What we test, and what it's for

Pre-placement & annual physicals

Fitness-for-duty examinations built around your job descriptions rather than a generic template. We evaluate whether an employee can safely perform the physical demands of the role, and return a clear determination your supervisors can act on.

Typically includes

• Health and occupational exposure history
• Vitals, vision, and hearing screening
• Musculoskeletal and orthopedic evaluation
• Physical demand review against the job description
• Work-status determination: cleared, cleared with restrictions, or not cleared

DOT physicals

Medical examinations and certification for commercial drivers and safety-sensitive fleet personnel. The medical examiner's certificate is issued at the visit when the driver qualifies.

Typically includes

• Full DOT examination and medical history review
• Vision, hearing, blood pressure, and urinalysis
• Medical Examiner's Certificate (MCSA-5876) on qualification
• Long Form (MCSA-5875) completed and retained
• Guidance on short-term certifications and follow-up requirements

Drug & alcohol testing

Collection and coordination for DOT and non-DOT programs, with chain of custody handled end to end so results stand up if a test is ever challenged.

Testing types

• Pre-employment
• Random pool testing
• Reasonable suspicion
• Post-accident
• Return-to-duty and follow-up
• Breath alcohol testing
• DOT and non-DOT panels, including expanded panels on request
• Urine, hair, and blood specimen collection on site

Respirator clearance & fit testing

An employee cannot wear a respirator until a licensed health care professional has cleared them medically. We handle the evaluation and the fit test together so nobody makes two trips.

Typically includes

• OSHA medical evaluation questionnaire, English or Spanish
• Provider review and written clearance recommendation
• Follow-up examination when the questionnaire triggers one
• Qualitative or quantitative fit testing by make, model, and size
• Fit test record for the employee's file

Audiometric testing

Baseline and annual audiograms for employees in a hearing conservation program, with results compared against prior tests rather than filed and forgotten.

Typically includes

• Baseline audiogram for new hires entering the program
• Annual audiogram with comparison to baseline
• Standard threshold shift identification and review
• Employee notification when a shift is confirmed
• Referral guidance when further evaluation is warranted

Spirometry & pulmonary function testing

Lung function testing for respirator users and employees working in dust, fume, fiber, or chemical exposure programs, with results interpreted rather than just printed.

Typically includes

• Baseline testing at hire or program entry
• Periodic testing at the interval your program requires
• Interpretation and comparison against prior results
• Written report for the employee's surveillance file

Exposure medical surveillance

Ongoing monitoring for employees working with regulated substances. We build the schedule off your exposure assessment and keep the intervals on track, so a missed interval doesn't become an audit finding.

Programs we support

• Benzene — including required blood work
• Respirable crystalline silica
• Lead
• Asbestos
• Other regulated substances on request
• Interval tracking and recall scheduling off your roster

Firefighter & first responder exams

Annual physicals built for fire departments and EMS agencies, covering the medical evaluation, testing, and documentation departments are expected to keep on file.

Typically includes

• Comprehensive physical examination
• Vision, hearing, and pulmonary function testing
• Respirator medical clearance and fit testing
• Laboratory work and EKG as indicated
• Department-ready reporting for each member

Injury evaluation & return to work

Evaluation of work-related injuries and illnesses, with the work-status documentation your supervisors and carrier need to keep a claim moving and get the employee back on light or full duty.

Typically includes

• Evaluation and treatment of work-related injuries
• Written work-status report after each visit
• Restriction recommendations your supervisors can staff around
• Follow-up visits and return-to-work clearance
• Referral coordination when specialty care is needed

Additional services

Testing and preventive services commonly bundled into an onboarding or annual program. Ask and we'll price them into your protocol.

Available on request

• Immunizations and titers, including hepatitis B and tetanus
• TB screening
• EKG
• Vision, depth perception, and color testing
• Laboratory panels ordered to your program
• Physical capacity and lift testing