DOT MEDICAL GUIDELINES -DIABETES

DOT MEDICAL GUIDELINES -DIABETES

The Department of Transportation (DOT) Medical Examination is very highly regulated as illness complications can have serious consequences for the driver, the examiner, and the general public. DOT medical guidelines outline the health criteria that commercial vehicle drivers must meet to qualify for certification. One health condition that is closely reviewed by the DOT is diabetes. Individuals with known or suspected diabetes are required to provide specific medical information to the DOT-certifying physician regarding diabetic control. The DOT definition of diabetic control often causes confusion for individuals seeking certification, as well as their employers. The following information provides answers to common questions and clears up misconceptions about diabetes and DOT certification. The maximum certification for a person with diabetes is one year. According to DOT guidelines, a person with diabetes, whether controlled with diet alone or diet plus medication, must meet the following criteria:

  • Maintain a glycosylated hemoglobin (Hemoglobin A1C or “HBA1C”) of 10% or less.

The HBA1C is a measure of the average amount of sugar in the blood over the last 3 months. A normal HBA1C is less than 5.7%. Values between 5.7 and 6.4% are classified as being in the pre-diabetic range. These individuals should be closely monitored. If the level is above 6.4%, then the person is diabetic. The HBA1C correlates very well with end organ (blood vessels, nerves, kidneys, heart, or eyes) damage and therefore is a popular marker for disease control. Red blood cells have a lifespan of about 90 days before they are removed by the spleen. Glucose sticks to the hemoglobin in red blood cells. Therefore, the glycosylated hemoglobin can be a good estimate of the average blood sugar and is much more accurate in assessing diabetic control than a fasting blood sugar that varies from day to day. Obviously, it takes about 3 months for the HBA1C to drop, generally by 1 percentage point.

  • The driver must not have a history of the following:

(a) One or more hypoglycemic episodes in the past 12 months, or 2 or more occurrences in the past 5 years resulting in:

1. Seizure

2. Loss of Consciousness

3. Need for Assistance from another person

4. Period of Confusion

(b) Signs of End Organ Damage: 1. Retinopathy 2. Macular Degeneration 3. Peripheral Neuropathy 4. Congestive Heart Disease 5. Stroke 6. Peripheral Vascular Disease 7. Kidney Failure

Diabetic individuals seeking DOT certification must provide current (within six months) diabetic control information to the examining physician. This information should be available as part of routine diabetes care through the individual’s primary care physician. To avoid delays in certification, SameDayDOT Physical Drug & Alcohol Testing recommends individuals meet with their primary care physician in advance of the examination to obtain copies of the required laboratory information, then bring that information to the DOT appointment. Diabetics who require insulin for control cannot be approved for DOT certification unless they have a waiver. The diabetic waiver application and program details can be found on the Federal Motor Carrier Safety Administration website. The process for obtaining a waiver is cumbersome and only a small number of drivers have received this exemption since the waiver program was instituted in 1996. “These medical guidelines can be quite complex,” says Michael Tigges, DC, Nationally Registered Certifed Medical Examiner. “The DOT team at Same Day DOT Physical Drug & Alcohol Testing understands the DOT regulations and their importance in promoting driver health, wellness and public safety. We are always available to answer any questions

All drivers diagnosed with diabetes must bring a printed copy of their most recent hemoglobin A1C from his or her primary care physician. This lab value must be 10% percent or less and be done within the last 3 months. The driver will receive a one year certificate if cleared. If the A1C levels are between 10-12% then the driver will receive a 3 month certificate. If, after 3 months, the new AIC levels are 10% or less at the end of the 3 months, the driver will receive a 9 month certificate based on the previous physical exam.

If the driver does not have the lab results available or his or her urine is positive for sugar, a random blood test (RBT) will be done. If this is 250 or less the driver will receive a 3 month certificate in which he should see his primary care physician and obtain an AIC lab. Once he or she returns with the report and it is less than 10% then 9 months will be added to your medical certification expiration date.

