Mid-State Occupational Health Services, Inc.


DOT Physical Requirements	List of items you may need to bring to your DOT Physical to pass. (Depending on medical history)

Respirator Medical Eval Questionnaire	Complete and send to Mid-State for Respiratory Clearance for Fit Testing. Further medical evalutation may be required depending on answers to questionnaire
Asbestos Initial Medical Surveillance Questionnaire	Complete and call Mid-State to schedule an appointment for further medical testing to be cleared for Asbestos exposure
Asbestos Periodical Medical Questionnaire	Complete and call Mid-State to schedule an appointment for further medical testing to be cleared for Asbestos exposure. (Must have initial questionnaire on file to use this questionnaire)
Asbestos Fact Sheet	Information sheet provided by the CDC

National Drug Free Workplace Alliance
Institute for a Drug Free Workplace
NIDA (National Institute on Drug Abuse)
Drug Facts: Office of National Drug Control Policy
The Partnership for a Drug Free America
Substance Abuse and Mental Health Services Administration
U.S. Department of Health and Human Services
U.S. Department of Labor Steps to a Drug Free Workplace

Standard Threshold Shift Questionnaire	Complete and call Mid-State for a medical evaluation with one of our medical providers