At Integrated Care, we understand the importance of protecting both your employees and your bottom line. Whether you're hiring for construction, warehousing, transportation, or administrative roles, it’s critical to ensure that new hires can safely and effectively perform the physical demands of their job.

Pre-employment physical exams do more than just meet hiring requirements—they answer three vital questions:

✅ Does your new hire have the strength and fitness required to do their job?

✅ Does your new employee have a pre-existing injury that might affect their performance or risk future claims?

✅ Is your employee truly ready to return to their job after recovering from an injury?

By identifying these factors early, you reduce the risk of injuries, improve productivity, and create a safer, more resilient workforce.

🔹 Types of Pre-Employment Exams Offered at Integrated Care

We offer a full range of testing solutions designed to fit the unique demands of your workplace. Below is an overview of the most common evaluations we provide:

General Pre-Employment Physicals

These exams assess overall health and are ideal for new hires or job transfers.

• Pre-Employment Physical Exam
  A comprehensive medical screen that includes vitals, medical history, and a physical exam to ensure readiness for general job functions.
• Non-DOT Physical Exam
  Tailored for positions that are not regulated by the Department of Transportation. Often used for warehouse workers, manufacturers, and healthcare roles.
• DOT Physical Exam
  A federally mandated exam for commercial drivers that includes vision, hearing, urinalysis, and a review of medical qualifications. (Performed by certified examiners at Integrated Care.)
• Return to Work / Fit for Duty Exam
  Conducted post-injury or illness to determine whether an employee is medically and physically ready to resume duties. Helps employers manage risk and comply with safety standards.
• Post-Offer Employment Test (POET)
  A functional physical assessment performed after a conditional job offer is made. These tests simulate actual job tasks like lifting, carrying, or climbing to confirm the candidate can safely meet physical demands.

Functional and Capacity-Based Assessments

These tests go beyond basic exams to measure strength, endurance, and task-specific ability.

• Physical Capacity Profile® (PCP) Test
  An advanced isokinetic test that provides a numeric score aligned to the physical demands of the job. It evaluates lifting capacity, flexibility, and muscular endurance with scientific precision.
• Functional Capacity Evaluation (FCE)
  A comprehensive, multi-hour assessment that evaluates a person’s capacity to perform work-related tasks. Frequently used in return-to-work scenarios or when defining work restrictions.
• Human Performance Evaluation (HPE)
  A focused physical ability test to evaluate strength, movement, balance, and stamina for job-specific demands. Often used during onboarding or reassignment.
• WorkSTEPS Testing
  A standardized functional testing system that includes baseline measurements and physical tasks. Trusted by national employers for reducing workplace injury rates.

Targeted Physical Function Screens

Often included as part of a broader exam or used independently based on the role.

• Lift Test
  Assesses lifting ability at various levels (e.g., floor to waist, waist to shoulder), ensuring safe handling of workplace materials.
• Agility Test
  Evaluates mobility, balance, and coordination—useful for physically active roles or confined-space environments.
• Back Screen
  Identifies prior back injuries or physical limitations through range-of-motion and flexibility tests.
• Push-Pull Test
  Measures the upper body and core strength required to move equipment or materials in industrial settings.
• Grip Strength Test
  A fast, effective way to assess hand and forearm strength for tasks requiring tool use or assembly work.
• Postural Tolerance Testing
  Assesses an individual's ability to tolerate work postures such as standing, squatting, reaching, or kneeling for extended periods.

🔸 Why Employers Choose Integrated Care

We design physical testing protocols that are legally defensible, job-specific, and medically sound. Our clinicians use objective measurements, validated tools, and real-time data to help employers:

• Reduce recordable injuries
• Lower workers’ compensation claims
• Match candidates to appropriate job demands
• Make informed return-to-work decisions
• Stay in compliance with HR best practices

📍 Locations:

• West Omaha – 14450 Meadows Blvd, Omaha, NE 68138
• South Omaha – 4832 S. 24th Street, Omaha, NE 68107

📞 Call Us Today: (402) 502-1819
🌐 Visit: www.integratedcarellc.com
📩 Email: info@integratedcarellc.com

Build a stronger team from the start—with physical exams and job-matching tests from Integrated Care.

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Drug screening is an essential component of workplace safety and employee wellness. At Integrated Care, maintaining integrity in drug testing procedures is paramount. Unfortunately, attempts to cheat or manipulate drug screens occasionally occur, but modern methods and vigilant practices allow us to identify and deter these actions effectively.