INSULIN

Insulin is used to treat high blood sugar in diabetes. Insulin has the potential to cause very low blood sugars which can cause drivers to black out or go into a coma; therefore diabetic drivers who require insulin for treatment cannot be approved for DOT certification. However, some drivers may qualify for a waiver which is a special process requiring additional clearance from your primary care physician and endocrinologist as well as more frequent assessments to maintain the driver’s medical certification.

More information is available through the FMCSA through the Federal Diabetes Exemption Program at:

http://www.fmcsa.dot.gov/documents/safetyprograms/Diabetes/diabetes-exemption-package0706.pdf.

Tips for managing your blood sugar:

  • Eat healthy food portions at least three times a day.
  • Avoid sugary drinks and processed foods. Keep healthy snacks with you.
  • Do a moderate activity for 30 minutes 3-4 times a day. Doing laps along a rest stop is a good way to stay active during long hauls.
  • Carry you glucose meter with you during trips to check your levels. If you experience symptoms of low blood sugar, be sure to carry glucose tablets with you.
  • Maintain good blood pressure and have a yearly eye exam with an eye professional to avoid diabetic complications that reduce your ability to drive.

Contact us for any questions you may have: http://www.samedaydot.com/contact-us/

 

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

DOT CERTIFIED PHYSICAL EXAM IN SUMNER COUNTY. Gallatin; Hendersonville; Portland. NASHVILLE; GOODLETTSVILLE, Lafayette

Posted on June 23, 2016 by Dr. Michael Tigges

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 professional 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 Gallatin, TN

Contact Us

We’d love to hear from you. Please use one of the various methods below and we’ll look forward to connecting with you soon!

Phone Number:
615-452-1575

Email Address:
info@samedaydot.com

Our Location:
529 Hartsville Pike
Gallatin, TN 37066

Right next to Sumner Regional Medical Center across from Perkins Drugstore. Parking for your big rig next door in the Food Lion parking lot.

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Preparing for Your DOT Medical Exam

Preparing for Your DOT Medical Exam

The DOT’s National Registry of Certified Medical Examiners (NRCME) program has ushered in a new era of driver and employer responsibility in regard to understanding the DOT medical examination process. The NRCME program aims to elevate the DOT medical exam to its originally intended level of scrutiny that can ensure safer drivers and safer roads across the country.

By requiring certification of all medical examiners, the DOT made an obvious statement about quality and their continued efforts to eliminate “doctor shopping” by drivers, the practice of visiting provider after provider until someone finally issues a medical card, whether it is warranted or not.

Certain conditions have always led to shorter card terms or disqualification, and the new certification program has brought these to the forefront for many examiners who either never knew the regulations or never paid close enough attention to allow the regulations to guide their decision making.

The goal, hopefully is that medical examiners across the country will be holding drivers to a more consistent standard when issuing cards.

In preparation, drivers and employers should pay particular attention to the conditions below that may exclude drivers from certification or require intermittent medical monitoring.

Assembling the necessary documentation in advance of the exam can save drivers and employers considerable time and money.

These are the most common health problems associated with DOT medical certification or recertification that require documentation during the DOT exam to help expedite certification.

History of Asthma / COPD

If you have a history of lung disease (asthma or COPD) or have symptoms of shortness of breath, cough, chest tightness, wheezing, or drivers over the age of 35 who smoke, you will need spirometry. You can arrange to have this done at your doctor’s office or occupational medicine clinic.

Sleep Apnea

  • A letter from the doctor treating for the sleep apnea stating that your current CPAP treatment is effectively controlling your sleep apnea
  • Documentation that verifies your equipment (CPAP machine) is operating effectively and shows that you are compliant with the use of the CPAP (smart card printout)

Diabetes

  • A letter from the doctor treating you for the diabetes stating you are being treated for diabetes is required. A list of the medications you are taking and that the medications are tolerated and would not interfere with the ability to drive must also be provided. The frequency of your glucose control and efficacy of treatment monitoring must be documented, along with verification that you have had no severe hypoglycemic reactions in the last 12 months. The date and results of your last hemoglobin A1C level must be provided. Any complications from diabetes (example: renal, cardiovascular or neurological concerns) must be documented.

