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Employment Testing Sites
Emergency Services Worker Medical Screening and Certification
The goal of the pre-hospital medical screening program is to ensure that you are physically able to perform the essential tasks of a pre-hospital worker.
For field workers, (non-admin) the following checklist MUST be completed, submitted and verified PRIOR to your Academy and/or patient contact. In most cases, a package of medical paperwork will be sent to you prior to your examination. However, if the paperwork is not received before your appointment date, do not stress, for each clinic has extra copies onsite.
Immediately make an appointment for your preplacement screening using the list below
Fill out the medical screening paperwork BEFORE your appointment date above AND be sure to BRING it with you.
OSHA Respiratory questionnaire (9 pages) - EITHER fill out and mail with enclosed envelope OR follow the online instructions and complete the form on the Internet.
Fill out the highlighted sections of the DL-51 (DMV) form and green card
Fill out the highlighted sections of the N95 fitting form
Fill out the TB screening form and follow the directions on obtaining your tuberculosis screening.
Fill out the highlighted sections and bring the enclosed drug screen and Hepatitis B lab forms to your appointment.
I hope that you will have a long, healthy and injury-free EMS career. Should you have any questions regarding this process, please don't hesitate to contact Dr. Terribilini directly at 408-371-0260 ext. 101 or email@example.com .
The following offices have been selected, trained, credentialed and equipped to provide your required pre-employment or periodic employment testing.
Scheduling questions? Call 888-641-2225 ext. 100
A. Pre-placement and Biannual Testing Locations:
1. San Jose 888-641-2225 ext. 100
2. Modesto 888-641-2225 ext. 100
3. Redding 530-722-9010
4. Sacramento 888-641-2225 ext. 100
5. Visalia 559-732-7680
6. Santa Barbara/ Buellton 805-686-8322
7. Honolulu 808-839-7474
B. Additional Administrative Evaluation Locations:
Admin ONLY -- Sites Not equipped for agility tests
1. San Francisco 415-781-2225
2. Stockton 209-474-3764
3. Oakland 510-654-6611
4. Antioch 925-754-6780
5. Modesto 209-527-5346
6. Pasadena 626-798-7805
7. Whittier 562-943-7125
8. Portland, OR PENDING
9. Seattle, WA PENDING
10. Greenwood, CO PENDING
C. Additional Biannual Renewal Locations:
Not equipped for agility tests
1. Santa Maria Santa Barbara County
2. Santa Rosa Sonoma County
3. Oakland Alameda County
4. Antioch Contra Costa County
5. San Francisco City & County of SF
6. Stockton San Joaquin County
7. Roseville Sacramento County
IMPORTANT NOTE -- Please check to make sure you are using the correct forms for each specific position.
1. Field Personnel - EMT / Paramedic / CCT Pre-placement Form
Required to perform a New Hire Examination for EMT's & Paramedics.
2. Admin / Dispatch / VST / Pre-placement Form
For Admin, Dispatch, VST, CCT personnel.
3. Bi-Annual Renewal Exam Form
For EMS personnel (EMT/Paramedics).
4. Appointment / Coversheet
For EMS personnel (EMT/Paramedics)
5. Billing Form
For EMS personnel (EMT/Paramedics)
6. Respiratory Protection
For EMS personnel (EMT/Paramedics/CCT Personnel)
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Commercial Driver Medical Info
Commercial Driver Medical Examination, DL-51 and DOT Examination all refer to the medical evaluation that is required to operate commercial vehicles in the United States.
Read More Here
For More Information Or To Request An Appointment
Use the form or call us at 408-371-0260.