Common Methods of Cheating

Individuals trying to cheat drug screens may use a variety of methods, including:

• Dilution: Drinking excessive amounts of water or fluids to dilute the urine, thereby reducing detectable drug levels.
• Adulteration: Adding chemicals such as bleach, soap, vinegar, or commercial products to alter test results.
• Substitution: Providing synthetic or someone else's urine sample instead of their own.
• Physical Tampering: Attempting to alter or disrupt the test equipment or samples directly.

How Integrated Care Detects Cheating

1. Temperature Checks

Urine samples are checked immediately after collection for appropriate temperature, typically between 90°F and 100°F. Samples outside this range are flagged, suggesting possible substitution or adulteration.

2. Observation Protocols

In certain testing scenarios, such as DOT-regulated tests, observed collections are mandatory. Trained staff members supervise the sample collection process closely, reducing the opportunity for substitution or adulteration.

3. Specimen Validity Testing

Integrated Care employs advanced specimen validity tests (SVT) that detect the presence of adulterants, unusual pH levels, and abnormal creatinine levels, indicating dilution or tampering.

4. Laboratory Confirmation

Any suspicious or abnormal rapid screening results are confirmed through laboratory analysis using Gas Chromatography-Mass Spectrometry (GC-MS) or Liquid Chromatography-Mass Spectrometry (LC-MS), which accurately identifies drugs and adulterants.

5. Strict Chain of Custody

A meticulously documented chain of custody is maintained from sample collection through laboratory analysis, ensuring samples remain uncompromised and traceable at every step.

Consequences of Cheating

Attempting to cheat a drug test has significant consequences, including potential job loss, legal action, and loss of eligibility for employment. Employers who partner with Integrated Care can rest assured knowing that their drug testing protocols are rigorous and effective, safeguarding the integrity of the workplace.

Promoting Integrity and Awareness

Educating employees about the risks associated with drug use and the futility of attempting to cheat drug screens fosters a culture of transparency and integrity. Integrated Care emphasizes preventive education alongside robust detection methods, enhancing workplace safety and employee trust.

At Integrated Care, our comprehensive approach ensures accurate, reliable, and fair drug screening, making workplaces safer and healthier environments for everyone.

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Can You Go Directly to Physical Therapy in Nebraska? Here’s What You Need to Know

If you’re dealing with pain or recovering from an injury in Nebraska, you may be wondering: Can I go straight to a physical therapist, or do I need a referral from a physician?

The good news is Nebraska allows Direct Access to Physical Therapy, meaning you can start treatment without needing a doctor’s referral in most cases. That means faster relief, fewer delays, and a quicker return to work or daily activities.

Why Choose Integrated Care for Physical Therapy?

At Integrated Care, we provide high-quality, patient-focused physical therapy services designed to help you recover quickly and effectively. Our experienced team of licensed physical therapists creates personalized treatment plans tailored to your injury, mobility needs, and recovery goals.

Benefits of Choosing Integrated Care for Physical Therapy

✅ No Referral Needed – Skip the hassle of waiting for a doctor’s appointment. Get treatment right away!
✅ Expert Therapists – Our skilled professionals use the latest techniques to help you recover faster.
✅ Convenient Locations – Visit us at our South Omaha or West Omaha clinics for easy access to care.
✅ Affordable & Transparent Pricing – We offer fair pricing with flexible payment options.
✅ Fast Scheduling & Low Wait Times – Your recovery shouldn’t have to wait—we make it easy to get in and get better.

When Might a Referral Be Required?

Although Nebraska allows direct access to physical therapy, some insurance providers or specific medical cases may still require a physician’s referral:

• Medicare & Some Private Insurances – Always check your plan to see if a referral is required for coverage.
• Workers’ Compensation Injuries – If your injury happened on the job, your employer’s insurance may require a doctor’s authorization.
• Post-Surgical Rehabilitation – After surgery, your surgeon may have a specific recovery plan that requires a referral.
• Complex Conditions – If your therapist identifies a more serious medical issue, they will refer you to a physician for further evaluation.

How to Get Started with Physical Therapy at Integrated Care

1️⃣ Call Us or Walk In – No referral? No problem! Book an appointment today at 402-502-1819 or visit us at:
📍 South Omaha: 4832 S. 24th Street, Omaha, NE 68107
📍 West Omaha: 14450 Meadows Blvd, Omaha, NE 68138

2️⃣ Check Your Insurance – Not sure if you need a referral? We can help verify your benefits.

3️⃣ Start Feeling Better – Our physical therapy team will create a custom treatment plan to help you recover quickly.

Take the First Step Toward Recovery Today!

If you’re struggling with pain, mobility issues, or a recent injury, don’t wait! Integrated Care is your go-to physical therapy provider in Omaha, helping you get back to work, sports, and daily activities—faster and stronger.

📞 Call 402-502-1819 or visit www.integratedcarellc.com to schedule your physical therapy appointment today! 🚀

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