Reviewed by the Evolve Health clinical team · 2026-10-17 · 7 min read
Clinically reviewed by the Evolve Health clinical team — October 2026
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Quick answer
Evolve Health performs the three exams Denton employers order most: the general pre-employment physical (history, vitals, vision, and a functional exam matched to the job), the federal DOT physical — $99 flat with code EVOLVE, and role-specific screens such as TB testing and titers for healthcare hires. Employer exams are priced by scope and quoted in writing before scheduling — no per-hire surprises. We schedule the same week in most cases, and the clinician's fitness summary goes to the employer with the candidate's signed consent while the candidate keeps their own copy.
The questions that reach our front desk from hiring managers follow a familiar pattern. We have three people starting Monday — how fast can you see them? Our onboarding packet lists a physical and a TB test — is that one visit? And the one every employer asks first: what do you charge per hire? This guide answers all three the way we answer them on the phone, including the honest parts — why there is no single per-hire price tag, and what your company does and does not receive when the exam is done.
The three exams employers actually order
1. The general pre-employment physical. The standard post-offer exam for most roles: a structured history, vitals, a vision check, and a hands-on exam scaled to what the job actually demands. A desk hire and a warehouse hire should not get identical exams, so the starting point is your job description — the essential duties decide which functional elements the clinician tests.
2. The DOT physical. Drivers who operate commercial vehicles need the federal medical exam set by the Federal Motor Carrier Safety Administration — fixed contents, fixed standards, fixed forms. At Evolve Health it is $99 with code EVOLVE, in person only (federal rules), and the medical examiner's certificate is issued the same day when the driver qualifies. Because DOT rules have their own deadlines and documentation, they get their own guide: driver medical cards for Denton employers.
3. Role-specific screens. Some programs require more than a physical. Healthcare hires commonly need a TB blood test (QuantiFERON) and titer testing proving immunity to MMR, varicella, and hepatitis B — both run through our lab services, as detailed in our guide to titer testing for healthcare workers and students. Physically demanding roles may call for lifting and functional-capacity elements described in your job posting; tell us what the role involves when you book, and the exam is built to match it.
What a general pre-employment physical includes
The core exam is the same backbone for every candidate, with components added when the role or your program requires them:
- Medical and occupational history review. Prior injuries, current conditions, medications, and work history relevant to the role — the context that makes the rest of the exam meaningful.
- Vitals and measurements. Blood pressure, pulse, temperature, height, weight, and BMI, recorded on your program's form or ours.
- Vision check. Visual acuity for every candidate; color-vision screening when the role requires it, such as work with color-coded wiring, signals, or labeling.
- Hearing screen. A basic hearing screen as part of the exam. If your program requires a specific formal standard, tell us when the exam is quoted so we can confirm scope before the candidate is scheduled.
- Functional physical exam. Heart and lungs, joints and range of motion, grip, and lifting mechanics observed against the essential duties in the job description.
- Urinalysis, when the role requires it. Included for programs whose forms call for it.
- Lab-based components, when required. The TB blood test, titer panels, and other blood work are drawn at the same visit whenever possible, so the candidate is not sent across town.
- The clinician's fitness summary. The written conclusion — fit for the role, fit with restrictions, or not fit — with any restrictions stated in job terms. The candidate receives a copy, and the summary is sent to the employer with the candidate's signed consent.
What it costs — and why you get a written quote, not a price tag
There is no honest single price for "a pre-employment physical," because the exam is not a single thing. A basic exam for an office hire, an exam with a lifting screen and TB test for a warehouse hire, and a healthcare packet with titers are three different scopes of work. So employer exams at Evolve Health are priced by scope — how many employees you are sending, which components your program requires, and which forms and reporting you need — and quoted in writing before anything is scheduled. You approve the number before the first candidate walks in.
Two published prices are worth separating from employer pricing, because they cause the most confusion. The DOT physical is $99 with code EVOLVE — a flat, published price for the federal exam, whoever sends the driver. And our $75 flat rate is the price of a patient sick visit — it is not an employment-exam rate and does not apply to employer physicals, which are quoted as their own service. Keeping those lanes separate is what keeps your invoice predictable.
How fast: scheduling and the paperwork flow
Evolve Health is open Monday through Friday, 7:00 AM to 5:00 PM — early enough that a candidate can be examined before a first shift. Same-day appointments are part of how this clinic runs, and for pre-employment exams we schedule the same week in most cases; when you call, we will tell you exactly which slots are open rather than promise a turnaround we cannot keep. Hiring several people at once? Send us the roster and we will block consecutive appointments for the class, so a whole cohort is examined in one run.
