Services

Instant Breath Alcohol Testing

COMBI staff members are experienced and certified in evidential breath alcohol testing. We offer employers screening and confirmation testing of employees in both DOT regulated (DOT 49CFR Part 40) and non-regulated industries in support of pre-placement, employment, post-accident, random, return-to duty and stand-down workplace situations.

Hair Collections

Hair testing for drugs is the most effective way to evaluate long-term use patterns (typically provides up to a 90-day use history). This is many employers’ technique of choice for pre-placement screenings.

Urine Collections

We provide federal DOT and non-DOT regulated testing. Many businesses rely on urine testing for its cost effectiveness and capacity to screen for a wide variety of drug substances. Urine drug testing detects recent drug use and is suitable for all testing reasons, from pre-employment to random and post-accident. Currently, urine drug testing is the only method approved for Federally-Regulated Drug and Alcohol Programs. We defer to your company’s internal policies and procedures when performing urine collections and we can work with you to develop policies.

Medical Review Officer (MRO) Services

Dr. Bruce Bohnker is MTC’s Certified Medical Review Officer. He oversees and assures the accuracy and integrity of our drug and alcohol testing services. Dr. Bohnker’s role as MRO is to determine if there is a legitimate medical explanation for laboratory-confirmed positive, adulterated, substituted and/or invalid drug test results, to protect the confidentiality of the drug testing information, and to ensure timely flow of test results and other information to employers.

Random Selection Service

Let us eliminate the work and worry from your Drug and Alcohol Random Testing Program with our confidential and professional service. We offer employers assistance in managing all or part of their drug and alcohol testing program’s compliance for both DOT and non-DOT requirements.

Basic Physical Exam

We offer pre-placement physical examinations to help companies answer the question, “Does this person have the physical capabilities to perform the essential functions of this job?” A careful review of your employee’s medical and occupational history is a core component of all our exams.

USCG Mariner Examinations

COMBI provides medical assessments and completes the USCG mariner medical examinations. This would include full vision and hearing exams, review of medical conditions and medications. We also provide assistance with specific conditions noted in the NVIC 04-08.

Return-to-Work and Fitness-for-Duty Evaluations

Our occupational medicine trained providers perform medical evaluations to determine if an employee is fit to work or fit to return to work from an injury or illness (which may not be work related). Our goal is to provide the patient and the employer the opportunity for the patient to continue work when appropriate. We respect the employer’s right to determine if work restrictions can be accommodated and essential functions of the job can be met.

FAA Physicals

We offer first, second and third-class medical examination clearances for pilots. Our physician is a certified Aviation Medical Examiner (AME) and is trained in evaluating airline pilots for substance and alcohol-related conditions or mental health issues.

Pre-Placement and Annual Physicals

We are skilled in providing a variety of pre-placement and job-related physical examinations to meet the needs of your industry. COMBI will custom-tailor a physical exam to suit your specific needs while promoting the health of your employees.

DOT/FMCSA Certification Exam

DOT/FMCSA physicals evaluate whether or not a driver is healthy enough to operate a commercial motor vehicle. A driver with health issues such as sleep apnea, diabetes, poor vision or high blood pressure could be hazardous if medical conditions become unmanageable while driving. A Department of Transportation (DOT) physical examination must be conducted by a licensed medical examiner that is listed in the Federal Motor Carrier Safety Administration (FMCSA) National Registry (NCRME). Appointments are not required for DOT Certification Exams

OSHA Medical Surveillances

Our regulatory and compliance examinations (such as respirator exams and asbestos exams) are performed in accordance with OSHA Standards to establish a medical baseline or periodic evaluation for employees.

Audiology Testing

Companies with employees working in areas that meet or exceed 85 (A) decibels are required to provide hearing evaluations on an annual basis. We provide hearing tests as part of our custom physical exam packages or as a stand-alone service. All testing is performed according to the specifications listed in OSHA Regulation 29 CFR 1910.95 within a certified room or hearing booth.

Electrocardiographs (EKG)

Our experienced technicians perform 12-lead electrocardiographs (EKGs) and provide analysis in our office. We are also able to transmit results of all Class 1 physicals directly to the FAA.

Ergonomic Assessments

Many Workers’ Compensation injuries are caused by repetitive motion. By reviewing job descriptions and examining employees, our occupational medicine specialists can make recommendations to help make their jobs safer. We work with employers to identify tasks and workstation modifications that can help reduce physical stress on the body and eliminate potentially serious debilitating injuries.

Immunizations and Influenza Vaccinations

We offer a large variety of immunizations needed for various occupational situations. Please contact our office for specific immunizations offered.

Laboratory Testing

We provide a variety of occupational laboratory collections and utilize a licensed, accredited medical laboratory to assure quality diagnostics.

Lab collection includes: Titers/CBC/CMP/PT/PTT/UA/heavy metals.

Spirometry & Pulmonary Function Testing

Spirometry (one of the most common of the pulmonary function tests) can be used to detect airway obstruction or restriction. It is a useful tool to determine an individual’s lung capacity.

Vision Screening

We offer near, far, depth, peripheral and color vision screenings.

X-Ray Services

We offer on-site x-ray services at COMBI. Independent Radiologists reads are typically available within 48 hours. Grade B reads are offered, results are typically available in seven days.

Blood Borne Pathogen Testing & Treatment

We evaluate and treat as appropriate for exposure to blood borne pathogens such as HIV, hepatitis B and hepatitis C.

Fitness-for-Duty Evaluations

Our occupational medicine trained providers perform medical evaluations to determine if an employee is fit to work or fit to return to work from an injury or illness (which may not be work related). Our goal is to provide the patient and the employer the opportunity for the patient to continue work when appropriate. We respect the employer’s right to determine if work restrictions can be accommodated and essential functions of the job can be met.

Pre-op Medical Clearances

EKG/CXR/CBC/CMP/PT/PTT/UA/etc.

Work-Related Illness and Injuries

We understand that having an employee off work is costly. Our program “enables” rather than “disables” injured employees. First and foremost, we “treat right medically!” We evaluate what the patient can do, not what they can’t do. Our providers follow the evidence-based national and state guidelines for Workers’ Compensation.

Workers’ Compensation Case Management

Most people who remain at work recover quicker than people who are out of work. Our goal is to allow the patient to continue to work and earn pay, while staying safe in their work environment. We take an active role in making things happen to foster the best outcome for the patient and the employer.