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Patients: Preparing for your occupational health appointment

Please review the frequently asked questions below prior to your appointment.

Were you injured at work?

Note: If your injury requires emergency care, please go to the nearest Emergency Room.

You should work with your supervisor and follow your employer's work-injury processes.  Billings Clinic Occupational Health can treat minor to intermediate injuries, including sprains, strains, contusions (bruises), dislocations, minor lacerations and burns, and back injuries. For more serious injuries, including head injuries, loss of consciousness, loss of vision, significant blood loss or pain, or difficulty breathing you should report to the Emergency Room.

Occupational Health offers same-day availability. Call 406-247-6200 or walk into our office to request an appointment. If you’ve been seen for your work injury previously, provide your records in advance or coordinate your appointment through your workers’ compensation adjuster to avoid claim denials.

Additional resources regarding Montana workers’ compensation can be found at Montana Department of Labor & Industry. (

Preparing for your DOT physical

To receive a valid CDL medical card, commercial drivers are required to use a certified medical examiner (CME) for DOT Physicals. Billings Clinic Occupational Health has several providers certified on the National Registry, so you can get in to see us and get back on the road.

You must pass all of the federal DOT physical requirements before a medical card can be provided. Avoid delays or additional expense by coming prepared. Here’s a checklist to help you prepare for your DOT physical.

If you are uncertain if you will qualify for a DOT card, you may want to visit your primary provider or specialist before your recertification.

DOT appointment checklist

What can I expect at my pre-placement post-offer physical?

Your prospective employer can give you more information about the specific services they require. Generally, you will be asked to provide a complete health history and be evaluated by a medical provider. The health history forms can take 10-15 minutes to complete. The evaluation may include a vision screening, height, weight, blood pressure check, and pulse. You may be required to provide a urine sample, used to identify certain medical conditions (this is not the same as a sample provided for a drug screen). The evaluation can take 30-40 minutes to complete.

If you are also required to complete a Strength & Flexibility Test, this will be performed by a Physical Therapist after your medical evaluation. The physical therapist will have you perform certain physical skills that match those required in the job, such as lifting, reaching, bending, climbing. The test can take from 30-60 minutes to complete, depending on the company’s requirements. Please wear comfortable clothing and shoes that allow you to perform physical tasks.

If the employer gave additional requirements, such as fit testing or immunization review, each of these components can take additional time.

I am scheduled for a fit test. Can I have facial hair?

Facial hair and stubble is not permitted when wearing, or being tested on, a tight fitting face mask. Facial hair will force the mask seal away from the face and allow contaminants into the mask, putting you at risk. We cannot proceed with a mask fitting if facial hair does not comply with these requirements.

What can I expect for my drug screen appointment?

Upon arrival, you will be required to show your photo ID. Billings Clinic Occupational Health follows DOT guidelines for urine specimen collection, even for testing not covered under DOT. A certified collector will walk you through the process. You will be asked to empty your pockets, remove jackets and hats, and leave your belongings outside of the restroom while you provide a urine sample. Once completed, the collector will seal and label the sample to send to the laboratory for testing to be completed.

Results are typically received within 48 hours. Occasionally, additional testing may be required and take additional time. The results are then reviewed by a Medical Review Officer (MRO) before being released to the company. In some instances, the MRO may reach out to you to verify prescriptions or other information before finalizing your results. Not all companies use us to process their results. In those cases, the laboratory will send the results to the specified MRO for that company.

May I bring my children with me?

Unfortunately, you cannot bring children with you. Many of our service areas only allow the patient and staff. Please make arrangements beforehand.

Where do I park and when should I arrive?

Please plan to arrive 15 minutes prior to your appointment. For our downtown location, parking is available to the south and to the west of the building. There are designated Occupational Health spots available just south of the building entrance

Related Information

Billings Hours
Monday - Friday
7 a.m. - 5 p.m.

Livingston Hours
Monday & Tuesday
8 a.m. - 5 p.m.

To learn how Occupational Health can benefit your business, call 406-247-6200 or 1-800-252-1246.

Occupational Safety & Health Administration (OSHA)
View the latest OSHA news and regulations


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