OSHA Respirator Questionnaire Medical Clearance - Worksite Medical®

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Respirator Questionnaire with Worksite Medical®

Complete Your Respirator Clearance Online Now

As per OSHA, employers must provide the respirator medical clearance questionnaire to any employee required to wear a respirator at work to ensure that each employee is medically able to do so.

At Worksite Medical®, we make completing the questionnaire an easy and affordable process. Your employees can complete the questionnaire online, have it reviewed by our staff PLHCP Medical Provider, and have a respirator clearance certificate issued 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.

Get Started for Just $25
*group rates available


  • 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.

DOT Physical Exam with Worksite Medical®

On-Site Testing

With our fleet of state-of-the-art mobile medical units, Worksite Medical® can bring its highly trained medical technicians to you. We will get your team members in and out of testing, and back on the job in no time.  Get all of your medical surveillance testing — such as respirator screening and fit testing — done right at your job site all at once, at your convenience. Can’t get everyone together on the same day? No problem. We can put a schedule together that’s right for you and your team.

“The employees who conduct our audio and fit testing are top-notch. I find good quality control in all aspects of dealing with Worksite Medical®. I appreciate Worksite Medical’s follow-up”.

Safety Manager

Manufacturing Company

DOT Physical Exam with Worksite Medical®

At The Clinic

Would you rather send your team to a medical clinic? We’ve got you covered. With our specialized occupational medicine clinics in Ellwood City, PA and Belcamp, MD, you’ll never have to send your team to urgent care or an emergency room for testing again. Our clinics are built for people on the job and on the go. From such as respirator screening and fit testing to workplace injury care, Worksite Medical® has you covered. We accept most workers’ compensation insurances. Walk-ins for individual exams are welcome.

“Wonderful, fast, friendly staff that kept things moving with our Associates! Thank you!”

Safety Manager

Construction Company

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