Diabetic on insulin is disqualifying, unless you have a federal diabetes waiver.

A letter from your eye doctor or the doctor treating you for your diabetes must state the date of your last eye exam and that there is no retinopathy.

  • Unstable proliferative or unstable nonproliferative retinopathy is disqualifying.
  • If you are on incretin mimetic treatment, such as Byetta (exenatide) or Bydureon (exenatide extended-release), a letter from your doctor prescribing this medication describing your tolerance to the medication is required.
  • How frequently you are monitored for adequate blood glucose control and efficacy of treatment must also be documented.

Cardiovascular Disease

  • History of heart attack, angina, or post-PCI: You will need a letter from your cardiologist stating that you are cleared to drive a commercial motor vehicle with no restrictions. DOT requires an exercise stress test every 2 years. You will need to bring a copy of the stress test results to your exam. The above has occurred in the past year, a copy of the most recent Echocardiogram is also required.
  • History of cardiac bypass surgery: A letter is required from you cardiologist stating that you are cleared to drive a commercial motor vehicle with no restrictions. After 5 years from the date of surgery you will need a yearly exercise stress test. Please bring the stress test results to the DOT exam. If the bypass surgery is within the past year, a copy of your most recent echocardiogram will be required.

Anticoagulant Therapy

If you are taking warfarin for cardiovascular disease, please bring a copy of the most recent INR results to your DOT exam.

Anticonvulsant Medication

If you a taking topamax, neurontin (gabapentin), or other seizure medication for other than a seizure disorder (example: chronic pain or migraine prophylaxis), bring a letter from the doctor prescribing the medication stating that the medication is not being prescribed for seizure. Also, if you are experiencing side effects, the letter must state that the side effects would not interfere with driving a commercial motor vehicle.

Histories Requiring Limited Certification (one year or less):

  • High blood pressure
  • Diabetes
  • Sleep Apnea
  • Cardiovascular Disease
  • Heart Surgeries

Medications Requiring Limited Certification (one year or less):

  • Lithium
  • Byetta
  • Provigil
  • Warfarin (cardiovascular disease)
  • Antidepressants

Pristiq, Cymbalta, Effexor, Effexor XR, Celexa, Lexapro, Prozac, Prozac Weekly, Sarafem, Paxil, Paxil CR, Zoloft

  • Antipsychotics

Abilify, Abilify Discmelt, Saphris, Zyprexa, Zyprexa Zydis, Seroquel, Seroquel XR, Risperdal, Risperdal M-Tabs, Geodon, Symbyax, Nardil, ESAM, Parnate

Note: The medications listed above require a safety letter from the driver’s Primary Medical Provider indicating the prescribed medication is tolerated and no side effects interfere with driving a commercial motor vehicle.

More questions, call ahead, communication is what makes everything run smoother.

By Michael Tigges DC, NRCME

SameDayDOT.com

Call 615-452-1575

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Same Day DOT Physical Drug & Alcohol Testing ON-SITE testing…

Our On-site Group DOT Exam Services Increase Driver Productivity & Safety

Services

We provide group medical exams for commercial trucking companies and commercial truck driving schools. For convenience and efficiency, all our medical examinations are done on-site at your company’s terminal or school. Individual DOT Physicals Drug & Alcohol testing is available at our office site in Gallatin, TN.

Services provided:

1.   On-site clinic set-up. Our examination coordinator will work with your terminal manager to set up a space for our Medical examiners to do the examinations at your facility.

