The work history contains questions about the VA (Veterans Affairs) disability rating decision. Every service member obtains a VA disability rating decision after discharge. The police physician should review the VA disability rating decision if one exists. The police physician needs to help resolve any conflicts between the VA rating decision and the essential job functions of the law enforcement occupation.
LEOs using full-face masks or SCBAs might need additional evaluation – see 29 CFR §1910.134 and LEO Pulmonary Chapter (in development).
Conditions of concerns include hypertrophic cardiomyopathy, dilated cardiomyopathy, long QT syndrome, Brugada syndrome, arrhythmogenicright ventricular dysplasia, Wolff-Parkinson-White syndrome and early coronary artery disease (see also Cardiovascular Disease chapter).
This document does not constitute legal advice. Before developing a policy on initial evaluation, or before restricting or not hiring the law enforcement officer (LEO) or LEO candidate, police physicians and law enforcement agencies should seek competent legal advice.
Prior to the enactment of ADA, the wording “pre-employment evaluation” was used. To be compliant with ADA, the medical evaluation must occur in the post-offer/pre-placement phase.
THIS DOCUMENT DOES NOT CONSTITUTE LEGAL ADVICE. BEFORE DEVELOPING A POLICY ON INITIAL EVALUATION, OR BEFORE RESTRICTING OR NOT HIRING AN LEO OR LEO CANDIDATE, POLICE PHYSICIANS AND LAW ENFORCEMENT AGENCIES SHOULD SEEK COMPETENT LEGAL ADVICE.