Specifications include, but are not limited to: provide medical baseline evaluation and fitness assessment services, and prevention and early detection of diseases and illnesses for approximately 500 Mobile Fire Rescue Department (MFRD) uniformed personnel. ; 2.1.1. Annual Firefighter Physical Exam a. Hands on Physical Exam b. Vision Exam (Titmus) c. Vital Signs d. Occupational Hearing Exam e. Hemoccult Test ; f. Skin Cancer assessment g. Behavioral Health and Sleep Assessment Screenings h. Personal Consultation with review of testing results 2.1.2 Cancer and Disease Assessment a. Liver, Pancreas, Gall Bladder, Kidneys, and Spleen Ultrasound (Internal Organs) b. Pelvic Ultrasound for Women (external) c. Testicular and Prostate (Men) Ultrasound d. Bladder Ultrasound e. Thyroid Ultrasound 2.1.3 Cardio Pulmonary Assessment: a. Treadmill Stress Test with EKG b. Echocardiogram (Hearth Ultrasound).