Specifications include, but are not limited to:The purpose of this Request for Proposals (RFP) is to solicit qualified and interested health care and fitness providers to submit proposals for providing all facilities, staff and services necessary to provided health and wellness services to include Comprehensive Physicals and manage the firefighter fitness programs for Chesterfield County Fire & Emergency Medical Services (“CFEMS”). Physical – Career Firefighter (Pre-Employment) and Volunteer Firefighter (PreEntry) The comprehensive physicals administered on Fire & EMS candidates for preemployment and pre-entry requirements, as determined by the County in conjunction with the Medical Director for Fire & EMS, are administered in two phases and should consist of the following tests and services: Phase 1 a. Review candidates medical release form and OSHA medical evaluation questionnaire for respirator clearance presented by member at time of examination. b. Review in-depth patient history including candidate’s proof of Tdap, MMR, Polio and Chicken Pox vaccinations or exposure. c. Review Hep-B series, if applicable. d. Perform hands-on physical examination for evaluation of respiratory, cardiovascular, musculoskeletal, ENT, genitourinary and lymphatic systems to critically assess for chemical/physical agent and carcinogenic exposures. e. Review of vital signs such as height, weight, blood pressure, pulse, exercise pulse, vision and color vision. f. Physical fitness programs shall be coordinated with the medical provider. The medical provider shall immediately communicate any concerns with the fitness contractor if a member’s health is compromised and may cause injury to the member. HIPPA regulations shall be honored. g. Perform, at a minimum, the following tests: (1) Chest x-ray (PA & LAT) with interpretation by a board-certified radiologist. (2) Pulmonary function testing with interpretation and respirator clearance. Assess for possible sub-clinical asthma or other obstructive lung disease. (3) Audiometric testing with interpretation.