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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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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.

Occupational health screening services

First responders face constant exposure to toxins, trauma, and fatigue. Our programs detect issues early, build resilience, and support long-term readiness. We deliver:  

  • Comprehensive annual physical examination 
  • Evidence-based cancer surveillance 
  • Cardiovascular risk assessment 
  • Onsite labs, ECG, spirometry 
  • Local referral coordination

All within a single, integrated annual visit. 

A firefighter in full gear stands inside a fire station between two fire trucks, facing away from the camera.

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

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.
An older man in a blue shirt and tie undergoes an eye examination using a slit lamp; a healthcare professional operates the equipment.
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.
A woman wearing headphones holds a button inside a soundproof booth, while another person observes through a window in a hearing test room.
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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Vision
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.
An older man in a blue shirt and tie undergoes an eye examination using a slit lamp; a healthcare professional operates the equipment.
Aligned to NFPA standards

  • Uncorrected visual acuity
  • Corrected visual acuity
  • Colour vision
  • Visual field
  • Depth perception
  • Night vision
  • Glare
Audiometry
A healthcare professional examines a smiling man's ear with an otoscope during a medical checkup.
A woman wearing headphones holds a button inside a soundproof booth, while another person observes through a window in a hearing test room.
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

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 health services for first responders?

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. 

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