All firefighters are required to complete the EFD Medical History Form & Respiratory Questionnaire. The Medical History Form is a requirement for the physician to complete the annual physical. The OSHA respiratory questionnaire is required to be completed annually in order to wear an SCBA respirator.

To complete the combined form, download the fillable PDF you'll find on this page. You may fill out the document at your own pace, saving as you go. When you are ready to submit the completed PDF, return to this page and upload your saved file using the submission form listed under Step 2 below.

STEP 1 - DOWNLOAD & FILL OUT