DOT Exams

Dr. Gainan is certified by the FMCSA (Federal Motor Carrier Safety Administration)

                                                                                                 (330) 629-9476

                                                                             6960 Market St. Suite 1   Boardman, Ohio 44512

                                                                      Also performing Dot Drug testing 

Reasonably priced, many times same day appointments are available.

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DOT Medical Exam are for determining a driver’s physical qualifications to operate a commercial motor vehicle (CMV) in interstate commerce according to government requirements.

Upon completing, and successfully passing your exam, you will be presented with a Medical Examiner’s Certificate, which you have to carry with your license.

This certificate is valid for two years unless you have a medical condition that doesn’t prevent driving but does need frequent monitoring.

For further information, visit the DOT Medical Exam site: www.teamcme.com

Dr. Phil Gainan is certified to perform the DOT, CDL physical exam in his office in Boardman, Ohio. Boardman is a suburb of Youngstown, Ohio in Mahoning county.

The price is very competitively priced. Call for details.

Just call for an appointment. Same day appointments are possible. Our friendly, courteous staff will work with drivers to get you certified. https://nationalregistry.fmcsa.dot.gov/NRPublicUI/home.seam

https://dmv.com/oh/ohio/dot-physicals

What are the DOT medical or physical requirements?

Does the DOT physical require a drug test?

  • Drug tests are not part of the physical exam but your company might request to have drug and alcohol testing done while you are being examined. Drug and alcohol testing are additional charges.

What drugs are tested for, if a drug test is needed?

The 5 Panel drug test analyzes urine for the following:

  • Cannabis (THC metabolite)
  • Amphetamines
  • Cocaine
  • Opiates (including heroin or prescriptions)
  • Phencyclidine (PCP)

Why do I need to have a urine test?

This test is a kidney screen, testing for sugar and protein. It’s used to screen for any medical issues that might be affecting your kidneys like diabetes or high blood pressure.

May I obtain a copy of my DOT physical form?

Yes. We will give you 2 copies. One for you and one for your company. If you need us to, we can fax the DOT form to your company. The examining doctor also keeps a copy of the form for our records.

Can the DOT medical card be laminated?

Yes. We will laminate your medical card for you.

How long is the DOT medical card good for?

A DOT medical card is good for two years, providing you have no restrictions. High blood pressure, using high blood pressure medication, and/or taking medication for diabetes may restrict the medical card to one year.

How many 3-month DOT medical cards can you have?

You can only have one.  At the end of the three months, you are expected to have resolved the issue, if possible.

How much does a DOT physical cost without insurance?

Payment for our DOT Physical service is $80.00. Payment options are credit card, cash, T-check, Com-check, or pre-authorized company account.

Can overweight truck drivers pass the DOT physical?

It isn’t being overweight which is a problem but it is the medical conditions that being overweight can lead to. Heart disease, kidney disease, and high blood pressure may affect your ability to safely drive a commercial vehicle.

What are the blood pressure requirements?

Medical guidelines according to the Federal Motor Carrier Safety Regulations (FMCSRs):

Note: Employers may have more stringent medical requirements.

  • A BP of less than 140 systolic and less than 90 diastolic may be medically certified to drive for a two-year period.
  • A driver with a BP of 140 – 159 systolic and /or a BP of 90-99 diastolic, has stage 1 hypertension. You can be medically certified to drive for a one-year period. Certifications will need to be done annually afterward and should be at or less than 140/90.
  • A driver with a BP of 160-179 systolic and/or a BP of 100-109 diastolic, has stage 2 hypertension. The driver will be given a one-time certification for three months to give them a chance to reduce his or her blood pressure to less than or equal to 140/90. If treatment is successful and the driver demonstrates a BP value of 140/90 or less, they may be re-certified for one year from the date of the initial exam. The driver would be certified annually from then on.
  • A driver with a BP at or greater than 180 systolic and/or 110 diastolic has stage 3 hypertension and would be disqualified. The driver will not be qualified until blood pressure is reduced to equal to or less than 140/90 and treatment is successful. The driver will then be certified for 6 months and biannually (every 6 months) afterward if at recheck BP is equal to or less than 140/90.

What are the vision requirements?

The driver should have visual acuity of a minimum of 20/40 in each eye. which means that with or without corrective lenses you need to be able to see 20/40 or higher, with each eye on an individual basis, as well as together. Your field of vision has to be a minimum of seventy degrees horizontally, and you need to recognize the traffic light colours of red, green and yellow.

What would cause me to fail the physical?

The biggest issue we have a tendency to see is high blood pressure. Another big issue is uncontrolled sugar within the urine. Any condition which may cause a loss of ability to control, operate, or drive a commercial vehicle safely like poor vision, insulin-controlled diabetes, high blood pressure (more than 180/110), loss or impairment of limbs, heart disease, respiratory dysfunction, epilepsy or seizure disorders, psychiatric disorders, use of certain drugs or alcoholism.

What if the drug screen is positive?

If the drug test is positive for one or more of the drugs on the 5-panel drug test, then you’ll be contacted personally by the examiner. they’ll interview the driver to ascertain out if there’s a suitable explanation for the positive test. If the driver provides proof of a suitable explanatory reason, a test is performed for every drug indicated using gas chromatography/mass spectrum analysis (GC/MS) analysis.If the examiner determines that it’s, in fact, a legitimate medical use of the prohibited drug, the drug test result will be reported as negative to the employer. Otherwise, the drug test is reported as positive.

Do I need a medical card if I’m a local driver?

We’ll answer this question because it pertains to the state of Ohio, as we’re located in Boardman, Ohio. For different states please consult with the motor carrier division of your state. In summary, a driver qualifies under DOT, and should carry a valid medical card, if driving a commercial vehicle that:

  • Has a gross vehicle weight / gross combination weight of 10,001 pounds +
  • Is designed or used to transport over eight persons for financial remuneration.
  • Is designed or used to transport over fifteen persons, not for financial remuneration.
  • Is used in transporting hazardous material of any kind.
  • Servicing Youngstown,Boardman, Mahoning County,Columbiania County, in Ohio

Subpart E—Physical Qualifications and Examinations


§ 391.41 Physical qualifications for drivers.

(a)

(1)

(i) A person subject to this part must not operate a commercial motor vehicle unless he or she is medically certified as physically qualified to do so, and, except as provided in paragraph (a)(2) of this section, when on-duty has on his or her person the original, or a copy, of a current medical examiner's certificate that he or she is physically qualified to drive a commercial motor vehicle. NOTE: Effective December 29, 1991, and as amended on January 19, 2017, the FMCSA Administrator determined that the Licencia Federal de Conductor issued by the United Mexican States is recognized as proof of medical fitness to drive a CMV. The United States and Canada entered into a Reciprocity Agreement, effective March 30, 1999, recognizing that a Canadian commercial driver's license is proof of medical fitness to drive a CMV. Therefore, Canadian and Mexican CMV drivers are not required to have in their possession a medical examiner's certificate if the driver has been issued, and possesses, a valid commercial driver license issued by the United Mexican States, or a Canadian Province or Territory, and whose license and medical status, including any waiver or exemption, can be electronically verified. Drivers from any of the countries who have received a medical authorization that deviates from the mutually accepted compatible medical standards of the resident country are not qualified to drive a CMV in the other countries. For example, Canadian drivers who do not meet the medical fitness provisions of the Canadian National Safety Code for Motor Carriers but are issued a waiver by one of the Canadian Provinces or Territories, are not qualified to drive a CMV in the United States. In addition, U.S. drivers who received a medical variance from FMCSA are not qualified to drive a CMV in Canada.

(ii) A person who qualifies for the medical examiner's certificate by virtue of having obtained a medical variance from FMCSA, in the form of an exemption letter or a skill performance evaluation certificate, must have on his or her person a copy of the variance documentation when on-duty.

(2) CDL/CLP exception.

(i)

(A) Beginning on January 30, 2015 and through June 22, 2025, a driver required to have a commercial driver's license under part 383 of this chapter, and who submitted a current medical examiner's certificate to the State in accordance with 49 CFR 383.71(h) documenting that he or she meets the physical qualification requirements of this part, no longer needs to carry on his or her person the medical examiner's certificate specified at § 391.43(h), or a copy, for more than 15 days after the date it was issued as valid proof of medical certification.

(B) On or after June 23, 2025, a driver required to have a commercial driver's license or a commercial learner's permit under 49 CFR part 383, and who has a current medical examiner's certificate documenting that he or she meets the physical qualification requirements of this part, no longer needs to carry on his or her person the medical examiner's certificate specified at § 391.43(h).

(ii) Beginning on July 8, 2015, and through June 22, 2025, a driver required to have a commercial learner's permit under part 383 of this chapter, and who submitted a current medical examiner's certificate to the State in accordance with § 383.71(h) of this chapter documenting that he or she meets the physical qualification requirements of this part, no longer needs to carry on his or her person the medical examiner's certificate specified at § 391.43(h), or a copy for more than 15 days after the date it was issued as valid proof of medical certification.

(iii) A CDL or CLP holder required by § 383.71(h) of this chapter to obtain a medical examiner's certificate, who obtained such by virtue of having obtained a medical variance from FMCSA, must continue to have in his or her possession the original or copy of that medical variance documentation at all times when on-duty.

(iv) In the event of a conflict between the medical certification information provided electronically by FMCSA and a paper copy of the medical examiner's certificate, the medical certification information provided electronically by FMCSA shall control.

(3) A person is physically qualified to drive a commercial motor vehicle if:

(i) That person meets the physical qualification standards in paragraph (b) of this section and has complied with the medical examination requirements in § 391.43; or

(ii) That person obtained from FMCSA a medical variance from the physical qualification standards in paragraph (b) of this section and has complied with the medical examination requirement in § 391.43.