2.   Flexible and convenient scheduling based on your company’s needs.

3.  Medical Records that allow for quick and easy access to Long Forms and certificates of drivers.

4.   All equipment for medical exams are provided/brought on-site by the examining team.

5.   Data Management. Comprehensive database that allows easy access to your medical records when you need them.

6.   Convenient data delivery options for you to choose from.

What to expect:

Contact our examination coordinator to discuss and evaluate your needs:

1.   DOT Medical Examinations according to FMCSA guidelines.

2.   Urine Drug Screen collection and testing.

3.   MRO services.

4.   Data Management: robust data management system that allows for quick and accurate Long form and Certificate retrieval.

By providing on-site exams your company will see the following benefits:

1.   No need to transport drivers to and from an off-site clinic.

2.   Time savings.

3.   Relationship with company/instructors and drivers.

4.   Cost savings – no need to transport, less down time, efficient on-site system.

On the Day of Your Service:

1.   DOT Exam Professionals staff arrive on-site and set up designated area for UDS collections.

2.   UDS collections are begun on indicated drivers.

3.   Initial processing for physicals is started.

4.   Medical Examiner will begin performing exams.

5.   Once all UDS collections and examinations are completed, you will receive: 1) A completed and accurate Registration Log of all drivers seen; 2) A copy and original of all Clearance Form Requests.

6.   Secure HIPPA compliant electronic copies of all Certificates and Exams will be provided the following morning.

·        Keep Your Deadlines

Timely group exam format means drivers are back on the road in no time.

·        Eliminate Scheduling Nightmares

No need to shuttle drivers to off-site clinics or juggle individual appointments

.

·        Reduce Liability

Experienced, licensed medical staff can detect and diagnose dangerous health conditions

·        Responsive Customer Service

Dedicated staff waiting to answer your call and rapidly address your needs.

·        Electronic Data Management

Quickly and easily access all your drivers DOT medical forms.

Start Saving Money and Time

Schedule a Group Appointment Now

Contact Us

We’d love to hear from you. Please use one of the various methods below and we’ll look forward to connecting with you soon!

Phone Number:

615-452-1575

Email Address:

info@samedaydot.com

Our Location:

529 Hartsville Pike

Gallatin, TN 37066

Right next to Sumner Regional Medical Center across from Perkins Drugstore. Parking for your big rig next door in the Food Lion parking lot.

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5 Things You Didn’t Know About DOT Physicals

 

5 Things You Didn’t Know About DOT Physicals

The DOT physicals are special physical/medical exams required by the Department of Transportation. The exams are a must for those wishing to obtain or maintain a commercial driving license (this includes truck and bus drivers).

Even if you’ve already been advised to take one, you might not know exactly what to expect. Here are five things you probably didn’t know about the DOT exam and how they affect you.

Tip #1: A drug test is NOT part of the DOT Physical unless ordered by the employer or required due to past failed drug tests.

https://www.linkedin.com/pulse/does-dot-physical-include-drug-test-dr-michael-tigges/

Tip #2: The urine test for your DOT Physical is not for Drugs

The urine test performed during a DOT physical test checks for the presence of protein or sugar in your urine. These are important because they could indicate elevated glucose, an early sign of diabetes. They can also show whether you’re having other underlying medical issues, such as kidney problems.

Tip #3: The typical DOT card is valid for two years

However, this only applies if you clear the test properly and you have no medical conditions that could impact your driving performance. For example, being on prescription medications for high-blood pressure or diabetes triggers a restriction on your DOT card. As a result, you might be given a one-year card only and will have to come back after that to repeat the test.

There are also 3-month DOT cards available. These are considered temporary cards and are given to allow you time to get a specific condition under control. For example, if your blood sugar is too high, you might be given a 3-month card so you can see your provider and figure out what medications you need to take to control your blood sugar.

Tip #4: There are specific guidelines regarding blood pressure measurements

You won’t be disqualified from getting your DOT card if you have high blood pressure, but you will be required to keep it under control with medical treatment.

