OSHA Respirator Questionnaire Medical Clearance - Worksite Medical®

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OSHA Respirator Questionnaire Online


Employers must provide the respirator clearance questionnaire to any employee required to wear a respirator at work to ensure that each employee is medically able to do so.

Complete yours online right now for just $25, and get your clearance in one business day or less!

The Process

  • Click on the “Get Started” button, and submit debit or credit 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 one (1) business day!
Respirator Clearance Questionnaire

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.

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

Need onsite respirator fit testing? Click here!

The Mobile Advantage

You should have more options when it comes to medical surveillance testing.

Why send your team to urgent care? They will wait in long lines with the general public, and they’ll be away from work. Your testing should be done on your terms, and completed around your schedule.

At Worksite Medical, we’re all about keeping your workplace productive and OSHA-compliant. Need audio exams, respirator fit testing, and lab screenings? How about silica physicals, flu shots, and drug testing?

Now, you can meet all of your OSHA-required medical surveillance testing requirements at one time. We safely maintain your company health records, and offer you full accessibility. And, you can develop ongoing new-hire programs!