3161 Walnut Ave., Fremont, CA   (510) 796-1000

Pre-Employment Testing

  • Physical Ability Testing
  • Lift and Strength Tests
  • Back Evaluations
  • Drug Screening
  • Physical Exams
  • Spirometry
  • AEI
Pre-Employment Physical Exams

Protecting Employees, Protecting Businesses

Fremont Urgent Care's pre-placement physical exam program makes sure applicants can perform essential job duties in a safe manner.

Forms

Fremont Urgent Care Signup

New Company Signup

Companies wishing to use Fremont Urgent Care services are asked to complete the following form. In addition to basic contact information, this also provides us with Worker's Compensation Insurance information and a checklist of requested services.
To fill-in as a PDF, click on the link, fill-in and then print.
To download, right-click on the link, save and then open.
Please fax the completed form to 510-796-1050.

Fremont Urgent Care Treatment Authorization

Treatment Authorization

To be filled out for each employee prior to being seen.
To fill-in as a PDF, click on the link, fill-in and then print.
To download, right-click on the link, save and then open.
Please fax the completed form to 510-796-1050.

Truck Driver Physical Exam

Drivers Taking DOT Exam

To save time during your visit, please fill out both forms and bring with you. On the Medical Examiner's Certificate, please fill out only the Driver's section at the bottom.
To fill-in as a PDF, click on the link, fill-in and then print.
To download, right-click on the link, save and then open.