DOT Medical Exam and Commercial Motor Vehicle Certification
Benefits of Heart & Health
DOT exams are semi-annual physical examinations required by Federal Law for drivers of commercial motor vehicles. The exam is designed to ensure the driver’s safety and wellbeing, through an examination of their physical and mental health. DOT exams are highly regulated and must be conducted by certified medical professionals. The heart and health medical team has years of experience and an expert support team to ensure that drivers get the help and assistance needed to live a healthier life and stay safe on the road.
No Appointment Needed (see walk-in schedule)
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Onsite Medical Care & Exams Available (Learn More)
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6175 Sunrise Highway Massapequa, NY 11758
281 Middle Country Rd. Middle Island, NY 11953
1070 Old Country Rd. Plainview, NY 11803
Thursday’s 3 pm to 6 pm
No Appointment Needed
What to expect at a DOT physical
Drivers are required to have at least 20/40 acuity in each eye with or without correction. They are also required to have at least 70″ peripheral in the horizontal meridian, measured in each eye.
Drivers must be able to perceive what is known as a “forced whisper” at a distance of 5ft or less, with or without a hearing aid. This standard equates to an average hearing loss in the better ear of less than 40 dB.
3. Blood pressure/pulse rate
The medical examiner will check the driver’s blood pressure and pulse to look for high blood pressure and irregular heartbeats.
A urinalysis is required. The test looks for indications of underlying medical conditions such as diabetes.
5. Physical Examination
The physical exam will cover a dozen different categories:
- General appearance
- Eyes (cataracts, glaucoma, macular degeneration, etc.)
- Ears (scarring of the tympanic membrane, perforated eardrums, etc.)
- Mouth and throat (to look for problems breathing or swallowing)
- Heart (murmurs, extra sounds, pacemaker, etc.)
- Lungs and chest, not including breast examination (abnormal breathing, impaired respiratory functions, cyanosis, etc.)
- Abdomen and Viscera (enlarged liver, viscera, muscle weakness)
- Vascular (irregular pulse, carotid, varicose veins)
- Genito-urinary (hernias)
- Extremities (limb impaired)
- Spine, other musculoskeletal (previous surgery, limitation of motion, tenderness, etc.)
- Neurological (impaired equilibrium, coordination or speech pattern, ataxia, asymmetric deep tendon reflexes)
Set Up A DOT Program For Your Company
Speak to a Heart & Health expert about your company DOT program and ensure your employee safety while saving your employees and organization time and money.
What to bring to a DOT exam
- Full list of medications including dosages.
- Doctors names and addresses
• Bring your glasses, contacts, or hearing aids
• You will be required to pass a vision and hearing test
- Your blood pressure must be below 140/90 on the day of your exam or you may not qualify for a DOT card.
- Your blood sugar should be controlled.
- Bring the most recent results of a lab test called a Hemoglobin A1C (HgAIC) and your blood sugar logs or other records related to your diabetes.
- Bring a reading from your machine documenting your proper use of the machine; a letter from your sleep specialist may also be required.
- Bring at least 90 days of data, but data from the past year is best.
- At a minimum, bring a letter from your cardiologist (heart specialist) that outlines your medical history and current medications and indicates you are safe
to drive a DOT vehicle.
- You may also need to bring the results of a recent stress test, ECHO cardiogram, or other testing completed within the past 1-2 years.
- Bring a letter from your neurologist (brain and nerve specialist) that outlines your medical history, current medications, and current neurologic and psychiatric state.
- Bring an overview from your physician of the injury and if you have any work restrictions due to the injury.
- You may need a Skilled Performance Examination in order to qualify for your DOT card.
- You will most likely need a note and medical records from your treating physician regarding the safety of driving a DOT vehicle while using these medications.
- Bring a recent INR (blood level and clearance) letter from your doctor.
DOT Exam Forms
Medical Examination Report (MER) Form, MCSA-5875
The MER contains the driver’s information and health history, as well as the findings of the medical examiner during the DOT exam.
Medical Examiner’s Certificate (MEC), Form MCSA-5876
Certified drivers will receive this certificate after passing a DOT exam.
Insulin-treated Diabetes Mellitus Assessment, MCSA-5870
Commercial drivers with insulin-treated diabetes must have this form completed by their treating clinicians no more than 45 days prior to examination by a certified medical examiner (CME). A Medical Examiner’s Certificate can’t be issued to the driver without this form.