Respirator Clearance Questionnaire - Complete Online Now!
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Complete Your OSHA Respirator Clearance Questionnaire Online

The Worksite Medical Advantage

  • State-of-the-art mobile units for respirator clearance testing
  • Standalone Clinics in Ellwood City, PA and Belcamp, MD*
  • Highly trained medical technicians
  • Results in five (5) or less business days
  • All of your medical surveillance testing done in one place at one time!
Complete Your Respirator Clearance Form Online


The Process

  • Click on the “Get Started” button, and submit payment – the questionnaire review costs $25
  • Complete your respirator clearance questionnaire on a computer or mobile device, then submit
  • The completed respirator clearance questionnaire will be reviewed by our staff PLHCP Medical Provider
  • A respirator clearance certificate will be issued to you within five (5) business days

**All information provided on the medical questionnaire will be handled in accordance to HIPAA and OSHA Regulation 29 CFR 1910.134 guidelines.

Respirator Clearance Classifications

  • Class I: No restrictions on respirator use.
  • Class II: Respirator use for Emergency Response or Escape Only
  • Class III: Respirator use is not permitted

**If additional medical information is required for clearance, then it will be requested on your certificate. You can contact our office to obtain instructions on where to send the requested information.

It worked very well for us and did not take away from our production time. Things moved smoothly with no known problems. Worksite Medical worked well with our employees, and were very professional and courteous.

Safety Manager

East Coast Manufacturing Company

Request a Quote or Schedule Your Testing