Medical Screening Guidelines for Correction Officers

Available for 2019

MED-TOX Health Services has developed a Medical Screening Manual for Correction Officers. These medical standards have been devised to specifically address medical screening for new hires into prison and jail enforcements.

The Medical Screening Manual for Correction Officers is consistent with the June 22, 1999 U.S. Supreme Court decision. These decisions clearly state that employers need not hire the physically unqualified or persons who are inordinate safety risks in order to avoid ADA lawsuits. The U.S. Supreme Court plainly stated the following:

By its terms, the ADA allows employers to prefer some physical attributes over others and to establish physical criteria. An employer runs afoul of the ADA when it makes an employment decision based on a physical or mental impairment, real or imagined, that is regarded as substantially limiting a major life activity. Accordingly, an employer is free to decide that physical characteristics or medical conditions that do not rise to the level of an impairment–such as one’s height, build, or singing voice–are preferable to others, just as it is free to decide that some limiting, but not substantially limiting, impairments make individuals less than ideally suited for a job.

The Medical Screening Manual for Correction Officers integrates job analysis information obtained from individual Correction and Sheriff departments into a single reference manual to guide physicians in their pre-placement and fitness-for-duty assessments. The manual is the most comprehensive occupational medical screening manual ever developed for assessing job applicants for any occupation.

For each medical condition, the Medical Screening Manual for Correction Officers describes the job-related factors (physical abilities and working conditions) that should be evaluated by the examining physician prior to making a placement recommendation. Expert occupational medical advice and guidance for the evaluation of a wide variety of conditions likely to be present in the applicant population. Detailed coverage is given to recurring issues in medical screening such as appropriate vision and hearing requirements, assessment of persons with diabetes, musculoskeletal injuries, HIV+ status, seizure disorders, and a multitude of other complex issues.

The Medical Screening Manual for Law Enforcement Officers covers the following:


  • The Pre-placement Examination
  • The Americans with Disabilities Act
  • Evaluating Risk
  • Reasonable Accommodation
  • Job Analysis Information
  • Summary
  • References


  • Recommended Procedures and Tests


  • Dermatological System
  • Ears, Nose and Throat
  • Eyes and Vision
  • Ears and Hearing
  • Pulmonary System
  • Cardiovascular System
  • Endocrine System
  • Gastrointestinal System
  • Urinary System
  • Reproductive System
  • Hematopoietic System
  • Musculoskeletal System
  • Neurological System
  • Oncology
  • Infectious Disease


  • Medical History Questionnaire
  • Clinical Examination Form

The Medical Screening Manual for Correction Officers has been designed to assist examiners in closely focusing on the actual physical demands and working conditions of the job. This linkage allows for an individualized assessment of the individual in relation to the job as required by law. The individualized assessment must be made by the occupational physician after examining the individual, medical history, any current condition and prognosis, and functional ability in relation to the actual job requirements.

Please contact MED-TOX information about how your department can utilize this resource to ensure that only those truly qualified for the job are hired.