The Federal Motor Carrier Safety Regulations (FMCSRs) state that:

  • Drivers with less than 140 systolic and 90 diastolic can receive a two-year card
  • Drivers with a systolic measurement of up to 159 or a diastolic measurement of up to 99 can receive a one-year card
  • Measurements over 160/100 will receive a three-month card so you can go back to your provider for antihypertensive drug therapy. After the three months, if the blood pressure readings have gone down, you can receive a one-year card and will be reassessed annually after that.

Tip #5: Some conditions might disqualify you from passing the DOT exam

Aside from uncontrolled diabetes and blood pressure, you might be disqualified from getting a DOT card if you suffer from poor visual acuity, certain mental disorders, epilepsy and advanced heart disease.

Call ahead , ask questions and be prepared.

By: Dr. Michael Tigges

Call 615-452-1575

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OCCUPATIONAL RESOURCES ON THE WEB

Occupational Health Resources on the Web

For Occupational Health information, including state and federal regulations, take a look at some of the sites listed here:

1.   Occupational Safety and Health Association (OSHA): www.osha.gov

2.   Department of Transportation (DOT): www.dot.gov

3.   National Registry of Certified Medical Examiners (NRCME): https://nationalregistry.fmcsa.dot.gov/NRPublicUI/Drivers.seam

4.   Federal Motor Carrier Safety Administration (FMCSA): http://www.fmcsa.dot.gov/

5.   FMCSA Drug and Alcohol Testing information: http://www.dot.gov/odapc/part40

6.   Center for Disease Control (CDC): www.cdc.gov

7.   National Institute for Occupational Safety and Health (NIOSH): www.cdc.gov/niosh

8.   Department of Public Health (DPH): www.state.ma.us/dph

By Dr. Michael Tigges

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Crane operators can use a DOT physical certification to prove they are fit to work.

Crane operators can use a DOT physical certification to prove they are fit to work.

http://www.nccco.org/nccco/news-center/archived-press-releases/news/2016/09/28/nccco-clarifies-physical-requirements

Even though the NCCCO certification medical form was not mandatory by any federal and state organizations. It was adopted as the standard for certification for crane operators.

It now refers to the ASME B30 medical standard or defers to the DOT medical Certification

ASME B30.5-3.1.2 (a) in order to be certified by CIC.

1.   Vision of at least 20/30 Snellen in one eye and 20/50 in the other, with or without corrective lenses.

2.   Ability to distinguish colors, regardless of position, if color differentiation is required.

3.   Adequate hearing to meet operational demands, with or without a hearing aid.

4.   Sufficient strength, endurance, agility, coordination, and speed of reaction to meet crane operation demands.

5.   Normal depth perception, field of vision, reaction time, manual dexterity, coordination, and no tendencies to dizziness or similar undesirable characteristics.

6.   Negative results for a substance abuse test. (The level of testing determined by the standard practice for the industry where the crane is employed and confirmed by a recognized laboratory service.)

7.   No physical defects or emotional instability that could render a hazard to myself or others, or which, in the opinion of the examiner, could interfere with my performance operating the crane. If evidence of this nature is found, it may be sufficient cause for disqualification.

8.   Not subject to seizures or loss of physical control; such evidence shall be sufficient reason for disqualification. (Specialized medical tests may be required to determine these conditions.)

By Dr. Michael Tigges

https://www.linkedin.com/pulse/crane-operators-can-use-dot-physical-certification-prove-tigges/?trackingId=qzTE0uEWtpa3%2B9IoC1KylA%3D%3D

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1. Audiometric Hearing Tests – OSHA Compliant

On-Site Audiometric Testing, Professionally Trained Staff OSHA Compliant

Let Same Day DOT Physicals Drug & Alcohol Testing bring Audiometric Testing to your location(s) according to your schedule. We offer a professionally trained staff to provide all of the required audiometric testing and reporting for the following:

 Baseline and Annual Audiometric Testing
 Review and interpretation of each test
 Analysis, recommendations, summary report and notifications
 Meets OSHA regulations

Our screening services are federal standard compliant and clinically sound. Health tests are professionally reviewed by our physicians or consulting audiologists, as applicable, giving your employees reliable recommendations.

