How the FD Screening Program Works:
We organize members by years of service and age. As occupational risk increases, the screening becomes more comprehensive — from baseline labs, EKG, pulmonary testing, skin screening, and medical evaluation to targeted ultrasound studies, expanded cardiac risk screening, and cancer-risk screening elements when clinically appropriate.
New Hires & Under 5 Years
A baseline screening designed to establish each member’s starting health profile early in their fire service career.
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Vitals, medical history, occupational exposure review, and firefighter-focused evaluation
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Resting EKG, pulmonary function testing, skin screening, and behavioral health screening
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Baseline labs including CBC, CMP, lipid profile, A1C, and urinalysis
Early Career Members
A structured interval screening designed to monitor early occupational risk and identify changes before they become more serious.
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Alternating-year structure based on department needs and clinical protoco
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Baseline evaluation components with targeted ultrasound studies when scheduled
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Focus on occupationally relevant areas such as kidneys, liver, thyroid, bladder, and other selected organ systems
Mid-Career, Rising Risk
A more comprehensive screening tier for members with increased years of exposure or age-based risk factors.
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Expanded lab evaluation, including thyroid and additional metabolic risk markers
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Ultrasound studies focused on abdominal, vascular, and occupationally relevant screening target
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Cardiac risk review, EKG, pulmonary testing, skin screening, and follow-up recommendations when appropriate
Senior & High-Risk Members
The most comprehensive tier, designed for members with the highest cumulative occupational exposure and age-related risk.
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All prior screening components plus age- and risk-appropriate cancer-risk screening elements
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PSA and colon/fecal cancer screening when clinically appropriate
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Expanded cardiac risk evaluation, with referral pathways for stress testing, echocardiography, cardiology evaluation, or other advanced testing when indicated
For a typical mid-sized department of around 150–175 members, the full program usually falls under the six figure range annually, depending on demographics and local needs. Most departments pair this with grant support and wellness budgets.
Operationally Built for the Fire Service
Designed for the Firehouse, Not the Waiting Room
FD Screening brings a coordinated medical screening structure directly to your department, built around staffing, apparatus readiness, member privacy, and the reality that calls can interrupt even the best schedule.
Command Board Flow Structure℠
Organized like the fire service. Built for screening day.
FD Screening uses a structured Command Board Flow Structure℠ to coordinate each screening event from start to finish. Rather than relying on a traditional waiting room model, members move through a clear station-based process built around firehouse operations, apparatus readiness, privacy, and real-time flow management.
01 Check-In
Members arrive, confirm paperwork, and receive their screening-day instructions.
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02 Station Assignment
Each member is routed based on screening tier, station availability, and clinical need.
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04 Central Flow Board
The FD Screening team tracks member movement and station status in real time.
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05 On-Duty Flexibility
If members are delayed by emergency calls, the flow can be adjusted without disrupting the entire event.
03 Screening Stations
Members rotate through ultrasound, EKG, labs, pulmonary testing, skin screening, and evaluation.
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06 Provider Review & Follow-up
Results are organized, reviewed, and returned with clear next steps for the member.
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Why it Matters
Fire departments do not operate like traditional medical offices. Members may be on duty, apparatus must remain available, and calls can interrupt even the best schedule. The Command Board Flow Structure℠ helps keep the screening day organized, efficient, and flexible, allowing FD Screening to reduce bottlenecks, protect member privacy, and keep departments operational while screenings are completed on site.
Services
Our Specialized Services Are Tailored to Meet the Unique Needs of Your Department. These comprehensive medical screenings focus on cancer risk, cardiovascular health, pulmonary function, metabolic health, and occupational risk factors for firefighters and public servants.
Diagnostic Imaging:
Ultrasound studies are coordinated to evaluate selected organ systems based on firefighter occupational risk, program tier, and clinical protocol.
Biometric Blood Panel:
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Chemistry & electrolyte screening
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Comprehensive metabolic panels
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Complete blood count (CBC)
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Lipid and cholesterol profile
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Liver function testing
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PSA (prostate cancer screening)
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Thyroid function (TSH)
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Hemoglobin A1C (diabetes screening)
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Cardiac specific lab analysis
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Urinalysis for renal and metabolic abnormalities
Public Servant Focused Medical Exams:
A structured evaluation reviews cardiovascular, pulmonary, metabolic, dermatologic, occupational exposure, and general health risk factors, with follow-up recommendations when appropriate.