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PELICAN STATE OUTPATIENT CENTER 1525 HICKORY AVE, CARAVAN, LA 70123PATIENTS NAME WHAT SYMPTOMS OR PAIN ARE YOU EXPERIENCING? WHEN DID SYMPTOMS BEGIN? SIGNATURE DATE.
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How to fill out dot physical - pelican

01
To fill out a DOT physical form (Form MCSA-5875), follow these steps:
02
Get the form: Obtain a copy of the DOT physical form from the Department of Transportation (DOT) or download it from their official website.
03
Provide personal information: Fill in your personal details such as name, date of birth, address, phone number, and email.
04
Medical history: Answer the questions regarding your medical history, including any previous or current medical conditions, surgeries, or medications you are taking.
05
Vision and hearing: Indicate your vision and hearing status by providing information about any corrective lenses or hearing aids you use.
06
Blood pressure/pulse rate: Provide your blood pressure and pulse rate readings taken at the time of the physical examination.
07
Urinalysis: Undergo a urinalysis to check for any underlying medical conditions or drug use.
08
Examination and certification: The medical examiner will then perform a thorough physical examination, assessing your general health, heart, lungs, reflexes, and overall fitness for the job.
09
Certification: Once the examination is completed and the medical examiner determines that you meet the DOT physical requirements, they will certify the form and provide you with a copy.
10
Note: It is essential to bring any relevant medical records, prescription medications, and glasses/contact lenses to the appointment to assist the medical examiner in accurately assessing your fitness for the DOT physical.

Who needs dot physical - pelican?

01
Anyone who operates a commercial motor vehicle (CMV) in the United States and is subject to the jurisdiction of the Department of Transportation (DOT) must undergo a DOT physical.
02
This includes but is not limited to:
03
- Truck drivers who drive vehicles with a gross vehicle weight rating (GVWR) of 10,001 pounds or more
04
- Bus drivers
05
- Delivery drivers
06
- School bus drivers
07
- Emergency vehicle drivers
08
- Tow truck drivers
09
The DOT physical is necessary to ensure that drivers meet the medical standards required for safe driving and to prevent accidents or health-related incidents on the road.
10
It is essential to check with your employer or the DOT to determine specific requirements regarding DOT physicals and their frequency of renewal.
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Dot physical - pelican is a medical examination required by the Department of Transportation (DOT) for commercial drivers to ensure they are physically capable of safely operating a commercial vehicle.
Commercial drivers who operate vehicles that require a commercial driver's license (CDL) are required to file dot physical - pelican.
Dot physical - pelican must be filled out by a certified medical examiner after conducting a thorough medical examination of the commercial driver.
The purpose of dot physical - pelican is to ensure that commercial drivers are in good health and physically capable of safely operating a commercial vehicle.
Dot physical - pelican must include information such as the driver's medical history, vital signs, vision test results, and any current health conditions.
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