We accept for on line service electronic payments through PAYPAL to

When using PAYPAL please provide the following information in the payment comment field: Employee Last Name, First Name, phone number, assigned employee ID (SSN), employer name and e-mail address for employee and administrator.

After payment you will see screen with your receipt number.
Please, click on button “Return to Merchant” and you will be able downloaded/print your submitted form.

Thank you


After your submitted Questionnaire has been reviewed by physician, employee will receive e-mail notification "OSHA Medical Respirator Evaluation Certificate" of his/her online respirator medical evaluation and respirator use status.

Usually employees get e-mail Certificate notification within couple business hours after submission OSHA Questionnaire.

Need open this e-mail; make COPY of all lines starting since and PASTE this link on website search (address bar).

After PASTE this link - on website search(address bar), please, click "enter", visit this website and print your Evaluation Certificate.

Thank you