VISION QUESTIONS
What are the vision requirements for a DOT Physical?
You must have a distant visual acuity of at least 20/40 with or without corrective lenses:
- see at least 20/40 with both eyes together
- see at least 20/40 with the right eye
- see at least 20/40 with the left eye.
Can I wear contact lenses to do the vision test?
Yes
What if I fail the vision part of the DOT Physical.
You will be put on hold until your vision is corrected.
Can I get a federal vision waiver?
Yes.
What if I only have one eye?
There are new guidelines for monocular vision!
BLOOD PRESSURE QUESTIONS
What is the effect on driver certification based on FMCSA hypertension stages?
A driver with a diagnosis of hypertension on treatment should have at least an annual certification.
A CMV driver with a Blood pressure (BP) 140/90 may be certified for 2 years.
First time BP elevated:
Stage 1 - BP 140-159/90-99 Certification Period 1 year
Stage 2 - BP 160-179/100-109 Certification Period 3 months as one time certification. Within the 3 months, if the blood pressure is below 140/90, the driver may receive 1 year certification.
Stage 3 - BP Reading >180/110 Disqualified. When the blood pressure is less than 140/90, the driver can be certified at 6 month intervals.
What if I’m on blood pressure medication?
Taking blood pressure medications will reduce your DOT medical card to one year if your blood pressure is under 140/90.
Why are the diagnosis and treatment of hypertension important?
These criteria are important because there is strong prospective, randomized clinical-trial evidence that hypertension markedly increases the risk of cardiovascular disease and that effective treatment reduces cardiovascular morbidity and mortality. To be certified to drive, the driver should have ongoing hypertension management and be free of side effects that may impair safe driving. -FMCSA
What if I have “white coat syndrome”.
We will take multiple readings and try to make you feel relaxed as possible.
HEARING QUESTIONS
Can I have hearing Aids and pass the DOT Physical?
Yes please bring them with you to your DOT physical exam.
What are the hearing requirements for DOT Physical?
The driver must be able to perceive a forced whisper voice in one ear, at no less than five feet with or without the use of a hearing aid.
If the driver fails the whisper test, the medical examiner will refer the driver to have an audiometry test.
What are the hearing requirements for CMV drivers? (FMCSA)
A person is physically qualified to drive a CMV if that person: First perceives a forced whispered voice in the better ear at not less than five feet with or without the use of a hearing aid or if tested by use of an audiometric device, does not have an average hearing loss in the better ear greater than 40 decibels at 500Hz, 1000HZ and 2,000 Hz with or without a hearing aid when the audiometric device is calibrated to the American National Standard Z24.5-1951.
If I fail the hearing portion can I return to the office with hearing aids?
Yes as long as you meet DOT hearing standards and noted on your medical card.
Driver Exemption Programs
https://www.fmcsa.dot.gov/medical/driver-medical-requirements/driver-exemption-programs
If I do use hearing aids will it be documented anywhere?
Yes on your medical card and long form.
MEDICATION QUESTIONS
I take medication for blood pressure can I get certified?
You can be certified for one year if your BP is under 140/90mmHg.
Can a driver be qualified if taking prescribed medical marijuana?
No. Drivers taking medical marijuana cannot be certified even if your state allows it.
What if I take insulin and my diabetes is under control?
You can be certified for intrastate driving, meaning you can only drive in Florida
I am on Metformin can I still get a medical card?
It will limit your DOT medical certificate to one year. Make sure your A1c is under 10.
Your A1c blood test must be current at the time of physical.
I take Keppra for convulsions can I get certified?
No. But you may apply for a federal waiver. To apply call 202-366-4001
FOR MORE INFORMATION, PLEASE VISIT:
https://www.fmcsa.dot.gov/faq/Medical-Requirements