Respirator Fit-test Medical Clearance Survey

This is a secure and confidential survey. The results of your survey will be reviewed by a licensed professional healthcare provider who will determine your eligibility to test and wear a tight-fitting respirator. Your answers will not be shared with your governing authority. The governing authority will only receive an "approved to test" or "not approved to test" status.

Once reviewed, you will receive email notification of your approval status as well as any actions needed for your status to be approved, if applicable.

If you have any questions regarding this survey, please contact CarePoint Resources, LLC at (877) 242-2527 or