Ensuring a Safe and Compliant Workforce with Pre-Placement Physical Exam Services

Our comprehensive pre-placement physical exam services help ensure that your workers are physically capable of performing their duties and mitigate the risks and costly compensation claims associated with drug and alcohol use.

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Why Choose Acuity for Physical Pre-Placement Exam Services?

According to the 2021 Recruiter Nation Report, 47% of recruiters find that the lack of qualified candidates is their greatest challenge.

Contingent upon an applicant’s ability to pass, the pre-placement physical exam helps ensure that they are physically capable of performing required job tasks.

Acuity offers comprehensive pre-placement physical exams – whenever and wherever they are needed, 24×7.

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What We Do

We provide responsive, flexible, and scalable programs that are tailor-made for an employer’s unique needs – including the job description – and risks. Our cost-effective solutions are backed by robust, centralized health analytics for ease of case management, including real-time exam tracking and reporting, data management and transmission, physician medical review services, and more.

  • General medical exams
  • Physical ability tests
  • Psychological tests
  • Drug and alcohol screening
  • Human Performance Evaluation (HPE)
  • Department of Transportation (DOT) physicals

Customized to meet the specific needs of your company

Adaptable, flexible, and scalable programs for employers’ unique needs, job descriptions, and risks.

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Qualified and certified medical examiners

A network of more than 11,000 healthcare providers in 50 states and U.S. territories.

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Convenient and efficient scheduling

A seamless, integrated process backed by 24/7 customer service, from exam scheduling to real-time tracking.

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What is a Pre-Placement Physical Exam?

A pre-placement physical exam is often required by employers before an offer is extended to a job applicant. These exams help ensure that a candidate has the physical ability to perform a job safely and without risk of injury.

The term “pre-placement” exam is used for a reason. The Americans with Disabilities Act (ADA) states that an employer cannot perform a physical exam before a candidate is offered a position and must be conducted before an employee’s first day at work. In addition, to avoid discrimination, the law requires that all applicants for the job undergo a physical exam.

Types of pre-placement physical exams include:

  • Physical ability (including the ability to perform certain functions required for the position, such as lifting or aerobic activity)
  • Vital function evaluation (heart, vision, hearing, etc.)
  • Psychological and cognitive screening
  • Strength, stamina, and physical endurance
  • Drug and alcohol screening (especially if the position requires the operation of heavy equipment or machinery)
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Benefits of Pre-Placement Physical Exams


By requiring a pre-placement physical exam, employers are assured that a job candidate does not have physical limitations or an existing medical condition that would prevent them from performing a job.

More importantly, a pre-placement exam helps employers make informed, objective decisions about hiring based on an applicant’s physical and behavioral health. Employers can also monitor employee health over time to ensure they have the best-performing team.

Pre-placement physical exams benefit employees by ensuring they are the right match for the job, will remain satisfied in the role, and reduce the chance of injury.

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Our Services

With over 48 years of industry experience, Acuity is one of the nation’s leading pre-placement physical exam services providers to federal, commercial, and international clients.

Acuity focuses on people, experience, performance, and understanding customers’ unique goals and objectives. We deliver pre-placement exam services tailored to each organization’s needs, risks, and compliance requirements.

Our diverse client-focused pre-placement evaluations are customized to meet any configuration, including dispersed workforces. And our exam management services make it easy for organizations to maintain overall employee health, increase productivity, and comply with regulations.

We streamline and manage the exam process with proven program management expertise, mobile and onsite medical services, and state-of-the-art technology. Our repeatable processes consistently yield positive and predictable outcomes.

From exam scheduling through real-time tracking to physician medical review and determination reporting, our centralized data-driven process is seamless, integrated, and backed by 24/7 customer care.

Acuity’s physical exam provider network includes more than 11,000 healthcare providers in 50 states and the U.S. territories. We perform more than 200,000 medical exams annually in the U.S. alone and can quickly ramp up to manage even the most widespread physicals for work programs.

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Frequently Asked Questions

What is a pre-placement physical exam?

A pre-placement physical is performed before an offer is extended to a job candidate. 

A physical pre-placement exam is an important evaluation process used by employers to determine if a job applicant is physically and/or mentally fit to complete the tasks required by a position.

Depending on the nature of the work, the medical examiner will evaluate a candidate’s overall health and wellness so that employers can make more informed hiring decisions.

What happens in a pre-work physical?

A pre-work physical exam is conducted by a medical professional. During the assessment, the professional will evaluate an employee’s:


  • Physical abilities (vision, hearing, etc.)
  • Medical history and lifestyle
  • Strength and stamina (especially if the position involves operating heavy equipment or machinery)
  • Mental and behavioral health (such as the ability to handle the psychological pressures of the job)
  • Functional limitations
  • Drug and alcohol use


A job applicant may also be asked to show or describe how they would perform specific job functions.

What happens if a job applicant fails a pre-placement physical exam?

If a job candidate fails a pre-placement physical exam an employer is legally permitted to withdraw the contingent or conditional job offer. However, the exam results may not be used to discriminate against the candidate/employee.

Their medical records and history become confidential and are protected as Protected Health Information (PHI) and Personal Identifying Information (PII). 

Fit-for-Duty and Return-to-Work Exams – Partner with Acuity International

Industry-specific Fit-for-duty exams are an important part of maintaining occupational health and workplace safety. A fitness-for-duty evaluation also helps workers return to work without re-injury.

At Acuity, we combine our fit-for-work exam services with advanced technology and a widespread provider network to give organizations 24/7 access to scheduling, exam status notifications, case management reporting, and more.

Contact us to learn how our fit-for-duty exam team can help you maintain a safe and healthy workforce.