Our prices are competitive and our testing accurate and reproducible. Why go anywhere else?

Annual Audiograms at Your Facility

Same Day DOT Physicals Drug & Alcohol Testing will come to your facility with our state-of-the-art Microprocessor Audiometers. With no extra on-site setup fee, we can take care of your OSHA-required hearing-conservation training and test 8-10 people at a time every hour.

All tests are conducted using the top-of-the-line Microprocessor Audiometers. Our calibrated sound-level meter assures that ambient noise will not interfere with your hearing tests.

We can even do retests, make-up tests and work-related reviews if needed. We are happy to schedule any shifts you need tested, any time of day.

Audiometric Testing is required by OSHA & MSHA annually to all employees who are exposed to noise levels equal or greater than 85dBA.

Audiometric Testing

The fact is, most companies are noisy work environments. As an employer, you are required to assess your employees’ hearing annually and educate them in hearing conservation. Our team can help you safeguard your employees’ hearing and comply with all OSHA 29 CFR 1910.95 regulations.

After setting up our audiometry unit on-site, we will obtain a medical and “noise” history from each employee. At the same time, at your discretion, we will instruct them in hearing conservation techniques as required by law. We will then inspect the ear canals and drums for abnormalities and/or wax obstruction – anything that might decrease their hearing – then perform the 10-minute test. Our audiometer is computer-controlled and exceeds all ANSI S3.6-1989 requirements. Upon completion of all testing, the data is reviewed, adjusted for age (as required), compared against baseline and finalized. All employees with a presumptive STS are identified and reports are returned to your designated representative, usually within 72 hours. Data is provided in PDF form for easy assimilation into your company’s files. In addition, we provide the required employee notification letters at no additional charge, relieving you of that regulatory burden.
audiometric 3
Because we are local, repeat testing for those with a presumptive STS can be done in our office at the employee’s convenience. We also understand that your employees’ time off the clock affects your bottom line, that’s why – unlike out-of-state companies who tell YOU when they can do your testing, Same Day DOT Physicals Drug & Alcohol Testing is flexible and can schedule according to your schedule. That means your third-shift employees can be tested on third shift, reducing employee disruption and lessening downtime.

Our service areas include: Tennessee

Our Traditional Industrial Audiometric Testing services include the following:

• On-site Audiometric Testing In-Plant Testing
• 6 – 10 Employees tested per hour
• Microprocessor audiometer Testing
• Employee database tracking capabilities
(name, social security number *, birth date, date of employment)
• Otoscopic (ear) examination on all employees
• Hearing and ear histories on all employees
• Immediate on-site notification letters for all employees, following hearing test procedure
• Brief industrial audiometric testing consultation, following Hearing test procedure
• In-Plant Testing (Passing OSHA noise level requirements)

If you would like to find out more about Audiometric Testing or become a client of Same Day DOT Physicals Drug & Alcohol Testing, please contact us using the link below or give us a call today.
[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]
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FOR IMMEDIATE RELEASE Local Doctor Certified in Whiplash Injury Biomechanics & Traumatology 3 Million Whiplash Injuries A Year from Vehicle Crash Gallatin, TN Tigges Chiropractic & Wellness, 2017

