WELLNESS SERVICE GROUPING

Protocol Sheets

• Age 60 Firefighter Evaluation
• Commercial Driver's Medial Evaluation (Completed on day of Fitness-for-Life)
• Executive
• Fitness-for-Life
• SCUBA (Completed on day of Fitness-for-Life)

Questionnaires

• Age 60 Firefighter Evaluation
• Drivers Supplemental
• Executive
• Fitness-for-Life
• SCUBA

Wellness Examination Data Form

Miscellaneous Forms and Worksheets

• Body Fat Worksheet
• Cardiovascular Fitness Worksheet
• DMV Form DL51
• DMV Form 546A
• Employee Medical Results Form
• Fitness-for-Life Consent and Release Form
• Fitness-for-Life Medical Exam Compliance Form
• Fitness-for-Life Retest Compliance Form
• Gerkin Protocol Worksheet
• Medical Examiner's Note
• Strength and Flexibility Worksheet
• Titmus Results Form with Signal Lights  

Wellness Clinical Practice Guidelines

Clinical Testing Procedures