Pre-Employment Medical Assessments

Your name

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Phone Number

Are you looking for an exam for your self or for a company ?
—Please choose an option—selfcompany

Company Name

If for a company, how many employees do you intend to onboard?

Per year or per month
per yearper month

Can you provide any details on the onboarding process? i.e clustered in the fall, steady onboarding throughout the year

Is your Pre-Employment one of the following Specialized Medical Exams?

CivilMPI

If your Pre-employment is not a Specialized Medical Exam please fill out the following so we can understand your needs and provide a quote:

Do you have an example or templated form from your company that is required to be filled out?

If not, please specify the following:

Practitioner required for exam:
—Please choose an option—PhysicianNurse

Do you require expedited service for a fee?

YesNo

Diagnostic tests:
Spirometry (FVC, FEV1, FEV1/FVC)ECG (resting, 12 lead)Auditory screenChest Xray

Physical Assessment:
Lumbar screenLifting test/Dynamic Fitness (30 mins) - includes lumbar screen + PILELifting test/Dynamic Fitness (60 mins) - includes lumbar screen

Drug and Alcohol Testing:
Breath Alcohol ScreenAlcohol Urine ScreenUrine 10-panel DOT (POCT) - 6MAM10, AMP500, HMO300, COC150, MDMA500, MET500, OPI2000, OXY100, PCP25, THC50Oral Fluid 6-panel (POCT) - ALC02, AMP25, BZO10, COC20, MET25, OPI10, THC10

Urinalysis
Urinalysis Dipstick - (Basic 10 point: Leukocytes, Nitrite, Urobilinogen, Protein, pH, Blood, Specific Gravity, Ketone, Bilirubin, Glucose)Urinalysis: Chemical (Routine)Urinalysis: MicroscopicUrinalysis (protein, glucose, blood)

Biochemistry/Hematology
Alanine Aminotransferase (ALT, SGPT)Albumin (Microalbumin, A/C Ratio, Microalbumin/Creatinine Ratio), random urineAlbumin, serumAlkaline Phosphatase (ALP, Alk Phos)Apolipoprotein A1 (Apo A1)Apolipoprotein B (Apo B)Aspartate Amino Transferase (AST, SGOT)Bicarbonate (HCO3, Total CO2)Calcium, serumCBC (Complete Blood Count) with differentialChloride, serumCortisol Random, serumCreatine Kinase (CK)Creatinine with eGFR, serumDHEASEstradiolFerritinFibrinogen: QuantitativeFolate, RBCFolate, serumGamma Glutamyl Transferase (GGT)Glucose: Fasting, serumGlucose: Random, serumHemoglobin A1Hepatitis A IgM Antibody (anti-HAV IgM)Hepatitis A Total Antibody (anti-HAV)Hepatitis B Core Antibody (anti-HBc)Hepatitis B Core IgM Antibody (anti-HBc IgM)Hepatitis B Surface Antibody (anti-HBs)Hepatitis Be Antibody (anti-HBe)High Sensitivity C Reactive Protein (CRP-hs)InsulinInsulin Growth Factor 1 (IGF-1, Somatomedin-C)Iron, serumLactate Dehydrogenase (LD, LDH)Lipid Profile: TC, TG, HDL, LDL calc.Lipoprotein (a)Luteinizing HormoneMagnesium, RBCMagnesium, serumMetals Essential Plasma Panel: Chromium, Cobalt, Copper, Manganese, Molybdenum, Selenium, Vanadium, ZincMetals Essential Red Blood Cell Panel: Chromium, Cobalt, Copper, Magnesium, Manganese, Molybdenum, Selenium, Vanadium, ZincMetals Total Plasma Panel: Aluminum, Vanadium, Chromium Manganese, Cobalt, Nickel, Copper, Zinc, Selenium, MolybdenumMetals Total Red Blood Cell Panel: Arsenic (Total), Cadmium, Chromium, Cobalt, Copper, Lead, Magnesium, Manganese, Mercury, Molybdenum, Nickel, Selenium, Thallium, Vanadium, ZincMetals Toxic Plasma Panel: Aluminum, NickelMetals Toxic Red Blood Cell Panel: Arsenic (Total), Cadmium, Lead, Mercury, Nickel, ThalliumMetals Toxic Whole Blood Panel: Arsenic (Total), Cadmium, Lead, Mercury, Nickel, ThalliumPotassium (K), serumProgesteroneProlactin, serumProstate Specific Antigen (PSA)Protein (Total Protein), serumSex Hormone Binding Globulin (SHBG)Sodium (Na), serumT3: Free (Free T3)T4: Free (Free T4)Testosterone: FreeTestosterone: TotalThyroid Peroxidase Antibodies (Microsomal Ab)Thyroid Stimulating Hormone (TSH)Urate (Uric Acid), serumUrea (BUN)Very Low Density Lipoprotein, calculatedVitamin B12 (Cyanocobalamine)Vitamin D: 25 Hydroxy