All wildland firefighters are required to take a medical exam at the start of employment and again every three years after. A medical exam must be completed prior to participating in the annual Work Capacity Test (AKA the "Pack Test"). Below are the three exam types and when they will need to be completed.
Step One: Your FMO or HR Office will contact you as part of the hiring process or collateral duty firefighting. They will request an exam and the contracted exam provider will notify you of your appointment time in your local area.
Step Two: Show up to your appointment with any supporting documentation! The appointment will include all the basic components of a physical exam -- things like blood, hearing, and vision tests, as well as heart and lung evaluation, and basic mobility and dexterity.
It is important to note that the government pays for all baseline and periodic exams, and you don’t need to provide any personal insurance information. The medical determination may involve recommendations for additional information and/or testing. If there is additional testing or medical follow-up after your initial appointment it will be your responsibility unless prior, specific authorization is obtained from your agency.
Step Three: A reviewing medical officer with occupational health expertise will look over your results and send you a determination letter. This should be received approximately two weeks after your appointment date. This letter may contain one of the following qualification determinations:
If you are determined to be Not Qualified additional information about next steps is available on the Medical Review and Waiver page.
We understand the complexity of medical exams and the medical standards program, but each of these processes help to enhance the safety of our firefighting workforce. These frequently asked questions are here to help you through the process!
For one-on-one technical assistance or questions please contact us at: wlffcsr@blm.gov.