Specifications include, but are not limited to: Primary services include: Annual physical exams for police officers and firefighters (average 2600 per year) cardiac, pulmonary, audiology consultations/evaluations and hepatitis inoculations and screening. Secondary services include: pre-placement medical exams, physical assessment testing, pre-employment psychological screening, psychological and psychiatric consultation, CDL exams (in conjunction with annual physical and independent from annual exams), Haz Mat exams (in conjunction with annual physical exams or independent from annual physical exams), Respiratory Compliance exams, Drug and Alcohol Testing, Medical surveillance, Independent Medical Evaluations/Fitness for Duty Exams, blood borne pathogen post exposure services, Job Analyses, and miscellaneous occupational health services as identified during the course of the contract. Secondary services average approximately 50 each per year, except for pre-employment psychological screening which is projected at approximately 150 in the north and 500 in the south each fiscal year.