auto accident whiplash2

FOR IMMEDIATE RELEASE Local Doctor Certified in Whiplash Injury Biomechanics & Traumatology 3 Million Whiplash Injuries A Year from Vehicle Crash Gallatin, TN Tigges Chiropractic & Wellness, 2017 – Did you know that over three million whiplash injuries occur each year resulting from motor vehicle crashes? Of these whiplash injuries, 500,000 people will develop chronic pain, and up to 300,000 will have some degree of disability. Apart from the effect on health, there’s a significant cost to society. Approximately $43 billion of total annual HARM is attributable to whiplash and related injuries. (HARM is a metric for quantifying the total societal cost of road trauma.) Dr. Michael Tigges of Tigges Chiropractic & Wellness says consumers need to be educated about the issues surrounding whiplash – both concerning its treatment and, importantly, its prevention. In order to more effectively treat persons injured in motor vehicle crashes, Dr. Tigges is certified in Whiplash and Brain Injury Traumatology through the Spine Research Institute of San Diego (SRISD), a research center devoted to the investigation of motor vehicle crash injury. For the past 28 years, SRISD has focused research and education on the more common injuries sustained in everyday motor vehicle crashes, such as whiplash and mild traumatic brain injuries. As part of this intensive 48-hour training program, Dr. Tigges became familiar with the epidemiology of whiplash and brain injuries, the mechanical factors of motor vehicle crashes, and the wide range of physical injuries and clinical conditions that can occur. He learned how to conduct comprehensive physical examinations and all about the latest applications of cutting edge imaging technologies such as CT, MRI, single photon emission computed tomography (SPECT) and others. Dr. Tigges learned how to provide patients with the most effective and comprehensive treatment and rehabilitation strategies to ensure optimal outcome potential. The program also included an intense discussion of forensic risk analysis which considers how the various known risk factors can increase a person’s chance for injury or long-term symptoms. “By understanding the unusual biomechanics of this form of trauma, diagnostic methods and treatment can be much more effectively administered in the clinical setting,” said Dr. Tigges. About the Spine Research Institute of San Diego The Spine Research Institute of San Diego (SRISD) provides research and education on spinal health and injury prevention, in particular, cervical spine injuries resulting from whiplash trauma. Since 1992, the Institute offers the only available multi-module training program for health care professionals on critical aspects of whiplash traumatology. Dr. Arthur C. Croft is director of SRISD and is considered a leading national authority on whiplash trauma. He is the author of Whiplash and Mild Traumatic Brain Injuries, published by SRISD Press, along with several other textbooks, chapters, and over 350 professional papers. For more information, visit http://www.srisd.com/ or call 1-619-423-5475.

srisd.com Whiplash and related whiplash injuries such as spinal injury, brain stem injury and associated disorders are the focus of Spine Research Institute of San Diego.

Contact Us

Tigges Chiropractic & Wellness [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] 529 Hartsville Pike Gallatin, TN 37066 (615) 452-1575

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Same Day DOT Physicals Drug & Alcohol Testing Urgent Care in Gallatin, TN


Urgent Care in Gallatin, TN   Same Day DOT Physicals Drug & Alcohol Testing  

office-from-street

 

Hours of operation

  • 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
  •  
Open Monday-Friday 7:00AM-5:00PM CALL 615-452-1575 WALK IN’S WELCOME

About Same Day DOT Physicals Drug & Alcohol Testing

Same Day DOT Physicals Drug & Alcohol Testing is an urgent care center in Gallatin, TN located at 529 Hartsville Pike, Gallatin, TN 37066. They are open 7 days a week seeing walk-in patients in Gallatin. Same Day DOT Physicals Drug & Alcohol Testing appears to be individually owned and operated and not part of a larger network of urgent care clinics. There are, however, 2 walk-in clinics within 20 miles of Gallatin in cities including Hendersonville and White House. Additionally, they have partnered with both https://goo.gl/SgEYir and Tigges Chiropractic & Wellness to better serve the patients in the Gallatin area.

