Respirator Medical Evaluation Questionnaire

N-95 Respirator Fit Testing

Many clinical rotations will require that you are fitted for an N-95 Respirator to protect you against tuberculosis, SARS-CoV-2, and other airborne infections when caring for patients who have, or are presumed to have, these infections. In order to be fit tested for an N-95 respirator, you will need to fill out the SHAC “Respirator Medical Evaluation Questionnaire.” This is a screening tool required by OSHA to make sure that you do not have a condition that prevents you from wearing a respirator or from participating in the fit testing process. Therefore, it is important that you answer the questions fully and honestly.

For complete information, please click on the links below:

• Instructions - Obtaining N-95 Respirator Letter
• Respirator Medical Evaluation Questionnaire

NOTE: Please review the UNM Environmental Health & Safety Department’s website for the most current scheduling instructions:  https://ehs.unm.edu/occupational-safety/ehs-respiratory-protection-program.html 

You are required to bring a physical copy of your N95 respirator clearance letter with you at the time of your fit test appointment.