Category Archives: Tips

DOT Physical Doctors Driver Friendly™ DOT Physical Locations

Same Day DOT Physicals
Drug & Alcohol Testing
Gallatin, TN

DOT Medical Exam Services

  • DOT/CDL MEDICAL EXAM  ~  Our prices are the lowest in the area. $75.
  • Certified DOT Drug Testing
  • Certified DOT Breath Alcohol Testing
  • School Bus Driver Physicals
  • Pre-employment Physicals
  • DOT Random Drug Testing Programs

We offer same day appointments and while appointments are preferred, walk-ins are welcome.
Our office staff Virginia and Shelia are here to help.
No Waiting! We are committed to getting you back on the road in no time.

We are a TeamCME Clinic! Nationally Recognized as a Provider of Fair, Ethical DOT Physical Exams!

For more information see our Same Day DOT Physicals Drug & Alcohol Testing website.

We take care of your DOT Medical Card process and get it done right the first time at Same Day DOT Physicals Drug & Alcohol Testing!

 

Other Services

    • Digital X-ray on site
    • Chiropractic treatment
    • Physiotherapy
    • Rehabilitative exercises
    • Workers’ Comp and Personal Injury Auto Accident Whiplash Treatment
    • Physical Abilities Testing Certified
    • Nutrition

 

Local Business Information

Food Lion Market. Perkins Drugs. Sumner Regional Medical Center. Hardens. Sonic Drive In.

Serving Tennessee local areas: Gallatin, Hendersonville, Portland, Hartsville, Westmoreland, Lafayette, Nashville, Sumner County.

DOT Physical Without Hassles

Guidebook cover - 30Questions about getting
your Medical Card
Get the GUIDEBOOK here

More Questions?Get your questions answered here

What Drivers Are Saying

“Great place to go to! Very nice and welcoming from the moment you walk into the door. I would highly recommend everyone to go to Dr Tigges for any medical needs. The lady in the office is extremely nice as well.”
Justin M

“Very short wait time. Super friendly staff. I always get stressed when I get a physical for work, which causes blood pressure issues. The staff kept me calm and got me through it just fine. The doctor had great information to offer that will help me in the future.”
Robert D

“Great experience! Friendly professional staff. I will definitely be using them again and I highly recommend them!”
Damar N

“Very good group of people. I was a walk in. Only wait time I had was me filling out papers. Staff was excellent, made me feel like I was family. Tigges did a great job of explaining things I didn’t know and he didn’t miss a thing in the exam. I would recommend him to anyone. I am even going to send my wife there for chiropractic care. I will return for my next DOT physical.again!”
Dwight C [contact-form][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’Website’ type=’url’/][contact-field label=’Comment’ type=’textarea’ required=’1’/][/contact-form] 

QR-SameDayDOT

https://goo.gl/S1zfHx

What are the blood pressure requirements to pass the DOT physical?

blood-pressure

What are the blood pressure requirements to pass the DOT physical?
Here are the medical guidelines according to the Federal Motor Carrier Safety Regulations (FMCSRs). Note that employers are allowed to impose more stringent medical requirements.
 A driver with a BP of less than 140 / 90 may be medically certified to drive for a two-year period.
 A driver with a BP of 140 – 159 systolic and /or a BP of 90-99 diastolic, has stage 1 hypertension, and may be medically certified to drive for a one-year period. Certification examinations should be done annually thereafter and should be at or less than 140/90.
 A driver with a BP of 160-179 systolic and/or a BP of 100-109 diastolic, has stage 2 hypertension, and is a candidate for antihypertensive drug therapy. The driver is given a one-time certification of three months to reduce his or her blood pressure to less than or equal to 140/90. Provided treatment is well tolerated and the driver demonstrates a BP value of 140/90 or less, he or she may be re-certified for one year from the date of the initial exam. The driver is certified annually thereafter.
 A driver with a BP at or greater than 180 systolic and / or 110 diastolic has stage 3 hypertension and is disqualified. The driver may not be qualified, even temporarily, until blood pressure is reduced to equal to or less than 140/90 and treatment is well tolerated. The driver may be certified for 6 months and biannually (every 6 months) thereafter if at recheck BP is equal to or less than 140/90.
Drivers with Type 1 or Type 2 diabetes, or kidney disease require treatment if their blood pressure rises above 130/80, since they already have a high risk of heart disease.

