Healthcare solutions for first responders

Trusted Health and Wellness Support for Fire, Police and EMS

Calian empowers firefighters, police and paramedics with health and psychological services that build resilience, ensure readiness and protect long-term well-being—from recruitment to retirement.

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Firefighters, police, and paramedics respond to a car accident scene on a city street; a person is being loaded onto a stretcher while others work near a damaged vehicle.

Healthcare Programs for First Responders

At Calian, we understand that service takes its toll—physically, mentally and emotionally. That’s why we’ve built programs designed for the realities of first responder work: long shifts, unpredictable calls and exposure to high-risk environments.

With over 20 years supporting public safety organizations across Canada, we deliver flexible, confidential, culturally-informed and standards-aligned healthcare that helps first responders stay fit for duty—and for life.

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Comprehensive Health Assessments

First responders work in high-risk environments where exposure to toxins, carcinogens, trauma and fatigue is part of the job. Our programs help detect health issues early, build resilience and support long-term readiness.

A doctor performs an abdominal ultrasound on a male patient lying on an exam table while monitoring the results on a screen.
A medical professional performs an ultrasound scan on a patient’s knee, using a handheld device and monitoring the images on a computer.
  • Carotid arteries
  • Aortic aneurysm
  • Thyroid
  • Liver, spleen, kidneys, bladder
  • Gallbladder
  • Pelvic (women)
  • Testicular (men)
A medical professional performs an abdominal ultrasound scan on a male patient while viewing results on a monitor in a clinical setting.
A medical professional operates an ultrasound machine next to a patient lying in a hospital bed.
  • Heart health check
  • Rhythm
  • Rate
  • Structure
  • Electrical conduction
  • Damage
A healthcare worker prepares to draw blood from a seated woman wearing a mask, using a tourniquet on her arm in a medical setting.
A scientist in gloves and a mask prepares a slide for examination under a microscope, with test tubes containing liquid samples on the lab table.
  • Screens for early signs of cancer, cardiovascular disease, Alzheimer’s CBC
  • Lipids
  • Urinalysis
  • Thyroid and diabetes
  • Alzheimer’s risk gene test 
  • PSA/CA-125 tests
Ultrasound
A doctor performs an abdominal ultrasound on a male patient lying on an exam table while monitoring the results on a screen.
A medical professional performs an ultrasound scan on a patient’s knee, using a handheld device and monitoring the images on a computer.
  • Carotid arteries
  • Aortic aneurysm
  • Thyroid
  • Liver, spleen, kidneys, bladder
  • Gallbladder
  • Pelvic (women)
  • Testicular (men)
Echocardiogram
A medical professional performs an abdominal ultrasound scan on a male patient while viewing results on a monitor in a clinical setting.
A medical professional operates an ultrasound machine next to a patient lying in a hospital bed.
  • Heart health check
  • Rhythm
  • Rate
  • Structure
  • Electrical conduction
  • Damage
Biometric Blood Panel
A healthcare worker prepares to draw blood from a seated woman wearing a mask, using a tourniquet on her arm in a medical setting.
A scientist in gloves and a mask prepares a slide for examination under a microscope, with test tubes containing liquid samples on the lab table.
  • Screens for early signs of cancer, cardiovascular disease, Alzheimer’s CBC
  • Lipids
  • Urinalysis
  • Thyroid and diabetes
  • Alzheimer’s risk gene test 
  • PSA/CA-125 tests

Screening

We provide vision and hearing screenings for police, fire and EMS personnel. Conducted pre-employment and periodically during employment to support readiness, safety and long-term health.

A doctor conducts an eye movement exam, holding a patient’s shoulder and raising a finger in front of her face to track with her eyes.

Vision

Aligned to NFPA Standards

  • Uncorrected visual acuity
  • Corrected visual acuity
  • Colour vision
  • Visual field
  • Depth perception
  • Night vision
  • Glare
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A healthcare professional examines a smiling man's ear with an otoscope during a medical checkup.

Audiometry

Aligned to NFPA Standards

  • Pure tone air conduction
  • Bone conduction
  • Speech reception threshold (SRT)
  • Speech discrimination score
  • Tympanometry 
  • Occupational noise exposure baseline
  • Annual hearing conservation monitoring
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Firefighters face unique occupational risks

Firefighters face a distinct set of occupational risks. They are exposed to extreme heat, toxic smoke and carcinogenic substances released during fires. Repeated exposure to traumatic events also elevates the risk of psychological injuries. Early detection is critical to identifying disease before symptoms develop   
Speak to us about early detection
A firefighter in full gear stands inside a fire station between two fire trucks, facing away from the camera.
A paramedic in a red uniform with a stethoscope stands in front of an ambulance, with two colleagues and medical equipment visible in the background.

Mandatory Annual Health Exams

Recommended annual health assesments for firefighters and paramedics

 Designed to meet NFPA 1582 standards and adapted for police and paramedic needs. 

  • Comprehensive health history
  • Complete physical exam
  • Urinalysis
  • Blood analysis (metabolic and lipid profile)
  • EKG and cardiac risk assessment
  • Pulmonary function test (spirometry)
  • Infectious disease screening (tuberculosis, hepatitis)
  • Chest x-ray
  • Sleep apnea screening
  • Vaccination review and updates

Mental Health Services

Helping you build stronger, more resilient teams from day one. From pre-employment suitability assessments to mental health and resilience training, Calian supports the well-being of police, fire and EMS professionals in the most demanding roles.

Pre-Employment Assessments

Evidence-based pre-employment suitability assessments ensuring the best candidates are selected.

Mental Health and Wellness

Tailored mental health and resilience programs that support the unique demands of police, fire and EMS.

Peer Support Training

Helping your members stand together and support each other in the face of mental health challenges.

Return to Work

Fitness for duty assessments ensuring clearance for a safe return to full duty after medical approval.

Two police officers playing basketball in front of a police car.

We are leaders in providing pre-employment psychological services.

Law enforcement, public safety, government agencies and private sector organizations.

Interested in Our First Responder Services?

FAQs

  • Our comprehensive health assessments include advanced screening such as ultrasound imaging, echocardiograms, biometric blood panels, cancer screening (including PSA/CA-125), cardiac risk assessment, pulmonary function testing, and more. These evaluations are designed to detect early signs of cardiovascular disease, cancer, and other occupational health risks common in first responders. 
  • Yes. Our annual firefighter medical exams are conducted in alignment with NFPA 1582 guidelines to ensure compliance, readiness, and long-term career health. 
  • First responders face increased exposure to carcinogens, toxins, smoke, and high-stress environments. Annual health exams support early detection, monitor occupational risks, and help ensure members are physically, mentally, and emotionally fit for duty. 
  • Yes. We offer comprehensive pre-employment medical screenings and evidence-based psychological suitability assessments to help departments select candidates who are fit for the demands of public safety roles. 
  • We provide pre-employment psychological assessments, fitness-for-duty evaluations, return-to-work assessments, peer support training, and tailored resilience and wellness programs designed specifically for police, fire, and EMS professionals. 
  • Yes. Our programs include proactive cancer screening through blood panels, diagnostic imaging, and risk-based testing to support early detection—critical for individuals with occupational exposure risks. 
  • Absolutely. We conduct audiometry and vision screening services both pre-employment and annually. Testing supports hearing conservation programs and ensures operational readiness. 
  • Yes. With over 20 years of experience and national coverage, we offer flexible delivery models to support departments across Canada.