As an urgent care center, Same Day DOT Physicals Drug & Alcohol Testing provides non-emergent medical care most typically referred to as urgent care services. This category of medicine includes the treatment of allergies, asthma, broken bones and sprains, burns, cold and flu symptoms, ear, sinus and respiratory infections, insect and animal bites, stomach viruses, skin rashes and most other non-life threatening injuries, illnesses and conditions. Additionally common health assessments are typical service offerings including annual and school physicals and STD tests. While this urgent care does offer assistance with immediate health care needs, if you are suffering from a true medical emergency, go to the emergency room in Gallatin, TN or call 911 immediately.  less

Same Day DOT Physicals Drug & Alcohol Testing is an urgent care center in Gallatin, TN located at 529 Hartsville Pike, Gallatin, TN 37066. They are open 7 days a week seeing walk-in patients in Gallatin. Same Day DOT Physicals Drug & Alcohol Testing appears to be individually owned and operated and not part of a larger network of urgent care clinics. There are, however, 2 walk-in clinics within 20 miles of Gallatin in cities including Hend… more

Accepted Insurances

  • Aetna
  • Americhoice
  • Beech Street
  • BlueCross BlueShield
  • Choice Care Network
  • First Health Network
  • Humana
  • Multiplan PHCS
  • TRICARE
  • United Healthcare
  • USA Managed Care Organization
  • Workers’ Compensation

Partners

Tigges Chiropractic & Wellness and https://goo.gl/SgEYir

Common Illnesses

  • Sprains
  • Adult Illnesses
  • Arthritis
  • Headaches – migraine and tension
  • Common Injuries
  • Auto accidents – whiplash
  • Back pain or strains
  • Knee, shoulder, ankle sprains
  • Diagnostics
  • Arthritis panel
  • X-ray
  • Screenings
  • Blood pressure
  • Diabetes / blood sugar
  • Drugs of abuse
  • Urinalysis
  • Exams
  • Annual physical exams
  • DOT (Department of Transportation) medical certification exams
  • Employer drug testing
  • Employer pre-employment
  • Insurance physicals
  • Routine physical exams
  • School and sports exams
  • Disease Management
  • Osteoarthritis
  • Occupational Health
  • 5, 7, 8 or 10 Panel Drug Screen (FDFW and Non-DOT)
  • 7 Panel Drug Screen (DOT)
  • Annual Exams
  • Breath Alcohol (DOT and Non DOT)
  • DOT/DOE for commercial drivers
  • Employer on-site services testing
  • Fit for duty exams
  • Pre-employmen
    • https://samedaydot.com/tennessee-dot-physical/

      Contact Us: https://samedaydot.com/contact-us/

      We’d love to hear from you. Please use one of the various methods below and we’ll look forward to connecting with you soon!

      Phone Number:
      615-452-1575

      Email Address:
      info@samedaydot.com

      Our Location:
      529 Hartsville Pike
      Gallatin, TN 37066

      Right next to Sumner Regional Medical Center across from Perkins Drugstore. Parking for your big rig next door in the Food Lion parking lot

      Dr. Michael J. Tigges Dr. Michael Tigges
      Certified DOT Medical Examiner
      Chiropractic Physician

      Certification:

      Dr. Tigges is one of the first in TN to become a certified DOT Medical Examiner of the United States Federal Government. The National Registry of Certified Medical Examiners requires all medical examiners performing physical examinations for interstate commercial motor vehicle drivers to be trained and certified in FMCSA physical qualification standards  less

      Contact Us: https://samedaydot.com/contact-us/

      We’d love to hear from you. Please use one of the various methods below and we’ll look forward to connecting with you soon!

      Phone Number:
      615-452-1575

      Email Address:
      info@samedaydot.com

      Our Loc… more

Same Day DOT Physicals Drug & Alcohol Testing Walk In’s Welcome
  • Same Day DOT Physicals Drug & Alcohol Testing Gallatin, TN

    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

    “From the moment I walked in until my physical was completed the staff & Dr. Tigges was extremely nice, professional, & very welcoming. It made me feel alot more at ease for the DOT physical. I also did not have to wait long at all. I would highly recommend Dr. Tigges to anyone that needs a DOT!! Best in this area!!”
    Toya G

    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

    Tennessee DOT Physical Drug & Alcohol Testing
    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.

    TeamCME Member
    TeamCME offers DOT Physicals throughout the nation. Dr. Tigges is a TEAMCME member and is regularly updated with industry training.

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