UT University Health Services

N95 Respirator Medical Clearance and Fit Testing

n95 masks - respirators

A disposable N95 mask covers the nose and mouth and helps protect the wearer from breathing in many hazardous substances. The 'N95' designation means that, when subjected to careful testing, the respirator blocks at least 95 percent of very small (0.3 micron) test particles.

An N95 respirator is designed to create a very tight facial fit. Therefore, each wearer must complete an approval process before being fitted for one.

Step 1: Complete the N95 Respirator Medical Evaluation Questionnaire 

  • The departmental supervisor or safety officer should complete the section regarding working conditions.
  • The wearer should complete the medical information section.

Send the completed questionnaire to the University Health Services (UHS) by fax at  512-471-7173.

Step 2: Schedule your fit-testing appointment

  • In two to three business days, you will be notified by secure message to schedule a fit test, that more information is needed, or that a medical reason prevents you from being cleared for fit testing.
  • If approved, contact UHS at  512-471-4955 to schedule a fit test appointment.

Pre-Fit Test Instructions

  • Do not eat, chew gum, or drink anything but water for at least 15 minutes before your appointment. 
  • Males must be clean shaven to be fit tested

downloadN95 Medical Clearance Form (PDF)

download adobe readerDownload Adobe Acrobat Reader to view.

UT University Health Services UT University Health Services

download adobe reader