Frequently Asked Questions

Lee County School District requires students to have a sports physical every school year. Other private club teams in Estero have similar requirements, but it’s best to check with your coach or manager to be sure.

During the physical, Dr. Green will evaluate your child’s overall health by checking the following:

- Height and weight
- Pulse rate, pulse oxygen and blood pressure
- Reflexes, coordination, strength and musculoskeletal eval
- Vision and hearing
- Ears, nose, and throat eval
- Heart and lungs/cardiac and respiratory eval
- Joint flexibility, spinal alignment, posture, and mobility

Dr. Green will ask for a full record of your child’s medical history including any illnesses, hospitalizations, or injuries that might limit your child’s activity or prevent him or her from playing. You’ll be asked to provide information about whether your child has experienced the following conditions:

- Asthma
- Shortness of breath, faintness or chest pain with exercise
- Dizziness or fainting at rest or with activity
- High blood pressure
- Fatigue
- Diabetes
- Headaches
- Vision problems (wearing glass or contacts)
- Epilepsy
- Previous surgeries or injuries
- Bone, joint, and spine injuries
- Skin problems
- Allergies to food, pollen, or stinging insects
- Kidney, abdominal or liver problems

You’ll also be asked about medication use and family history of heart problems or sudden death before the age of 50.

By the end of the sports physical, Dr. Green will be able to determine whether your child can safely participate in sports based on overall health, type of sport, position played, and competition level. It’s rare for kids to be barred from playing any sport completely. However, Dr. Green may recommend certain modifications when necessary. like special protective equipment, carrying an inhaler for students with asthma, or always having an EpiPen on hand if your child has allergies to stinging insects.

Dr. Green is here to make sure your kid is safe and ready to play. If you live in Estero, Fort Myers, Naples, Bonita Springs, Lehigh, Immokalee or San Carlos Park, call Chiropractic Care and Rehab Center to schedule your sports physical today! Our number is (239) 495-1166.

You can walk-in anytime or schedule an appointment for a DOT Physical. Our Estero office has ample parking spaces for trucks and large vehicles! DOT medical exams can also be conducted at your place of work. For companies with 20 employees or more, we can provide exams, drug tests, and medical cards on site.

We can provide results for DOT Physicals typically within 30 minutes; more complicated health issues may take longer. Unless disqualified, held up for additional testing or pending an exemption or SPE, you will walk out with your long form and your DOT card.

Regarding UA drug screens, results can be faxed to your DER usually within 24 hours.

An individual DOT medical exam costs $125; UA drug screens are $75. Should one be required, a direct observation fee is $50.

DOT Physicals are very similar to normal health physicals, minus blood work. There is a UA requirement to test organ and kidney function. The exam is a uniform series of history and examinations for the US government, your employer and the Medical Examiner to be sure that you meet the physical health qualifications to safely operate a commercial motor vehicle.

Drug and alcohol tests are not included in DOT Physicals; however your employer may require or request that a drug test be completed at the same time of your physical. A UA drug screen is required prior to your hiring. Dr. Green is certified to provide BAT/SAT tests for alcohol testing.

The Federal Motor Carrier Safety Administration requires that all interstate drivers be medically qualified to drive the vehicle safely, perform pre- and post-trip safety inspections, and secure a load. Bus drivers have different requirements. Examiners certify drivers for up to 2 years , but may certify for less than 2 years if more frequent monitoring is required to ensure medical fitness for duty. Typically medical conditions that disqualify drivers or require more frequent monitoring or exemptions include those with hearing loss, vision loss, epilepsy, or insulin use (diabetes). Reasons for disqualification, more frequent monitoring, exemption, SPE or counselling with be explained thoroughly during your examination.

PLEASE NOTE: certain medications will require more specific information from the prescribing physician.

DOT Physicals are required for commercial licensed drivers (CDL) who:

- Drive in interstate, intrastate or international commerce
- Has a gross vehicle weight rating or gross combination weight rating, or gross vehicle weight or gross combination weight of 10,001 pounds or more ( whichever is greater)
- Is designed or used to transport more than 8 passengers (including the driver) for compensation
- Is designed or used to transport more than 15 passengers, including the driver, and is not used to transport passengers for compensation
- Vehicles placarded for transport of hazardous materials under 49 U.S.C. 5103 and transported in a quantity requiring placarding under 49 CFR, subtitle B, chapter I, subchapter C.

Medical Examiner’s Certificates are valid for 24 months, however some medical conditions require more frequent re-certification periods. Examiners certify drivers for up to 2 years, but may certify for less than 2 years if more frequent monitoring is required to ensure medical fitness for duty.

For a full explanation of driver requirements, FAQs and other information, look up:

FMSCA Requirements 49 CFR 391.41

or visit: http://www.fmcsa.dot.gov/registration-licensing/cdl/faqs.aspx