Physical Exams
Pre-placement, fitness-for-duty and DOT examinations
Overview
Physical Exams for federal and state claims
Examinations are performed against the written job description you supply, so the finding is defensible: the worker either can or cannot perform the described essential functions, with the limiting factors named.
A fitness-for-duty opinion that says "cleared" or "not cleared" with no reference to a job is difficult to defend and difficult to act on. An examination scored against written essential functions gives a safety manager something usable: which functions are met, which are not, and what would have to change.
We keep examinations administratively separate from treatment of an open injury claim, and we schedule only the examinations the applicable federal or state law permits at that stage of employment. Where a post-offer examination is lawful and a pre-offer one is not, that is how it gets scheduled.
Results come back as a written determination to a named company contact, with the medical detail handled under the confidentiality rules that apply to occupational examinations.
Scope of service
What's included
- Post-offer and periodic physicals where lawful
- Fitness-for-duty and return-to-duty examinations
- DOT / FMCSA commercial driver examinations
- Respirator clearance and audiometric surveillance
- Vision, lift-capacity and job-specific functional testing
- Written determination referencing the essential functions provided
Examination types
- Post-offer, pre-placement physicals
- Periodic and annual surveillance examinations
- Fitness-for-duty and return-to-duty evaluations
- DOT / FMCSA commercial driver examinations
- Respirator medical clearance questionnaires and exams
- Audiometric testing for hearing conservation programs
- Vision screening and job-specific functional testing
What we test against
- Written essential functions you provide
- Lift, carry, push and pull demands by height
- Climbing, kneeling, crawling and confined-space demands
- Stand, sit and walk duration requirements
- Respirator use and exertion level
- Hearing and vision thresholds for the role
How it works
From referral to closure
1. You send the job description
The examination is only as good as the demands it is scored against. We ask for the written essential functions, the exposure profile, and any equipment such as respirators.
2. Scheduling within the lawful window
We confirm the examination type is permitted at that stage of employment under the applicable law before booking.
3. Examination and testing
History, physical examination, and the specific testing the role requires — hearing, vision, respirator clearance, functional capacity components.
4. Written determination
A determination is issued naming which essential functions are met, which are not, and any accommodation or limitation that applies.
5. Reporting to a named contact
Results are returned to a single named contact so records do not circulate, with clinical detail handled under the applicable confidentiality rules.
Documentation you receive
- Written fitness determination referencing your essential functions
- DOT medical examiner's certificate where applicable
- Respirator clearance documentation
- Audiogram results and comparison to prior baselines
- Named limiting factors and any recommended accommodation
- Program-level scheduling summaries for multi-employee cycles
Why safety managers and TPAs use us
- Determinations you can defend because they cite the job
- One clinic pair covering Kansas City and St. Louis crews
- Surveillance cycles scheduled in batches, not one at a time
- Respirator and hearing conservation documentation kept current
- Examinations kept separate from open injury claims
Federal and state rules
Examinations are scheduled only where the applicable federal or state law permits them, and are kept separate from treatment of an open injury claim. Under the Federal Employees' Compensation Act, an injured federal employee chooses their own initial treating physician. Nothing on this page should be read as an agency directing an employee's choice of provider.
Questions
Physical Exams: frequently asked questions
By location
Physical Exams near you
Physical Exams in Kansas City, MO
Kansas City employers use us for the exams that keep crews compliant and safe: pre-placement physicals, fitness-for-duty evaluations and post-offer testing tied to the actual job description. For federal agencies, employer-directed work is limited to fitness-for-duty and second-opinion evaluations, not treatment direction.
Kansas City detailsPhysical Exams in St. Louis, MO
St. Louis employers use our exams to place people safely and bring them back safely: pre-placement physicals, return-to-duty and fitness-for-duty evaluations written against the job's real demands. For federal agencies, that work is limited to fitness-for-duty and second-opinion evaluations.
St. Louis details