry more than 15 people.
- Are
paid to drive a vehicle designed to carry more than 8 people.
- Carry
hazardous material in your vehicle that requires your vehicle to have a
placard.
- Drive
a vehicle on the interstate with a gross combination weight rating, gross
vehicle weight rating, or gross combination weight of over 10,000
pounds.
What Does a DOT Physical Consist of?
The health care provider who performs your DOT physical will
ask you detailed questions about your medical history, including:
- If
you've ever had surgery
- Any
medicines you're taking, including prescription and over-the-counter
medicines
- Any
health problems you've had
- If you
use tobacco, alcohol, or illegal substances
- If
you've ever failed a drug test
- If
you've ever been dependent on an illegal substance
- Any
symptoms you're currently having
You will have a hands-on physical that includes checking
your:
- Height
- Weight
- Blood
pressure
- Vision
- Hearing
- General
appearance
- Skin
- Eyes
- Ears
- Mouth
and throat
- Heart
- Lungs
and chest
- Abdomen
- Back
and spine
- Genital
and urinary system, including checking for hernias
- Extremities
and joints
- Nervous
system, including your reflexes
- Gait,
which is how you walk
- Circulatory
system, which is your arteries, veins, and lymphatic system
You'll also have to have a urinalysis to check for
protein, blood, sugar, and specific gravity. These tests can tell your doctor
if you need additional tests to check for other medical problems. You may also
have to have other tests if your doctor thinks they're necessary.
You may also need to have a sleep apnea test if
you have symptoms of obstructive sleep apnea, which is a disorder where you
periodically stop breathing while sleeping. Symptoms of sleep apnea can
include:
- Heavy
snoring
- Gasping
for breath during sleep
- Dry
mouth or sore throat in the morning
- Morning
headaches
- Daytime
sleepiness
How Can You Get a DOT Physical?
DOT Physicals Exam can only be performed by health care
professionals who are certified by the FMCSA. You can search for a licensed
medical examiner. Licensed medical examiners may be:
- Doctors
of medicine (MD)
- Doctors
of osteopathy (DO)
- Physician
assistants (PA)
- Doctors
of chiropractor (DC)
- Advanced
practice nurses (APN)
How Do You Prepare for a DOT Physical?
You can fill out the driver's portion of the exam at home if
you want to save time on the day of the physical. You will also need to bring:
- A list
of all of your doctors' names and addresses
- A list
of all of your medicines, including the dosage
- Your
glasses, contacts, or hearing aids, if you use them
- A
record of your blood sugar readings and your most recent Hgb
A1C if you have diabetes
- A
record from your CPAP machine showing proper use for at least 90
days if you have sleep apnea
- A
letter from your cardiologist indicating you're safe to drive a DOT
physical if you have heart issues
- The
results of recent heart tests, if you've had them
- A
letter from your neurologist if you've had a stroke, a brain
tumor, seizure disorder, or bleeding in the brain
- A
letter and medical records from your doctor if you're taking any medicines
that can cause sleepiness or are controlled substances
- A
letter from your doctor if you've lost permanent use of an arm or leg,
including any work restrictions
- A
letter from your doctor and a recent blood level and clearance test if
you're taking the blood thinner Coumadin
What Conditions Disqualify You From Getting a DOT Card?
Conditions that may disqualify you from passing a DOT
physical are those that interfere with your ability to drive safely. If
something affects your hearing or vision, it could cause you to have an
accident. You also may not be safe to drive if you have a condition that could
cause you to lose consciousness or become dizzy. Such conditions can include:
- Uncontrolled
or unstable heart conditions
- Epilepsy or
seizure disorders
- Meniere's
disease, an inner ear disorder that causes dizziness
- Uncontrolled diabetes
- Uncontrolled high
blood pressure
- Vision
loss that can't be corrected
- Hearing
loss that can't be corrected
- Use of
marijuana, even if prescribed
- Use of
illegal substances
- Use
of oxygen therapy
- Some
respiratory conditions
- Protein
in the urine, which may indicate kidney disease

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