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An occupational-health visit connects your health assessment to the job, the employer’s request and any relevant safety standard. A pre-employment physical, injury visit, vaccine record review and fitness-for-duty assessment have different purposes.

Occupational health and employer programs

Arrange a pre-employment exam around the employer’s actual requirements. Confirm the clinic, requested tests, paperwork and billing before your visit.

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Check the site and event capability

For a worksite event or a multi-state referral, confirm the exact services, local professionals, equipment, privacy, records and specimen transport before attendance. Workers should receive clear instructions about the location, appointment and documents. The same vendor may coordinate several services without performing them all. Ask who reviews clinical results and which contact handles a problem. A general network map is not proof that each requested service is available at every site.

Occupational health and employer programs

An occupational-health visit connects your health assessment to the job, the employer’s request and any relevant safety standard. A pre-employment physical, injury visit, vaccine record review and fitness-for-duty assessment have different purposes. Start with the employer’s written authorization and a description of the duties. The appointment should answer the actual work question and identify any treatment or follow-up you need.

How occupational health and employer programs works

The clinician reviews health history and the functions relevant to the request, then performs the appropriate examination or testing. A role-based assessment may review movement, vision, hearing or relevant medical conditions. Laboratory tests, TB testing, immunization review, EKG, spirometry or drug testing should have a defined clinical or occupational reason. A broad testing bundle does not prove that an employee is safe for every task.

Eligibility: Occupational health and employer programs

For employers covered by the ADA, medical questions and examinations generally come after a conditional job offer, with the same requirements for employees entering the same job category. Examinations after employment generally need a permitted reason, such as a documented accommodation request or a concern about safe job performance. Employers must keep medical information confidential and separate from ordinary personnel files. Ask how the visit relates to your job and what information will be released.

What to expect: Occupational health and employer programs

Before scheduling, confirm the service list, employer payment authorization and reporting contact. Bring the job description and forms. During the visit, discuss the actual duties, prior restrictions, treatment and symptoms with the clinician. Complete the authorized testing. Ask which findings need medical follow-up and which work-status information the employer will receive. Keep a copy of the instructions and the next appointment date if the assessment is incomplete.

Preparing for your appointment

Bring photo ID, employer paperwork, a medication list, glasses or hearing aids and the records relevant to the request. Healthcare workers asked for TB screening should bring earlier results, treatment records and symptom information. An IGRA blood test and a TB skin test have different visit schedules. A skin test needs a return reading within 48–72 hours. CDC does not recommend routine annual TB testing after baseline for US healthcare personnel without exposure or ongoing transmission, though local rules and employer requirements may differ.

Risks and when to seek help

Tell the clinician about recent injury, pain, fainting, breathing symptoms and restrictions that affect work. For a work injury, seek necessary medical care and report the incident through your employer’s process. Emergency symptoms need emergency care rather than waiting for a paperwork visit. In New York, the Workers’ Compensation Board supplies information about authorized treating providers and the claim process. A general clinic listing does not establish that every clinician can handle every workers’ compensation case.

Follow-up and treatment review

Results and work status are separate decisions. The clinician may request records, treatment, a repeat test or a specialist assessment before completing the employer form. For return to work, review the duties and any restrictions rather than treating a generic clearance note as permission for every task. If you miss a test reading or follow-up, contact the team and employer to arrange the appropriate next step; do not assume the incomplete paperwork is valid.

Appointments, costs and coverage

Nao lists 11 clinics in its local network. Confirm which site can perform the ordered service and whether a dedicated appointment is needed. Some initial record reviews or follow-ups may suit virtual care, while specimen collection, vaccinations and many physical measurements require in-person access. Group programs, employer portals, mobile testing, insurer participation and multi-state coordination need current scope and billing confirmation. Occupational screening does not replace your own primary-care, mental-health or nutrition treatment.

Questions about your care

Will the employer receive my entire medical record?

Ask what the authorization and work request require. Under the ADA, covered employers must keep medical information confidential and separate from normal personnel files. The clinician should explain the work-status report and any requested medical release. Do not assume every clinical detail is needed for HR.

Does every healthcare worker need a yearly TB test?

CDC does not recommend routine serial TB testing after baseline without known exposure or ongoing transmission. Staff with untreated latent TB have separate symptom-screening and education needs. Local rules and employer requirements can differ, so bring the actual request and earlier results.

Can I complete a work physical virtually?

Some history, record review and follow-up may be appropriate remotely. Specimen collection, vaccinations, many physical measurements and task-specific examinations need in-person services. Ask which parts of your employer’s request can be completed in each setting before booking.

What if the form is incomplete after my visit?

Ask which result, record or clinical review is still needed and who will contact you. Give the employer a realistic status rather than treating an unfinished form as clearance. Complete the medical follow-up and arrange any return reading or examination within its required time.

Medical sources

Book a DOT / CDL physicalBook a drug-testing visit

For a pre-employment physical, have the employer’s form ready when you contact the patient team. Call (917) 310-3371 to confirm the exam and arrange your appointment. Confirm any required labs, forms and billing instructions. A drug-testing visit does not include a physical examination.

Arranging services for employees? Talk with our team about your employer program.

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We help hiring teams make informed decisions fast with timely work physical guide cost guide what-to-bring checklist

Care services

Choose care according to the problem and how urgently you need help. Urgent care assesses non-emergency illnesses and minor injuries.

Nao Medical Services

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Pre-employment physical locations across NYC and Long Island

Astoria pre-employment physical location

Astoria

A Queens option for candidate physicals, onboarding paperwork, and same-week screening when the hiring deadline is tight. View Astoria location details.

Williamsburg pre-employment physical location

Williamsburg

Brooklyn coverage for work physicals, employer forms, and paired screening visits that need to stay close to the job site. View Williamsburg location details.

174th Street pre-employment physical location

174th Street

Bronx access for candidate exams, clearance paperwork, and follow-up when the employer wants a local clinic option. View 174th Street location details.

Mineola pre-employment physical location

Mineola

Long Island coverage for hiring teams and candidates who need Nassau County access for pre-employment screening. View Mineola location details.

Need the full network view? See the full pre-employment and work-physical location guide.