http://www.fmcsa.dot.gov/faq/what-basis-fmcsas-recommendations-regarding-high-blood-pressure

Use Your FSA or HSA Account for Chiropractic Care Before The End of the Year

Use Your FSA or HSA Account for Chiropractic Care Before The End of the Year

office-from-street

We are nearing the end of the year, and depending on your health plans, you may participate in either a Flexible Spending account (FSA) or a Health Savings Account (HSA) program. In this blog post, we want to inform you of all the chiropractic services covered by these programs and to remind you to use your entire FSA budget before the year quickly comes to an end.

Chiropractic services are covered under FSA/HSA

Most people don’t think of chiropractic care being covered by these FSA and HSA programs. Chiropractic care is designed to take care of your body and improve your overall health and quality of life. Aligning your body’s muscles, joints and nerves provides long-term relief and prevents future injuries. Chiropractic services can help aid in pain management and so much more. If you’re experiencing pain and would like a more natural, drug-free option, use your remaining balance for chiropractic services.

The difference between FSA and HSA

FSA

Flexible Spending Accounts (also known as a flexible spending arrangement), or FSAs, are a use-it-before-you-lose-it type of program. An FSA is a tax-free account option you put money into that you use to pay for certain out-of-pocket health care costs. FSA accounts are great for routine expenses, like dental cleanings and checkups with your doctor. However, if you don’t use your allocated funds by the end of the year, any remaining funds will go back to your employer.

HSA

Health Savings Accounts, or HSAs, are for taxpayers who are enrolled in a high-deductible health care plan. Like the FSA accounts, HSAs are not subject to federal income tax at the time of deposit. However, any unused HSA funds that are unused at the end of the year can roll over to the next year.

What services are covered?

A qualified medical expense is one for medical care as defined by Internal Revenue Code Section 213(d). The expenses must be used primarily to alleviate or prevent a physical or mental defect or illness. Fortunately, many of our services at Tigges Chiropractic fall under these guidelines, including:

  • Neck pain
  • Back pain
  • Whiplash
  • Herniated and bulging discs
  • Chronic pain
  • Stress relief and more.
  • Check www.irs.gov for more information on covered expenses. Call us today at (615) 452-1575 to set up your appointment before the end of December. We offer free consultations and provide safe, beneficial, and well-rounded health care experiences for our patients

What to Expect During Your DOT Physical

What to Expect During Your DOT Physical

The Department of Transportation requires some drivers to get regular physicals to make sure they can drive safely. If any of the following apply to you, you must get a DOT physical and carry a DOT medical certificate when you drive a commercial vehicle:

  • You are paid to operate a motor vehicle that holds nine to 15 passengers; you drive the vehicle more than 75 miles from where you report to work; you operate this vehicle for interstate commerce purposes
  • You operate a motor vehicle with a gross combination weight rating, gross vehicle weight, gross vehicle weight rating, or gross combination weight of at least 10,001 pounds; you operate this vehicle for interstate commerce purposes
  • You transport hazardous materials in certain quantities

 

DOT Restrictions

There are some restrictions for commercial drivers who have certain health problems. If you take injectable insulin for Diabetes, for example, you cannot get a commercial driver’s license. You must have at least 20/40 correctable vision in both eyes. The DOT does allow you to wear contact lenses or glasses to improve your vision. You cannot use narcotics, amphetamines, or other habit-forming drugs if you want to obtain or renew your commercial driver’s license.

Driver Health History 

Before meeting with the examiner, you must fill out the DOT physical form. The first section has room for your name, Social Security number, birthdate, driver’s license number, address, and telephone number. The second section asks about your medical history. You must indicate whether you have had any of the following:

  • Brain injuries or neurological disorders
  • Epilepsy or seizures
  • Loss of hearing
  • Impaired vision
  • Kidney disease
  • Digestive problems
  • Psychiatric disorders
  • Dizziness or fainting
  • Paralysis
  • Stroke
  • Missing limbs
  • Spinal cord injuries
  • Chronic pain

 

You should answer each question truthfully, or you could face serious legal consequences in the future.

DOT Physical Exam Procedure

If you want to comply with federal law, a qualified medical examiner must complete your DOT physical form. A qualified examiner may be a doctor, physician’s assistant, nurse practitioner or Chiropractor who has been federally certified by the FMSCA. The examiner will review your health history and ask you to list the medications you take on a regular basis. During your DOT physical, the examiner will also do the following:

  • Check your pulse and blood pressure
  • Perform a vision test
  • Observe your general appearance
  • Examine eyes ears throat
  • Listen to your heart and lungs
  • Check for spine deformities
  • Perform a neurological exam
  • Press on your abdomen to check for abnormalities
  • Perform a hernia check

 

DOT Physical Forms 

Once the medical examiner completes all the DOT physical requirements, you will discuss any hazards created by your health history or current medical condition. The examiner must document these hazards on your DOT physical form and determine whether you meet the standards for receiving a medical certificate.

If you meet the standards and do not require periodic medical monitoring, your certificate will be valid for two years. In some cases, the medical examiner will issue a certificate that lasts for only three months, six months, or one year. The examiner will also note whether you must wear a hearing aid or corrective lenses. If you do not meet the standards, the examiner will not be able to issue a valid medical certificate.

DOT Physicals at Your Convenience 

https://samedaydot.com/tennessee-dot-physical/

[contact-form][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’Website’ type=’url’/][contact-field label=’Comment’ type=’textarea’ required=’1’/][/contact-form]

Pass Your DOT Medical Exam!  Dr. Tigges knows how important it is that you continue your livelihood as a commercial driver. With his extensive knowledge of the DOT Physical Exam medical guidelines, Dr. Tigges will steer you through the DOT Physical Exam requirements so you can Keep on Truckin’. Having affordable and fast testing is crucial to keep drivers on the road and that’s what we strive to provide our clients.DOT CERTIFIED AD1

Tennessee CDL and DOT Medical Card Requirements

Tennessee CDL and DOT Medical Card Requirements
Beginning January 30, 2012, all CDL Drivers in the state of Tennessee are now required to self-certify to a single type of commercial operation. You are responsible to provide Tennessee Department of Safety & Homeland Security with your self-certification of operating status by January 30, 2014. Same Day DOT Physicals Drug & Alcohol Testing in Gallatin, TN is now proud to offer Department of Transportation Certified Medical Physicals (DOT Physicals) to satisfy the new DOT Medical Card Requirements.
Based on this self-certification, you may need to provide the Tennessee Department of Safety and Homeland Security (TDOSHS) with a current medical examiner’s certificate and show any variance you may have to obtain or keep your CDL and Same Day DOT Physicals Drug & Alcohol Testing is proud to offer the necessary services to all Tennessee CDL Drivers and DOT Employees.

Same Day DOT Physicals Drug & Alcohol Testing
GALLATIN, TN
CAN OFFER A COMPLETE SOLUTION TO OBTAINING YOUR CDL AND DOT MEDICAL CARD.
FOR JUST A $75 FEE, YOU CAN COMPLETE THE PROCESS TODAY!
MONDAY – FRIDAY, 7AM – 5PM, WALK-INS WELCOME.

