Fit 4 Duty Physicals

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Exams are only available in our Chico, CA office.  - Employment Based Exams

Please select from the available appointments below.  You will need to provide a valid e-mail address to schedule your appointment.  Once your appointment is confirmed, you will receive an instructional e-mail and follow-up reminders for your appointment date.  

NOTE:  Fit-4-Duty physicals are for Pre-Employment purposes.  Work Comp Injuries, and FMLA employees cannot be scheduled for return to duty physicals.  Their primary physician for their injury or medical condition should be consulted.


Be Prepared for your Physical

Your Appointment cannot be performed earlier than was scheduled, and late appointments may be canceled to avoid a lapse into another clients appointment time.

1.  Arrive on time.  

2.  Bring your ID  

Please bring a valid driver's license.  We cannot accept an expired driver's license or a photo copy of your license.  

3.  Health History  

You may be asked basic health history information.  Please be prepared to indicate dates of onset, diagnosis, treating physician's name and address, and current limitations related to a medical condition or operation.  Bring a list of current medications (including over-the-counter medications) used regularly or recently. 

4.  Urine Specimen  

Most exams do not require a drug test.  Unless you are aware of a drug test that is needed at the time of your exam, you will not be required to take one.  The doctor will need a urine sample for a basic urinalysis.  Please drink a water before arriving to ensure you can provide a specimen in a timely manner.  

5.  Glasses  

You will be taking a vision test during your exam.  It is a simple check-up, but if you wear glasses while driving, you need to bring the glasses with you for this portion of the exam.  

Frequently asked questions


Paramex recommends that all questions regarding your physical be directed to your employer.  They will be able to give your specifics regarding the physical requirements of the job and the type of physical they have performed for your position.

Medical Exams - Terms & Conditions


2020 Terms and Conditions

Paramex Screening Services is a Third Party Administrator for Companies requiring Drug and Alcohol testing Consortium services in compliance with 49 CFR regulations of the DOT drug testing law.  Our office holds certification and liability insurance for drug testing and performing services for the DOT.  In an effort to provide additional services, Paramex contracts with Physicians to provide our clients with DMV exams as a convenience in location and price.  Information transferred and stored is done by the direction and oversight of the certified examiners and supporting staff.  Services provided by the physician to the clients establish a doctor/patient confidentiality.  Paramex Screening Services will not use examination results for purposes outside of the doctor / patient agreement.  Additionally, Paramex Screening Services reserves the right to refuse delivery of results to a requesting party or deny services to a client on behalf of the Certified Examiner.  


HIPPA guidelines are followed by our doctor’s office.  A copy of HIPPA guidelines and compliance is available upon request.  An agreement to the terms and conditions releases the Certified Examiner, Paramex Screening Services, its staff, affiliates, and collectors from all liability related to standard collection and examination procedures, the delivery of examination results.


The Patient agrees:  I do hereby release the Certified Examiner, their representatives, Paramex Screening Services, its employees, agents, representatives, and collectors from any and all liabilities arising from the release or use of the information derived from or contained in my examination results.  I understand that no-one can access my examination results without my express written permission and that a valid copy of my state or federal ID is required if picking up additional copies of my exam pages/certification.  I further understand that all materials written on the DMV long form are being released by my consent and personal hand to the DMV and my employer (if requested).


With the intention of maintaining neutrality and unbiased relations in your examination process, the Certified Examiner and Paramex Screening Services, will not provide employment advice to employers based on results of an examination.  All advice, opinion, explanation, and medical direction given by the physician is held in confidence. Any decision to use examination results or materials as an employment decision is done at the choice of the donor and his potential or current employer.  Only the required information will be recorded and reported in the long form as required by the DMV.  


Payment is due at time of service at the current listed price.  All pricing is not limited to contracting and may change without notice to any party.  Appointments scheduled before a price increase are not subject to the change and will only pay the posted price that was listed at the time the appointment was scheduled and confirmed. Paramex Screening Services reserves the right to discount DMV exams for its consortium members and any other third party at the permission of the performing physician.  Not all pricing is uniform.  Paramex Screening Services does not bill outside companies or TPAs for DMV exams.  (An outside company is defined as a company not enrolled in a DOT program through Paramex Screening Services).  Payment is accepted in cash, credit, or debit.  Personal Checks and business checks from Independent Owner Operators are not accepted. Company checks from established billing clients are accepted. Payment installments are not appropriate and will not be accepted.  


Clients / Patients are required to maintain their appointments.  Appointments are auto confirmed.  All data in the scheduling fields are requested to be filled.  An e-mail address is required for scheduling your appointment.  A confirmation will be sent to your e-mail address to show verification that your appointment has been scheduled with our office. This email confirmation will provide a link for you to cancel your appointment in the event that you are unable to keep the date and time that you requested.  All no-show clients and appointments canceled same day will be charged an additional $30.00 if a second appointment is made.  Calling our office more than 24 hours in advance (530) 895-3203 will be acceptable only if you leave contact with a staff member.  Voicemail messages will not be accepted as a means of canceling your appointment.  Companies who are billed for DMV exams will be billed for no-show and late cancellations of exams.  Failure or refusal to pay the additional fees will result in the cancellation of DMV services with Paramex Screening Services and its Certified Examiners.