(b) A person is physically qualified to drive a commercial motor vehicle if that person—

(1) Has no loss of a foot, a leg, a hand, or an arm, or has been granted a skill performance evaluation certificate pursuant to § 391.49;

(2) Has no impairment of:

(i) A hand or finger which interferes with prehension or power grasping; or

(ii) An arm, foot, or leg which interferes with the ability to perform normal tasks associated with operating a commercial motor vehicle; or any other significant limb defect or limitation which interferes with the ability to perform normal tasks associated with operating a commercial motor vehicle; or has been granted a skill performance evaluation certificate pursuant to § 391.49;

(3) Has no established medical history or clinical diagnosis of diabetes mellitus currently treated with insulin for control, unless the person meets the requirements in § 391.46;

(4) Has no current clinical diagnosis of myocardial infarction, angina pectoris, coronary insufficiency, thrombosis, or any other cardiovascular disease of a variety known to be accompanied by syncope, dyspnea, collapse, or congestive cardiac failure;

(5) Has no established medical history or clinical diagnosis of a respiratory dysfunction likely to interfere with his/her ability to control and drive a commercial motor vehicle safely;

(6) Has no current clinical diagnosis of high blood pressure likely to interfere with his/her ability to operate a commercial motor vehicle safely;

(7) Has no established medical history or clinical diagnosis of rheumatic, arthritic, orthopedic, muscular, neuromuscular, or vascular disease which interferes with his/her ability to control and operate a commercial motor vehicle safely;

(8) Has no established medical history or clinical diagnosis of epilepsy or any other condition which is likely to cause loss of consciousness or any loss of ability to control a commercial motor vehicle;

(9) Has no mental, nervous, organic, or functional disease or psychiatric disorder likely to interfere with his/her ability to drive a commercial motor vehicle safely;

(10)

(i) Has distant visual acuity of at least 20/40 (Snellen) in each eye without corrective lenses or visual acuity separately corrected to 20/40 (Snellen) or better with corrective lenses, distant binocular acuity of at least 20/40 (Snellen) in both eyes with or without corrective lenses, field of vision of at least 70° in the horizontal meridian in each eye, and the ability to recognize the colors of traffic signals and devices showing standard red, green, and amber; or

(ii) Meets the requirements in § 391.44, if the person does not satisfy, with the worse eye, either the distant visual acuity standard with corrective lenses or the field of vision standard, or both, in paragraph (b)(10)(i) of this section;

(11) First perceives a forced whispered voice in the better ear at not less than 5 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 500 Hz, 1,000 Hz, and 2,000 Hz with or without a hearing aid when the audiometric device is calibrated to American National Standard (formerly ASA Standard) Z24.5—1951;

(12)

(i) Does not use any drug or substance identified in 21 CFR 1308.11 Schedule I, an amphetamine, a narcotic, or other habit-forming drug; or

(ii) Does not use any non-Schedule I drug or substance that is identified in the other Schedules in 21 CFR part 1308 except when the use is prescribed by a licensed medical practitioner, as defined in § 382.107 of this chapter, who is familiar with the driver's medical history and has advised the driver that the substance will not adversely affect the driver's ability to safely operate a commercial motor vehicle; and

(13) Has no current clinical diagnosis of alcoholism.

[35 FR 6460, Apr. 22, 1970]

Editorial Note

Editorial Note: For Federal Register citations affecting § 391.41, see the List of CFR Sections Affected, which appears in the Finding Aids section of the printed volume and at www.govinfo.gov.


§ 391.43 Medical examination; certificate of physical examination.

(a) Except as provided by paragraph (b) of this section, the medical examination must be performed by a medical examiner listed on the National Registry of Certified Medical Examiners under subpart D of part 390 of this chapter.

(b) Exceptions:

(1) A licensed ophthalmologist or licensed optometrist may perform the part of the medical examination that involves visual acuity, field of vision, and the ability to recognize colors as specified in § 391.41(b)(10).

(2) A certified VA medical examiner must only perform medical examinations of veteran operators.

(c) Medical examiners shall:

(1) Be knowledgeable of the specific physical and mental demands associated with operating a commercial motor vehicle and the requirements of this subpart, including the medical advisory criteria prepared by the FMCSA as guidelines to aid the medical examiner in making the qualification determination; and

(2) Be proficient in the use of and use the medical protocols necessary to adequately perform the medical examination required by this section.

(d) Any driver authorized to operate a commercial motor vehicle within an exempt intracity zone pursuant to § 391.62 of this part shall furnish the examining medical examiner with a copy of the medical findings that led to the issuance of the first certificate of medical examination which allowed the driver to operate a commercial motor vehicle wholly within an exempt intracity zone.

(e) Any driver operating under a limited exemption authorized by § 391.64 shall furnish the medical examiner with a copy of the annual medical findings of the ophthalmologist or optometrist, as required under § 391.64. If the medical examiner finds the driver qualified under the limited exemption in § 391.64, such fact shall be noted on the Medical Examiner's Certificate.

(f) The medical examination shall be performed, and its results shall be recorded on the Medical Examination Report Form, MCSA–5875, set out in this paragraph (f):

Dr  Phil  Gainan   D.C., C.M. E.

Certified Medical Examiner

6960 Market St.

Boardman, Ohio  44512

(330) 629-9476


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