Occupational Health

Federal law requires all drivers of commercial vehicles to receive regular physical exams, known as a DOT Physical (Department of Transportation Medical Examination). These exams are designed to detect a variety of health conditions that can impact a commercial vehicle driver’s ability to drive safely on the road for extended periods of time.

What To Know Before Your DOT Physical Exam

Bring any required forms including the DOT Medical Examination Report with Driver Information (License), Health History sections completed and a current list of medications you may be taking.
Our providers can only verify immunizations administered at our clinics or with appropriate documentation.
A DOT physical should not replace an annual wellness physical.

What the DOT Physical Covers

1. Vision

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.

2. Hearing

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.

4. Urinalysis

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 tympanic membrane, perforated ear drums, 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 (abnormal 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)

We offer DOT Physicals in nine of our Physician Offices and at Hills & Dales Urgent Care Clinic.

Urgent Care in Cass City offers DOT services on a walk-in basis. You can call 989-912-6114 to see if a DOT provider is available.

Amanda Cook, Board Certified Family Nurse Practitioner
Family Healthcare of Cass City, 989-872-2410 (by appointment)

Angela Weber, Board Certified Family Nurse Practitioner
Ubly Medical Practice, 989-658-9191 (by appointment)

Becky McKee, Board Certified Family Nurse Practitioner
Cass City Medical Practice 989-872-8202 (by appointment)

Erica Knoerr, Board Certified Family Nurse Practitioner
Kingston Family Practice, 989-683-8065 (by appointment)

Jennifer Jones, Board Certified Family Nurse Practitioner
Occupational Health Clinic, 989-912-6389 (by appointment)

Marie Havercamp, Board Certified Family Nurse Practitioner
Cass City Family Practice 989-872-8303 (by appointment)

Marlene Schank, Board Certified Family Nurse Practitioner
Cass City Medical Practice 989-872-8202 (by appointment)

Norma Abbott, Board Certified Family Nurse Practitioner
Hills & Dales Caro Family Practice, 989-672-1399 (by appointment)

Tammy Jurgess, Board Certified Family Nurse Practitioner
Millwood Primary Street Clinic, 989-672-1555 (by appointment)