HERE ARE SOME IMPORTANT THINGS TO KNOW ABOUT KEEPING YOUR CDL AND DOT MEDICAL CARD CURRENT:
INTERSTATE NON-EXCEPTED
You must meet the Federal DOT medical certificate requirements.
INTRASTATE NON-EXCEPTED
You must meet the medical requirements for the State of Tennessee.
If you do not provide TDOSHS with your self-certification and medical certificate by January 30, 2014, TDOSHS will notify you that you are no longer medically certified to operate a CMV in non-excepted Interstate commerce. TDOSHS will then remove all your CDL privileges from your license.
SUBMIT YOUR SELF-CERTIFICATION AND MEDICAL CERTIFICATE TO TENNESSEE DEPARTMENT OF SAFETY AND HOMELAND SECURITY
Submit the following two documents:
1. SUPPLEMENTAL APPLICATION FOR COMMERCIAL DRIVER LICENSE – Visit the TN Government Website to explore the Tennessee Department of Safety and Homeland Security.
2. Copy of your valid DOT MEDICAL CARD (the medical card, not the long form). Enlarge the copy to ensure that all information is legible.
By Mail:
Tennessee Dept. of Safety and Homeland Security
Commercial Driver License Division – Med Cert
1148 Foster Ave
Nashville, TN 37243
By Fax:
615-401-7674
By Email:
[email protected]
if by email please send the scanned copies in a PDF.
For questions please call 615-687-2312. Please have your commercial driver license number readily available.
KEEP YOUR MEDICAL CARD CURRENT WITH TN DEPARTMENT OF SAFETY
The Tennessee Department of Safety and Homeland Security will be adding your medical certification status and the information on your medical examiner’s certificate to your Commercial Driver’s License System (CDLIS) record. CDL holders required to have a ”certified” medical status who fail to provide and keep up-to-date their medical examiner’s certificate with TDOSHS will become ”not-certified”.
Before your medical card expires you must have a new medical examination and obtain a new medical certificate. You are responsible for providing your valid medical certificate to TDOSHS.
If your medical card expires, TDOSHS will notify you that you are no longer medically certified to operate a CMV in non-excepted Interstate commerce. TDOSHS will then remove all your CDL privileges from your license.
You may submit your new medical certificate by mail, fax, or email, as described above
Have questions? Call Same Day DOT Physicals Drug & Alcohol Testing 615-452-1575 Today. [contact-form to=’[email protected]’ subject=’Tennessee CDL and DOT Medical Card Requirements’][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’Website’ type=’url’/][contact-field label=’Comment’ type=’textarea’ required=’1’/][/contact-form]

DOT CERTIFIED PHYSICAL EXAM IN SUMNER COUNTY. Gallatin; Hendersonville; Portland.

DOT CERTIFIED AD1

DOT Certified Medical Exams are now being offered at Same Day DOT Physicals Drug & Alcohol Testing in Gallatin, TN. Also serving Hendersonville and Portland, TN. We are focused on providing high-quality service and customer satisfaction – we will do everything we can to meet and exceed your expectations. We offer low-cost, quick, convenient and comprehensive medical exams for commercial drivers to meet federal DOT regulations needed to obtain and maintain commercial driver’s licenses.

Our goal is to provide a worry-free experience to our patients. Your Certified Medical Examiner Dr. Michael Tigges will treat you with the respect you deserve. Our experienced healthcare professionals will address medical issues upfront, avoiding delays in obtaining your medical examiner’s certificate.

Call Today to schedule an appointment (615) 452-1575
529 Hartsville Pike [contact-form][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’Website’ type=’url’/][contact-field label=’Comment’ type=’textarea’ required=’1’/][/contact-form]
Gallatin, TN 37066
Next to Sonic and Sumner Regional Medical Center.

Dr. Michael Tigges
Dr. Michael Tigges

Answers to your AUTO ACCIDENT or INJURY Questions TIGGES CHIROPRACTIC & WELLNESS TiggesChiropractic.com

AUTO1Answers to your ACCIDENT or INJURY Questions

Car Accident Related Injuries CALL 452-1575 FOR AN APPOINTMENT TODAY

Even “fender-benders” can cause hidden injuries that can develop into pain, headaches, and arthritis. Even worse, most people who have been involved in an auto accident may not even know that they’ve been hurt. Most doctors give pain killers that only hide these injuries.
The chiropractic approach to these types of injuries is to use specific chiropractic adjustments to help return spinal function in conjunction with Massage (manual therapy) and natural Physiotherapy treatment (stretching, gait training, sensory integration, therapeutic exercises, mechanical traction, neuromuscular rehabilitation, ice and heat), ultrasound and electric muscle stimulation.