After the visit, the clinician completes the fitness summary, which is sent to the employer with the candidate's signed consent; the candidate always receives their own copy of the paperwork. One timing note to plan around: components that run through the lab — the TB blood test and titer panels — follow lab timelines and typically take a few days to result. We flag those in your written quote, so an offer letter's start date can be set with the lab days already counted in.
Setting up an employer account
Setup takes one phone call. Call (940) 257-2002 and tell us the roles you hire for; send over any forms, screening packets, or job descriptions your program uses; and we will confirm exactly which components we can perform, give you the written quote for the exam as scoped, and open a standing account. From then on, hiring runs on rails: your candidates get scheduled, examined, and reported back the same way every time, and a new hiring class only needs a roster — not a new negotiation.
Privacy: what the employer does and does not receive
A pre-employment exam produces two different things, and they go to two different places. The employer receives the conclusion: whether the candidate is fit for the role, fit with restrictions, or not fit — plus any work restrictions the clinician records, stated in terms of the job. The examination itself stays at the clinic: diagnoses, history details, and lab values live in the candidate's medical record, not in a file sent to HR. The fitness summary is shared under the candidate's signed consent, and the candidate always gets their own copy of everything.
One boundary worth knowing up front: a hiring exam is screening, not injury care. Evolve Health does not provide workers' compensation injury treatment, so workplace injuries should be routed through your company's workers' comp channels — the standing account described here is for pre-employment and program-required screening.
We speak English, Nepali & Hindi, which matters more in hiring than most clinics expect: a candidate who can describe their history directly to the clinician, without an intermediary, gives you a cleaner exam and a cleaner record.
Frequently asked questions
What does a pre-employment physical at Evolve Health include?
A general pre-employment physical covers a medical and occupational history review, vitals (blood pressure, pulse, height, weight, and BMI), a vision check, a basic hearing screen, and a hands-on functional exam matched to the job — heart, lungs, joints, range of motion, and lifting mechanics. When the role or your program requires them, we add components such as urinalysis, a TB blood test, or titer testing. The visit ends with the clinician's fitness-for-duty summary: the candidate receives a copy, and the summary goes to the employer with the candidate's signed consent.
How much does a pre-employment physical cost in Denton?
Employer exams are priced by scope, not by a flat rate: the number of employees, the components your program requires, and your reporting forms all change the price, so we give you a written quote before anything is scheduled. One exam does have a published flat price — the federal DOT physical is $99 with code EVOLVE. Our $75 flat rate is the price of a patient sick visit; it does not apply to employment exams, which are quoted as their own service.
How quickly can new hires be scheduled, and when does the employer get the paperwork?
We schedule pre-employment exams the same week in most cases — call (940) 257-2002 and we will tell you exactly what is open rather than promise a turnaround we cannot keep. The clinician's fitness summary is completed after the visit and sent to the employer with the candidate's consent; components that run through the lab, such as the TB blood test or titers, follow lab timelines and typically take a few days, which we flag in your quote so start dates can be planned around them.
What is the difference between a DOT physical and a regular pre-employment physical?
A DOT physical is a federal exam: its contents, standards, and forms are set by the Federal Motor Carrier Safety Administration, it is performed in person only, and it ends with a medical examiner's certificate when the driver qualifies. A regular pre-employment physical is employer-defined — your job description and program requirements decide what it includes. A driver who also needs a general employment exam may need both, and we can usually coordinate them in the same visit window.
Does the employer receive the candidate's medical details?
No. The employer receives the fitness-for-duty conclusion — fit for the role, fit with restrictions that are relevant to the job, or not fit — plus any work restrictions the clinician records. Diagnoses and the rest of the examination stay in the candidate's medical record at the clinic. The summary is shared with the employer under the candidate's signed consent, and the candidate always receives their own copy.
How does a company set up pre-employment physicals with Evolve Health?
One phone call starts it: call (940) 257-2002, tell us the roles you hire for, and send over any forms or job descriptions your program uses. We confirm which components we can perform, give you a written quote for the exam as scoped, and set up a standing account so future hires follow the same simple path — candidates get scheduled, examined, and the paperwork flows back to you the same way every time.
Sources
- Federal Motor Carrier Safety Administration — Medical certification for commercial drivers (DOT exam standards, forms, and the medical examiner's certificate)
- U.S. Equal Employment Opportunity Commission — Enforcement guidance on preemployment disability-related questions and medical examinations (post-offer, job-related exam standards)
- Centers for Disease Control and Prevention — TB testing (blood test and skin test basics, including testing for healthcare personnel)
General information only: exam requirements vary by employer, role, and program, and your organization's requirements — together with any applicable regulations — govern what a given exam must include.
Put your hiring physicals on a standing account
Call (940) 257-2002 with your roles and forms, and we will scope the exam, quote it in writing, and schedule your first candidates the same week in most cases — one clinic, one process, every hiring class.