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    Occupational health · 4 min read · Evidence-informed guide

    Pre-Employment Physical: What to Expect

    A pre-employment physical is defined by the job’s documented requirements and the employer’s process; it is not a universal exam. Bring the employer’s forms, identification, requested records, and questions about the scope. The clinic performs the requested evaluation but does not decide hiring.

    Key answer

    The short version

    A pre-employment physical is defined by the job’s documented requirements and the employer’s process; it is not a universal exam. Bring the employer’s forms, identification, requested records, and questions about the scope. The clinic performs the requested evaluation but does not decide hiring.

    Know the requested scope

    Employers may request different components based on the role. Ask the employer which form, tests, deadlines, and documentation are required before the visit.

    Keep roles clear

    The clinician documents the examination within the authorized scope. Hiring, accommodation, and employment decisions remain the employer’s responsibility under applicable law and policy.

    Clinical perspective

    How to think about this

    Occupational medicine sits at the intersection of clinical care, workplace requirements, and formal regulation. A clear visit separates those roles: the clinician evaluates within the authorized scope, while the employer or federal program determines its own employment, testing, and reporting requirements.

    Questions worth bringing to a visit

    • Which regulation, employer form, or program governs this visit?
    • What documentation should I bring?
    • Who is responsible for the employment or program decision after the visit?

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    Sources

    1. 1. EEOC, Pre-Employment Inquiries and Medical Questions

      Federal employment-medical-examination context.

    2. 2. FMCSA, Medical Applications and Forms

      Official DOT forms resource.