After a thorough case history and examination, the doctor will recommend any necessary care to help restore proper motion and position of spinal bones. If caught early enough, inflammation can be reduced and scar tissue can often be minimized.TIGGES CHIROPRACTIC SAME DAY DOT PHYSICALS DRUG & ALCOHOL TESTING

What you should do after an accident:                  TIGGES CHIROPRACTIC
1.Schedule an check-up appointment with your Chiropractor by calling us at 615-452-1575 for yourself and your family if they were in the car with you.
2.There will be no cost to you and there is absolutely no obligation on your part. You will prevent overt and underlying injuries from rapidly progressing.
3.We can see your entire family at one time to better serve you and save you time. If we find that you have sustained injuries from the car accident that do not require immediate hospitalization then you are qualified to begin a routine of Chiropractic care.AUTO1

Most state mandatory liability insurance law (Personal Injury Protection) provides those people who have suffered from injuries in an automobile accident a minimum of $5,000 per person for reasonable and necessary expenses for one year after an automobile crash, for Chiropractic, Medical, Dental and other services needed due to the crash. Auto insurance pays for health care services treating pain that results from a car accident, so no out of pocket expenses are required for auto accident patients. This includes massage therapy services as well. Make sure to tell our staff when scheduling your first visit if the reason you are calling us are the result of an auto accident.

Contact Us

TIGGES CHIROPRACTIC & WELLNESS

529 Hartsville Pike, Gallatin, TN

(615) 452-1575 ‎ · gallatinchiropractic.com

CALL US: Phone: (615) 452-1575

Fax: (615) 230-6041

Hours of Operation

Monday, Wednesday, Friday 7:30am – 5:00pm

Tuesday & Thursday 7:30am – 12:00pm

Email Us

http://[email protected]

Not so fast on medical cards: CDL commercial drivers still must carry, Don’t get caught without your Medical Card!!

A driver was just in the office with a friend and was surprised that his buddy received a medical certificate/card following his physical here. Apparently, when the other driver got his physical at another clinic, he was told they no longer received a card stating they were “self-certified”. That is incorrect. They have to have the card to send a copy of it to the state to “self-certify”.

We went to the source at TEAMCME office for clarification. What they clarified is as follows:

 The new law states that you have to carry your card for a minimum of 15 days.

BUT…since the state and national registries are not linked yet, and since police officers/state troopers do not have the capability of pulling the copy of the card up on their in car computers yet, it is expected that all CDL drivers  and any drivers holding a medical certificate/card SHOULD CARRY THEIR CARD WITH THEM. They can be fined or parked if they do not have that card in their possession.

 The Federal Motor Carrier Safety Administration’s CDL “medical” section page in the Registration portion of its website, accessible at this link, reflects the recent change relative to driver medical cards. As reported previously, CDL holders are required to report their new medical certifications to the state driver’s licensing agency and, as of January 30, will only need to carry the paper copy of their medical card with them for 15 days thereafter, emphasizes Marissa Padilla, FMCSA spokesperson. “FMCSA has worked with state licensing agencies to ensure that medical information is electronically available to law enforcement officers through the Commercial Driver License Information System. The implementation of this regulation will relieve drivers from the burden of carrying a paper document and reduce the potential for fraud.”

Several readers, however, irrespective of whether CDL or non-CDL drivers, noted they’d continue carrying their card and/or the full medical long form in the interim, absent solid evidence that roadside officers wouldn’t be continuing to request certification documentation during inspections. Noted Tom Strese under news of the change on Overdrive‘s Facebook page, for instance: “Maybe [carrying the medical card is] no longer required — until the first uninformed officer writes a person up for not having it.”

WHAT YOU SHOULD DO: Continuing to carry physical proof of certification will remain the best option, and make sure you get a medical card from your Certified medical examiner upon completion of your DOT Physical.

