MFPRSI. Municipal Fire & Police Retirement System of Iowa

Employee Medical Protocol Forms


The Code of Iowa provides for the creation and administration of a disability program for fire fighters and police officers covered by Iowa Code Chapter 411. The statute authorizes the retirement System’s Board of Trustees to select a medical board [411.5(8)] and to implement various program requirements, as follows:

  1. Creation of a statewide network for conduct of the entrance medical examinations for fire fighters and police officers, in consultation with the Medical Board. [411.5(8)] Effective January 1, 2005.
  2. Establishment of a wellness guideline for dissemination to the employing cities, for consideration as a voluntary program, which is subject to collective bargaining. [Iowa Code 400.8A]
  3. Formulation of revised protocols for pre-employment medical examinations for police officers and fire fighters. [400.8] Effective January 1, 2005.


The program documents, which describe its various components, are available within this web-site, as outlined below.

Printable Forms

You will need the free Adobe Acrobat Reader® to view the forms below. Adobe, the Adobe logo, and Acrobat are trademarks of Adobe Systems Incorporated.