Medical Clearance Forms

Forms required for students of MFRI courses which require medical clearance.

MFRI Student Medical Clearance

There is no higher priority for the Maryland Fire and Rescue Institute than to provide training in a safe environment for our students and instructors. The purpose of this policy is to provide a means to help ensure that students engaged in training requiring strenuous activity or the use of self-contained breathing apparatus are medically capable of engaging in these activities.

This Policy covers students required to perform activities while using self-contained breathing apparatus or otherwise participate in:

  • Company Drills (CD-200),
  • Personal Protective Equipment and SCBA (FIRE-098),
  • Firefighter I (FIRE-101),
  • Firefighter I (FIRE-105),
  • Firefighter II (FIRE-201),
  • Truck Company Fireground Operations (FIRE-202),
  • Marine Firefighting for Land-Based Firefighters (FIRE-203),
  • Firefighter II (FIRE-205),
  • Firefighter Survival and Rescue (FIRE-206),
  • Engine Company Fireground Operations (FIRE-207),
  • Airport Firefighter (FIRE-208),
  • Interior Structural Facility Fire Brigade Member (FIRE-210),
  • Land-Based Marine Firefighter (FIRE-212),
  • Aircraft Rescue and Firefighting Apparatus Driver/Operator (FIRE-213),
  • Aircraft Rescue Firefighter (FIRE-230),
  • Hazardous Materials/WMD Operations (HM-106),
  • Hazardous Materials/WMD Operations: Victim Rescue and Recovery (HM-107),
  • Hazardous Materials/WMD Operations: Response to Illicit Laboratory Incidents (HM-108),
  • Hazardous Materials/WMD Technician (HM-202),
  • Hazardous Materials Response to LPG Fires (HMS-204),
  • Confined Space Entry and Rescue (OSHA) (IND-215),
  • Interior Structural Industrial Fire Brigade Member (OSHA) (IND-222),
  • Conducting Live Fire Training Exercises (MGMT-226),
  • Firefighter Skills Update: Helping Your Students Succeed (MICRB #264) (PDI-248),
  • Site Operations (RES-099),
  • Technical Rescue: Rope Rescue Operations (RES-103),
  • Technical Rescue: Trench Rescue Operations (RES-105),
  • Technical Rescue: Rope Rescue Technician (RES-215),
  • Technical Rescue: Trench Rescue Technician (RES-216),
  • Technical Rescue: Confined Space Rescue Technician (RES-217),
  • Technical Rescue: Swiftwater Rescue Technician (RES-218),
  • Technical Rescue: Heavy Vehicle Rescue Technician (RES-219),
  • Technical Rescue: Surface Water Rescue Technician (RES-220),
  • Technical Rescue: Structural Collapse Rescue Technician (RES-221),

Other programs that may be determined by the Institute to be hazardous or strenuous.

Appendix A - Flow Chart

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Student Medical Clearance Policy and Procedure

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Appendix B - Part 1 Information Release Form Part 2 Departmental Verification Form

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Appendix C - Description of Student Duties and Medical Release Form

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Appendix D - Financial Assistance Request

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