Request for Proposals - Firefighter Occupational Health, Wellness, and Physical Examinations

The Pigeon Forge Fire Department is seeking competitive proposals from qualified medical providers to deliver comprehensive, annual NFPA 1582 compliant firefighter physicals examinations. The primary goal of this program is disease prevention, early detection, and preserving the long-term health and operational readiness of our first responders. The selected vendor will work collaboratively with the Fire Department and City Administration to provide clinical evaluations, diagnostic imaging, laboratory analysis, and ongoing medical oversight.

Proposals must address the vendor’s ability to deliver exams compliant with NFPA 1582, NFPA 1580, OSHA 1910.95, OSHA 1910.134, OSHA 1910.120, OSHA 1910.1030, and the Tennessee Barry Brady Act of 2019.

Delivery Model

Vendors must be able to provide On-Site Mobile Health Services: Vendor brings clinical staff, diagnostic equipment (Ultrasound, EKG/Stress testing, Vision, audiometry, phlebotomy) directly to Pigeon Forge Fire Department Station 1, located at 225 Pine Mountain Road, Pigeon Forge, TN 37863. X-Rays may be conducted either on-site or at a hospital within 30 miles of the Pigeon Forge Fire Department.

Core Physical Exam Components

The baseline annual assessment must include:

• Medical History & Physical Exam: Comprehensive physical evaluation covering head/neck, cardiovascular, respiratory, musculoskeletal, skin cancer screening, neurological, gastrointestinal, genitourinary, and hernia evaluation.
• Vital Signs & Body Composition: Blood pressure, pulse, height, weight, BMI, and body composition/bio-impedance analysis.
• Diagnostic Screening: 12-lead Electrocardiogram (EKG) resting and VO2Max Testing, Spirometry/Pulmonary Function Testing (PFT), Chest X-Rays (Interpreted by a board-certified radiologist) on 1/3 of all members., Audiometric testing (CAOHC/Benson or equivalent standard), Titmus or equivalent vision screening (distance, peripheral, color vision).
• Laboratory Panels: Comprehensive Metabolic Panel (CMP), Complete Blood Count (CBC) with differential, Lipid panel with coronary risk ratio, Hemoglobin A1C, Thyroid Stimulating Hormone (TSH), Urinalysis, PSA for males (Age ≥40) CA-125 for females, and Fecal Occult Blood/Colorectal Screening to all full-time employees that wish to receive the examination.
• Cancer Screenings: Screenings specifically targeting presumptive cancers under TN law (Non-Hodgkin’s Lymphoma, Colon, Skin, and Multiple Myeloma, Leukemia, Testicular, Breast, Pancreatic, and Prostate).

Confidentiality, Reporting, and Workflow

Two-phase Process: Blood/lab draws conducted 2-4 weeks prior to physical exams to ensure lab results are available for 1-on-1 provider consultations.

Individual consultations with a licensed physician, PA, or NP must occur for every exam.

Clearance: Provider shall deliver clear “Fit-for-Duty” clearance letters to HR & Fire Department Administration within 7-10 business days. Providers must also generate a de-identified, department-wide aggregate health report highlighting health trends, risk factors, and department-wide recommendations.

Submission/Markings

Deadline for Submission: **November 20, 2026**.

Address In-Person: 225 Pine Mountain Road, Pigeon Forge, TN 37863

Address Mailing: PO Box 1350 Pigeon Forge, TN 37868

All Proposals must be marked: “NFPA 1582 Physical Proposals”

Proposals must be sealed and received no later than **4:30 PM** on Friday. They can be delivered in person but must meet the same requirements.

Vendor Pricing

Vendors must submit itemized pricing using the following framework:

• Base Core Physical Program Cost: Cost per member for the core NFPA physical exam/lab panel.
• Tiered Packages (optional): Outline bundled add-ons (ultrasounds, CT Screening, Behavioral Services, and early detection blood tests.
• Volume Discounts & Multi-year options: Pricing locks for 1-4 year agreements and roster size discount thresholds. We currently have 61 Full-Time Employees, 15 Volunteers, and 15 Part-Time, which receive different levels of care.
• Itemized Add-On Menu: Cost schedule for standalone tests (e.g., special labs, new-hire exams, vaccines, DOT physicals, return-to-duty exams).