Non dot physical form 2025

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The document is a Medical Examination Report used to assess an applicant's fitness for work, specifically focusing on non-DOT (Department of Transportation) requirements. It includes sections for applicant information, health history, vision and hearing tests, blood pressure and pulse rate measurements, laboratory findings, physical examination details, and final disposition certification by a medical examiner. The report aims to determine the applicant's overall physical and mental health status to ensure they can perform their job duties safely.

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Click ‘Get Form’ to open the non-DOT physical form in the editor.
Begin by filling out the 'Applicant Information' section. Enter your name, birthdate, social security number, address, and contact details accurately.
In the 'Health History' section, respond to each question regarding past illnesses or injuries. If you answer 'Yes' to any question, provide additional details as requested.
Proceed to the 'Vision' section. Record your visual acuity results and indicate if corrective lenses are used during testing.
Complete the 'Hearing' section by documenting results from either a whispered voice test or audiometer readings.
Fill in your blood pressure and pulse rate in the respective fields under 'Blood Pressure / Pulse Rate'.
In the 'Physical Examination' section, check YES or NO for any abnormalities across various body systems and provide comments where necessary.
Finally, review all entries for accuracy before signing and submitting the form.

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Versions	Form popularity	Fillable & printable
2023	4.8 Satisfied (35 Votes)
2022	4.3 Satisfied (46 Votes)
2021	4.8 Satisfied (67 Votes)
2021	4.8 Satisfied (37 Votes)
2021	4.5 Satisfied (34 Votes)
2021	4.8 Satisfied (155 Votes)
2020	4.8 Satisfied (161 Votes)
2020	4.8 Satisfied (135 Votes)
2020	4.8 Satisfied (53 Votes)
2020	4.7 Satisfied (43 Votes)
2020	4.8 Satisfied (133 Votes)
2020	4.4 Satisfied (124 Votes)
2019	4.4 Satisfied (24 Votes)
2019	4.3 Satisfied (31 Votes)
2018	4.5 Satisfied (50 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Whats the difference between a dot physical and a regular physical?

Regular physicals focus on evaluating a persons overall health and are typically recommended annually or biannually, depending on age and health status. DOT physicals, however, are job-specific. They are designed to determine whether you meet the physical and mental demands of safely operating a CMV.

What is checked during a dot physical?

It includes a thorough review of the drivers medical history, vision and hearing tests, a urinalysis to detect potential medical conditions, and measurements of blood pressure and pulse rate to check for any abnormalities.

What is a non-dot physical test?

A non-DOT physical exam is a comprehensive assessment designed to evaluate an individuals physical fitness for specific job requirements.

Is there a non-CDL dot physical?

Non-CDL drivers need a DOT physical at least once every two years, and the health screening must be completed by an approved medical examiner.

What does a dot stand for in a physical exam?

A Department of Transportation (DOT) physical examination must be conducted by a licensed medical examiner listed on the Federal Motor Carrier Safety Administration (FMCSA) National Registry.

what is a non dot physical

Non DOT physical form PDF Free printable DOT physical forms Free printable DOT physical forms pdf eScreen non DOT physical form DOT physical Form 2025 form mcsa-5876 pdf DOT physical Form pa Medical Examination Report Form PDF

What will fail a dot physically?

Commercial truck drivers can fail the DOT physical exam for various reasons such as high blood pressure, vision or hearing problems, sleep apnea, substance abuse, heart disease, diabetes, and other medical conditions that may affect their ability to operate a commercial vehicle safely.

What is checked in for dot physical?

Heres what it helps assess: Kidney function Detects protein, blood, or abnormal substances. Diabetes risk High glucose levels indicate potential diabetes. Infections Bacteria or white blood cells may suggest a urinary tract infection.

What does a dot physical consist of in Arkansas?

Whats involved in a DOT physical? The process is pretty straight forward. We examine your eyes, ears, blood pressure, vision, heart, lungs, abdomen, arms, legs, reflexes, nervous system, range of motion and balance. We can complete your physical in approximately 30 minutes.