Each firefighter annual physical shall consist of the following components: a) Components of the Annual Occupational Medical Evaluation of Members (NFPA 1582-18, 7.4) i) Blood Testing {1582-18, 7.7.1}- Blood tests shall be performed annually and will include the following: (1) CBC with differential, RBC indices and morphology and platelet count. (2) Electrolytes (N, K, Cl, HCO3 or CO2). (3) Renal function (BUN, creatinine). (4) Glucose. (5) Liver function tests (ALT, AST, direct and indirect bilirubin, alkaline phosphatase). (6) Total cholesterol, HDL, LDL and clinically useful lipid ratios (e.g., percent LDL) and triglycerides. (7) Prostate specific antigen (PSA) after the age of 40 for positive family history, if African American or if otherwise clinically indicated. After the age of 50 for all other males. (8) Thyroid function; TSH & free T4. (9) The following additional tests can be offered as agreed between both party’s on a year-to-year basis: • Vitamin D • Cortisol • Progesterone (female option) • Estrone (E1) (female option) • Estradiol (E2) (female option) • Testosterone