CDL Medical/Physical Requirements

You must have a valid MCSA-5876 – Medical Examiner Certificate (A “MCSA-5876 – Medical Examiner Certificate” is provided by a National Registered Medical Examiner only. For additional information, please contact www.fmcsa.dot.gov.), or a photographic copy of your valid Certificate, to receive a commercial driver’s license (CDL) or other commercial license product (e.g., commercial learner’s permit). The Medical Examiner’s Certificate (DOT card) is a federally mandated (U.S. Department of Transportation) document that certifies you meet all physical and medical standards for operating a commercial motor vehicle and the original or photographic copy must be in your possession whenever you are driving.

Special Information Updates – JANUARY 2015 – Pertaining To ALL STATES

MEDICAL EXAMINERS MUST CONTINUE TO ISSUE MEDICAL CERTIFICATES TO ALL DRIVERS

The FMCSA has requested that all medical examiners continue providing drivers with a paper copy of the medical certificate so that Commercial Driver’s License (CDL) holders can provide a copy to the State licensing agency, and the non-CDL drivers can provide the documentation to their employers and Federal and State enforcement officials.

The Agency is currently completing efforts to put into place an electronic system to enable medical examiners to transmit the medical certificate information from the National Registry system to the State licensing agencies. However, until that system is completed, medical examiners must continue to issue paper copies of the medical certificates to drivers who pass the medical exam.

ALL DRIVERS MUST CONTINUE TO CARRY A PAPER COPY OF THEIR MEDICAL CERTIFICATE

Commercial Drivers – You still need to carry a paper copy of your medical card, until FMCSA announces that this is no longer necessary.

Dr. Tigges is a 2014 FMCSA National Registry Certified Medical Examiner, and is qualified to perform CDL/DOT physicals in Tennessee, as well as BAT (Breath Alcohol Testing) and Drug Testing through a split urine collection (in compliance with the DOT employment drug test requirements). Appointments are preferred, and are available 6 days a week. [contact-form][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’Website’ type=’url’/][contact-field label=’Comment’ type=’textarea’ required=’1’/][/contact-form]

Dr. Michael TiggesDr. Michael Tigges

6

Gallatin, TN Walk-In Clinic Same Day DOT Physicals

Gallatin, TN Walk-In Clinic
Same Day DOT Physicals in Gallatin, TN offers reliable and professional medical & Chiropractic services. Dr. Michael Tigges will be glad to attend to your needs. We have been serving Sumner County and surrounding communities for over 27 years.
Learn More about Same Day DOT Physicals Drug & Alcohol Testing
Services Offered by Same Day DOT Physicals Drug & Alcohol Testing
• • $75.00 DOT Physical Exam for Commercial Truck Drivers (CDL Physical Exam)
• Walk In’s Welcome Same Day Service Same day appointments!
• DOT Breath Alcohol Testing
• DOT Drug Testing
• School Bus Driver Physicals
• Pre-employment Physicals
• DOT Random Drug Testing Programs
• Easy Access Parking
• Chiropractic treatment
• Physiotherapy
• Digital X-ray Department
• Rehabilitative exercises
• Workers’ Comp and Personal Injury Auto Accident Whiplash Treatment
• Truck Parking Available
No appointments necessary. We accept most insurance. We are located across from Perkins next to Sumner Regional Medical Center Next to Food Lion in Gallatin, TN.
Contact Same Day DOT Physicals today at 615-452-1575 for all your Gallatin, TN DOT Physicals Drug & Alcohol Testing service needs. You can also contact us at [email protected]
Driving Directions
Right next to Sumner Regional Medical Center and Sonic across from Perkins Drugstore. Parking for your big rig next door in the Food Lion parking lot.

Same Day DOT Physicals Drug & Alcohol Testing
529 Hartsville Pike
Gallatin, TN 37066

Contact Us

Hours of Business:
Monday: 7:00 am – 5:00 pm
Tuesday: 7:00 am – 5:00 pm
Wednesday: 7:00 am – 5:00 pm
Thursday: 7:00 am – 5:00 pm
Friday: 7:00 am – 5:00 pm

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