Fit for Duty Medical Exams and Screenings

Pre-employment and employee physical exams ensure employee health for job requirements.

Physical exams and medical tests allow companies to determine a prospective employee’s ability to perform essential job functions. Performed by Dr. Brian Graham, a licensed physician, the process includes a medical history questionnaire and general wellness exam, with targeted tests and examinations based on occupational duties, conditions and potential job hazards of home care workers. The physician submits a health assessment and fitness recommendation to the company, which can hire the applicant, make reasonable accommodations for those with disabilities or health issues, or withdraw the offer as outlined in the job offer letter.

Appointment Times: 10:00 a.m. Thursday and Friday (except Holidays)


Price: $45.00

Tuberculosis (TB) Testing

The most common infectious disease currently worldwide is Tuberculosis or TB. Reports estimate that approximately 1/3 of the entire world population is infected with the bacterium that causes TB. Even though TB is not as prevalent in the United States as it is in foreign countries, certain work condition will increase the risk of contracting TB. For example, you have an assisted living care company that houses numerous elderly people, due to their age and health status, contracting TB would be detrimental to their well being. Therefore, the company should conduct TB testing on any employee that will be working with the elderly. Other industries like home care providing patient healthcare are at a higher risk of acquiring TB, and should make it common practice to test all new hires for Tuberculosis.

Tuberculosis testing is done through the skin (also known as the tuberculin test of PPD test). This test is used to determine if someone has developed an immune response to the bacterium that causes tuberculosis. Positive results may be due to someone currently having TB or previously exposed to TB. Another factor that can lead to a positive result for tuberculosis is if the employee received the BCG (Bacille Calmette Guerin) vaccine, which is given to children born in foreign countries to combat tuberculosis. If a positive skin test is reported, the employer has the opportunity to request a Chest Cavity X-ray that will without a doubt confirm if the employee in fact has tested positive for Tuberculosis. A chest cavity X-ray need only repeated every 5 years. However, employees should be given a PPD Questionnaire annually to determine any signs or symptoms of active TB.


Chest Cavity X-rays are not performed by The Registry and need to be scheduled through your contracted medical clinic.

The steps in completing a tuberculosis test are as followed. Once the company has made a request for TB testing, the employee can be referred to The Registry’s licensed nurse who will perform the skin test. The employee will then be scheduled for an appointment at The Registry and receive the tuberculosis skin test (usually applied to the left forearm). After 48 hours have passed the employee will then go back to The Registry and have the test read by nursing staff.


Candidates are Seen by Appointment Only!

Price: $15.00

12-Panel Drug Screening

Pre-Employment & Employee Drug Screenings
Quality, Affordable & Dependable

Employers design drug-free workplace programs to protect their businesses from the impact of drug abuse. Pre-employment drug testing helps prevent the hiring of individuals who abuse drugs and is most often performed as a part of the job application process. Because every business and workforce is unique, each employer should make a careful determination about the program elements that are most beneficial for their workplace.

Substance abuse takes a heavy toll on American business. According to the U.S. Department of Labor, drug use in the workplace costs employers $81 billion annually. Left unchecked, drug abuse can seriously compromise the integrity and stability of your workplace.


Consider these statistics:

  • Nearly 7 percent of adults employed full time and 9 percent of those employed part time currently use illegal drugs (Substance Abuse and Mental Health Services Administration – SAMHSA).

  • More than 70 percent of substance abusers hold some type of job (American Council of Drug Education). In fact, according to the U.S. Department of Labor, more than 60 percent of adults know someone who has come to work under the influence of alcohol or other drugs.

Drug testing can help to improve employee morale and productivity while decreasing absenteeism, accidents, downtime, turnover and theft.


Drug Screenings by Appointment:   Monday – Friday 


Price per individual test: $25.00


Please call if you have any questions! (619) 272-0422 or email at: