Before you Initiate a Post Offer Medical Exam: A medical exam is defined as a procedure or test that seeks information about physical or mental impairments or health. After giving a job offer an employer may require a medical exam. A job offer may be conditional based on the satisfactory outcome of a medical exam. If the finding from a medical exam merit concerns regarding a persons ability to perform the essential functions of a position - initiate the reasonable accommodation process. Do not withdraw a job offer based only on a recommendation from a physician or nurse NOT TO HIRE A PERSON! Keep medical information confidential and in a file separate from personnel records. An employer must keep any medical information on employees confidential, with the following exceptions: Supervisors and managers may be told about necessary restrictions on the work or duties of the employee and about necessary accommodations; First aid and safety personnel may be told if the disability might require emergency treatment; Government officials investigating compliance with the ADA must be given relevant information on request Employers may give information to state workers' compensation offices, state second injury funds or workers' compensation insurance carriers in accordance with state workers' compensation laws. Employers may use the information for insurance purposes. This document is available in alternative formats upon request. May 27, 1999 Version 1.0 Page 1