THINGS TO KNOW BEFORE YOUR DOT PHYSICAL
- DOT physical fee:
- DOT drug screen: $45
- Download and Print the medical history form by clicking https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/docs/MedicalExaminationReportForm_091616_MCSA_5875.pdf
- Fill out page 1 and bring it with you on your appointment day
- Review 49 CFR 391.41 Physical Qualification For Drivers at http://www.ecfr.gov/cgi-bin/text-idx?SID=2123df1bac7a7dfe69d3a6cb84ffc370&node=49:220.127.116.11.34.5&rgn=div6#se49.5.391_141
- You can review medical requirements by visiting: http://www.fmcsa.dot.gov/faq/Medical-Requirements
- Bring a list of your current medications that you take along with the name and contact number of the doctor who prescribed the medication to you.
IF YOU HAVE ANY MEDICAL CONDITIONS
- Majority of drivers generally meet the standards that are set by FMCSA and pass their DOT physical. In any case, there are some things that you should keep in mind before you see medical examiner for your DOT physical.
- If you are being treated by your primary care physician and take prescribed medications, you will require an opinion letter from your physician. As Medical Examiners we will need to review your physician’s opinion on medication safety and your condition relating to commercial driving, before making a final decision on certification.
- Medical conditions/diseases that you will require to get opinion letters from your primary care physician/ or treating physician for are as noted below:
- Diabetes Mellitus
- Myocardial Infarction (Heart attack)
- Angina (Chest pain)
- Angioplasty or PCI (Percutaneous Coronary Intervention) with or without any stent placement.
- Coronary Artery Bypass Graft
- Permanent Pacemaker
- Valvular Heart Disease
- COPD (Chronic Obstructive Pulmonary Disease)
- Sleep Apnea
- TIA (Transient Ischemic Attack or “mini-stroke”)
- CVA (Cerebrovascular Accident or “stroke”)
- TBI (Traumatic Brain Injury)
- Psychiatric conditions (Depression, Bipolar disorder, Anxiety disorder, Attention, Deficit Hyperactive Disease)
- Certain medications that require opinion letters from your primary care physician/ or treating physician: prescribed opioids, muscle relaxants, antidepressants, migraine and ADHD medication.
- If you have any of the medical conditions listed above, or currently taking over the counter / or prescribed medications, please get a letter from your physician now before coming in for your DOT physical in order to save yourself time.
- Your treating physician will require addressing the medical guidelines in the letter that can be found by clicking on the following links:
- Cardiovascular conditions: http://nrcme.fmcsa.dot.gov/documents/Cardiovascular%20Recommendation%20Tables.pdf
- Diabetes Mellitus: Please see FMCSA guidelines, Diabetes, and vision exemption program requirements: http://www.fmcsa.dot.gov/medical/driver-medical-requirements/driver-exemption-programs
- If you are Insulin dependent diabetic and require diabetes exemption: please be sure to follow the steps below;
- Obtain Diabetes Exemption Package by clicking on the following link:http://www.fmcsa.dot.gov/medical/driver-medical-requirements/diabetes-exemption-application, and complete Applicant Information Checklist. Please note that the medical examiner’s certificate is NOT valid unless the insulin exemption is granted by the FMCSA.
- If driver meets all medical standards and guidelines except the use of insulin. Medical examiner’s certificate to indicate that driver is certified ONLY if he/she has a diabetes exemption and expires 1 year from the examination date.
- The driver will require Endocrinologist evaluation checklist performed by Endocrinologist. Signed letterhead by an endocrinologist will be required and submitted.
- Vision Evaluation checklist is also to be performed by Ophthalmologist or Optometrist and signed letterhead to be submitted.
- Mail all the forms along with other required items to the address listed on Diabetes Exemption Package.
MEDICAL CONDITIONS THAT CAN DISQUALIFY A DRIVER
- History of Seizure disorder. Please visithttp://www.fmcsa.dot.gov/regulations/notices/2015-02135
- Insulin-dependent Diabetes (unless you have an exemption issued by the Federal government).
- If minimum Vision and hearing standards are not met, even with help of corrective lenses or hearing aids), you may be disqualified. Please visit: http://www.fmcsa.dot.gov/medical/driver-medical-requirements/general-vision-exemption-package and http://www.fmcsa.dot.gov/regulations/notices/2015-02134
- History of alcoholism is disqualifying.
- Impairment or loss of an arm or limb that interferes with commercial driving, unless you have SPE certificate. For more information on SPE (Skill Performance Evaluation), please visit: http://www.fmcsa.dot.gov/medical/driver-medical-requirements/skill-performance-evaluation-certificate-program
For more information regarding other medical conditions affecting commercial drivers see: http://nrcme.fmcsa.dot.gov/documents/FMCSAMedicalExaminerHandbook-2014MAR18.pdf
MEDICATIONS THAT CAN DISQUALIFY A DRIVER
- Use of amphetamines, narcotics or any other habit-forming drugs without a prescription from a treating physician is disqualifying.
- Use of methadone is disqualifying.
INJURY AND ILLNESS TREATMENT
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