Occupational Medicine

Our personalized care sets the bar high with our Occupational Medicine services. Our team offers scheduled appointments in addition to urgent walk-in visits, expedited services, quality care, and experience you can trust. Our mission is to provide the best service possible to both employees and employers.

We offer the full spectrum of occupational medicine services:

Pre-Employment Physicals
DOT Physicals
Hazmat Physicals
At-Home Sleep Studies
Complete Urine Drug Screen and Breath Alcohol Testing Management Services
Workplace Injury Treatment and Consulting
Audiometry/Hearing Conservation Programs
Respirator Fit Testing
OSHA Surveillance Exams
Pulmonary Function Tests
Vaccination Services
EKGs
Onsite Immunization Clinics
Mobile Medical Services
Biometric Screening
Wellness Programs
24-Hour Drug and Alcohol Testing Services
Functional Capacity Evaluations
Physical Therapy Services
Ergonomic Evaluations
Permanent Impairment Ratings

Return-to-Work (RTW) Exam

A return-to-work exam is requested when an employee is returning from a medical leave, typically of less than six months, with a note from the treating physician stating the expected return date and whether any work restrictions are recommended. No prior medical records are requested, and this exam can often be scheduled on a walk-in basis during normal hours. Typically, the employer will have all employees in a job category go through the RTW process, and in most cases the employer has no specific concerns about the individual employee.

After registration, the employee fills out the health history and review of systems form. The medical assistant then obtains vital signs and fills out a brief history on the RTW form. The provider interviews the employee and, if necessary, performs a focused exam. If enough information is available, the provider completes the form and indicates whether the employee may return to work at full duty, return to work with restrictions, or not return to work. The provider may request additional information or medical records based on the circumstances, which may delay the final opinion.

A simple statement without diagnoses or medical information is completed. One copy is given to the employee, and another is sent to the company contact. A phone call or further memos to the employer are usually not required. This process is streamlined to require minimal provider time and documentation.

Fit-for-Duty (FFD) Exam

A fit-for-duty exam is more case-dependent. Often the employer contacts our staff with questions about an employee's ability to carry out their routine duties. This may involve either a currently working employee or an employee returning from medical leave in an altered medical state.

The employer will be asked to outline their concerns in a memo and provide a job description, including the required physical functions. These are reviewed with the physician, who will determine whether further medical records are needed. An evaluation of about one hour is then scheduled with the physician and employee. After registration, the examinee fills out the health history and review of systems form, and the medical assistant obtains biometrics. The physician ensures the employee understands that medical information will be released to the employer only with the employee's consent.

The physician will prepare a report and assessment, including an opinion on whether the employee is suitable to continue working with or without restrictions. The physician will call the employer following the evaluation.

Independent Medical Evaluation (IME)

Independent medical evaluations are more formal. They are usually scheduled by attorneys or insurance case managers, or through a third-party scheduler. The concerns are formally outlined in a cover memo and usually address issues such as causation, final rating, treatment second opinions, or disability. These exams are scheduled with a physician who is preferably certified as an independent medical examiner.

Medical records and the cover letter should be received at least one week prior to the appointment. Records must be in chronological order, in a single PDF file, and free of duplicates. Please also include a case summary of diagnoses and treatments to date, as well as a clear list of questions for the evaluation.

After registration, the examinee fills out the health history and review of systems form, and the medical assistant obtains biometrics. During the visit, the physician notifies the examinee that medical information will be released to outside parties. The physician will then interview and examine the individual. The examinee is not informed of the final opinion.

A full typed report is prepared, outlining the medical history, review of medical records, exam findings, and a discussion of the questions addressed.

Sleep Apnea Risk Evaluation

The Apnea Risk Evaluation System (ARES™) is a comfortable, low-profile, high-tech wireless physiological recorder now offered by Champlain Medical.

ARES™ integrates physiological data acquired at home with clinical history and anthropometric data to determine the presence and severity of obstructive sleep apnea (OSA).
ARES™ is worn on the forehead and stores up to three nights of nocturnal data.
At-home sleep study gathers an accurate profile of the patient's breathing and sleep.
Tests are interpreted by a board-certified sleep medicine physician.
Convenient audio and visual indicators let the patient know when ARES™ needs adjustment, increasing the reliability of data capture.
FDA cleared.
ARES™ measures blood oxygen saturation, pulse rate, airflow, snoring levels, head movement, and head position.

The cost of this sleep apnea study is a fraction of the cost of an in-lab evaluation.

Occupational Medicine Forms

Do you need a DOT physical? DOT form

Are you a firefighter being sent for an evaluation? Please fill out the Firefighter History Form.

Have you sustained an injury at work and reported it to your employer? Initial work injury forms

Do you wear a respirator for work? Do you need a yearly OSHA respirator review? OSHA respirator screening form

Are you being sent by a potential new employer for a pre-employment physical? Pre-employment physical form

Are you a pilot or student pilot? Fill out your history information at MedXPress and bring your confirmation number with you.