Terms of Service

Term of Service

I hereby release the form and content of my respirator Medical Evaluation Questionnaire to Secure Fit Testing, LLC. and/or it’s representatives. This information may be reported to the physician or other licensed health care professional (PLHCP) as designated by Secure Fit Testing, LLC by e-mail, phone, or other method, in a confidential manner. You may contact the physician or other licensed health care professional (PLHCP) as designated by Secure Fit Testing, LLC, who will review this Respirator Medical Evaluation Questionnaire, via e-mail at MD@securefittesting.com or by calling 1-800-210-0470. I understand that the sole purpose of collecting and reviewing this questionnaire is to ensure that I am able to wear an appropriate respiratory protection device during the course of my normal employment activities, during emergency situations, and/or for the purposes of an emergency drill. I further understand that these evaluations are not meant, with regard to the candidate, to infer, construe or otherwise suggest any specific diagnosis nor is it an attempt to diagnose, cure or treat in any manner or by any means, methods, devices or instrumentalities, any disease, illness, pain, wound, infirmity, or abnormal physical or mental condition of any person. In the event that I do not pass this evaluation, I understand that it is up to me and/or my employer to contact an appropriate physician or other licensed health care professional to resolve this matter through further evaluation. I also understand that I will not be issued a Respiratory Fit Card until such time as I receive a medical clearance from either the Secure Fit Testing LLC., PLHCP, my personal physician or my employer.