This is a guidance for physicians who are evaluating and/or treating law enforcement officers and candidates (hereinafter collectively referred to as “law enforcement officers”or LEOs) in order to make medical qualification recommendations.

The purpose of this guidance is to promote the health and safety of LEOs while ensuring their ability to protect civilian life and property.

This guidance addresses the nexus between medical conditions and the ability or inability to perform law enforcement job functions. It is intended to assist physicians in making individualized medical assessments of the LEO’s ability to: 1) perform law enforcement job functions; and 2) perform these functions safely.

The physician’s role is to recommend to the agency having jurisdiction (AHJ) which job functions the LEO can or cannot safely and effectively perform. The AHJ is responsible for making placement or retention decisions.

This guidance applies to patrol LEOs. Specialty assignments (e.g., SWAT, arson/bomb, emergency services,etc.) may have medical requirements that are not covered in this guidance.

The types and levels of services provided to the local community by the AHJ determine the job functions of LEOs. Medical requirements for candidates and LEOs shall correspond to the job functions as determined by the AHJ.

This guidance also contains a bibliography and discussion of scientific and medical literature relevant to the ability of LEOs to safely perform their job functions.

This guidance will be periodically reviewed and updated to reflect contemporary medical literature.