
By Joseph Piasecki, D.C., CCSP®, NRCME | May 20th, 2024 | DOT exam, DOT physical
Commercial Motor Vehicle (CMV) drivers in Washington, PA with neurological conditions might have questions about DOT physicals. E-Z DOT Physicals at 84 Chiropractic is here to help! This guide explores the Federal Motor Carrier Safety Administration’s (FMCSA) regulations for various neurological conditions and how they impact your DOT physical eligibility.

The Importance of Regulations for Neurological Conditions
The FMCSA prioritizes public safety. Certain neurological conditions can affect a driver’s ability to operate a CMV safely. These regulations aim to minimize this risk.
FMCSA Guidelines: A Framework for Evaluation
The FMCSA offers guidelines for medical examiners, not absolute rules. These guidelines consider various neurological conditions and their severity.
Conditions That May Disqualify
Some neurological conditions can disqualify a driver from receiving a DOT medical card. These include:
- Uncontrolled seizures
- Certain brain tumors
- Progressive neurological disorders
Conditions Requiring Further Evaluation
For other conditions, the FMCSA requires additional testing or documentation before certification. Here are some examples:
- Traumatic Brain Injury (TBI): The waiting period and certification length depend on the severity of the TBI and whether seizures occurred.
- Transient Ischemic Attack (TIA): A 1-year waiting period with a recommended clearance from a neurological specialist.
- Stroke/Subarachnoid Hemorrhage/Intracerebral Hemorrhage (Stroke/SAH/ICH): There is a waiting period of 5 years and certification length is 1 year maximum. Clearance from a neurological specialist is recommended.
The Role of a Qualified Medical Examiner
A DOT-certified medical examiner plays a crucial role. They will review your medical history, perform a physical exam, and potentially order additional tests based on FMCSA guidelines. Their expertise is essential in determining your DOT eligibility.
Open Communication is Key
If you have a neurological condition, discuss it openly with your doctor and the medical examiner. Transparency ensures a proper evaluation based on your situation and adherence to FMCSA guidelines.
Staying Informed
We recommend consulting the FMCSA website for further details: https://www.fmcsa.dot.gov/regulations/medical/seizure-disorder-and-medical-certification-commercial-motor-vehicle-driver
Working with E-Z DOT Physicals at 84 Chiropractic
At E-Z DOT Physicals, we understand clear communication is vital. Our DOT-certified examiner, Dr. Joseph Piasecki, will work with you to navigate the FMCSA regulations and ensure a smooth DOT physical process.
Schedule your DOT physical appointment today! We are committed to helping Washington, PA drivers stay healthy and qualified.

E-Z DOT Physicals at 84 Chiropractic provides a relaxed, comfortable, and clean environment for your DOT physical

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