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Medical Screening Manual

The individual sections and chapters of the Medical Screening Manual can be downloaded at no cost. The entire printed manual, complete with tabs, can be purchased through the FedEx DocStore.

Table of Contents


Background Information

Medical Examination and Evaluation Protocols

Chapter I: Cardiovascular System

Chapter II: Dermatology

Dermatology (pdf)
  • Conditions of Concern
  • Implications for Job Performance
  • General Screening Recommendations
  • Evaluation of Common Clinical Syndromes
  • References

Chapter III: Endocrine System

Endocrine System (pdf) - revised 2004
  • Implications for Job Performance
  • General Screening Recommendations
  • Diabetes Mellitus
  • Parathyroid Disorders
  • Hyper and Hypothyroidism
  • Adrenal Disorders
  • References

Chapter IV: Gastrointestinal

Gastrointestinal (pdf) - revised 2001
  • Implications for Job Performance
  • Hernias
  • Hemorrhoids
  • Ulcerative Colitis
  • Irritable Bowel Syndrome
  • Peptic Ulcers
  • Hepatitis
  • References

Chapter V: Hematology

Hematology (pdf) - revised 2015
  • Introduction
  • Implications for Job Performance
  • Medical Examination Guidelines and Evaluation Criteria
  • ​Common Clinical Syndromes
    • Anemia
    • Bleeding and Clotting Disorders
  • References

Chapter VI: Oncology

Oncology (pdf) - revised 2001
  • Implications for Job Performance
  • General Screening Recommendations
  • Evaluation of a Candidate with a History of Tumor or Malignancy
  • References

Chapter VII: Infectious Diseases

Infectious Diseases (pdf)
  • Implications for Job Performance
  • General Screening Recommendations
  • HIV
  • Chronic Viral Hepatitis
  • Tuberculosis
  • References

Chapter VIII: Musculoskeletal

Musculoskeletal (pdf) - revised 2015
  • Implications for Job Performance
  • General Screening Recommendations
  • Cervical Pain, Radiculopathy, and Neck Surgery
  • Lumbar Pain, Radiculopathy, and Spine Surgery
  • Spinal Deformity (Scoliosis)
  • Spondylolisthesis
  • ​Miscellaneous Lumbar Spine Conditions
  • Meniscal Injuries
  • Loose Body in the Knee
  • Patellofemoral Problems
  • Anterior Cruciate Ligament Instability
  • Collateral Ligament Instability
  • Shin Splints [Medial Tibial Stress Syndrome (MTSS)]
  • Ankle Instability
  • Iliotibial Band Syndrome
  • Acromioclavicular (AC) Joint Separation
  • Anterior Shoulder Subluxation and Dislocation
  • Rotator Cuff Disease
  • Finger Amputations/Arthrosis
  • Carpal Tunnel Syndrome
  • Retained Orthopedic Hardware
  • References

Chapter IX: Neurology

Neurology (pdf) - revised 2001
  • Implications for Job Performance
  • General Screening Recommendations
  • Cranial Defect
  • History of Seizure
  • Head Trauma Without History of Seizure
  • Primary Headache Disorders
  • References

Chapter X: Respiratory System

Chapter XI: Vision Guidelines

Chapter XII: Hearing Guidelines

Hearing Guidelines (pdf) - revised 2001
  • Importance of Hearing to Patrol Officers
  • Implications for the Pre-Placement Screening of Peace Officers
  • General Screening Recommendations
  • Abnormal Audiogram
  • Use of Hearing Aids
  • Retrocochlear Conditions
  • References

Appendix A: Medication-Related Impairment

Appendix B: Participating Medical Specialists

Appendix C: Medical History Statement

Appendix D: Medical Examination Report