5951
c.2
United States
Environmental Protection
Agency
September 198J9
               Office of the Inspector General
               EPA Wellness
               Services
                              350R89003
                                 Printed on Recycled Paper

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CONTENTS
HEADQUARTERS, Washington, DC
                                           1
REGION
REGION
REGION
REGION
REGION
REGION
REGION
REGION
REGION
1, Boston Massachusetts	  5
2, New York, New York.. .  .
3, Philadelphia, Pennsylvania
4, Atlanta, Georgia	
5, Chicago, Illinois	
6, Dallas, Texas	
7, Kansas City, Kansas..
8, Denver, Colorado .  .
9, San Francisco, California. .
REGION 10, Seattle, Washington
13
15
19
22
27
30
33
39
43
 This publication was prepared by the Office of the Inspector
 General Human Resources Council

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HEADQUARTERS
Vashington, DC
   Health Services
  Room M3228, Waterside Mall
  Telephone (202) 382-4347; FTS 382-4347
  Fifth floor, Fairchild Building
  Telephone (202) 382-2473; FTS 382-2473

     Physicals

     Tests Given: Complete blood studies, urinalysis, audiometry,
      EKG, tonometry (glaucoma), pulmonary function, visual
      acuity, Pap smear, proctology exam (age 50 +), physical
      examination by Health Unit physician.

     Availability: Physicals are available to employees at grades
      GS- or GM-14 and above at any age and to employees
      grades GS-11 through GS-13 at age 40 and above. Physicals
      may be scheduled once every 2 years up to age 40;
      thereafter, physicals may be scheduled annually.

     Appointments: Call the Health Unit. Expect a 2-4 week delay.
      Because of the demand for this service, it is important to
      schedule an appointment you will be able to keep. When
      you make your appointment, Health Unit personnel will
      give you instructions for preparing for the exam.

     Fees: None

     Screenings

     Tests Given: Hearing, visual acuity, EKG, tonometry,
      pulmonary function, Pap smear, blood pressure (testing and
      monitoring), blood sugar, blood cholesterol, hemoccult
      slides.

     Availability: Health screenings are available to  all employees.
      Blood pressure testing and monitoring are available
      continually; other screenings are announced by flyers
      distributed to all employees.

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Appointments: Call the Health Unit.

Fees: None

Health Education Programs

Subjects: Lectures on a wide variety of topics, including
  AIDS, physical fitness, weight, office ergonomics.

Availability: Seminars are held between noon and 1 p.m. on
  the third Thursday of every month. Flyers on upcoming
  health education programs are distributed to each
  employee.


Allergy Shots

Employees must bring in their serum. Health Unit personnel
will administer the shots.

Sick Call

Employees who become ill or are injured during work may
report to the Health Unit for help.

Pregnancy/Maternity

Pregnant women may lie down in the Health Unit for 1 hour
per day with a note from their physician. Assistance is also
offered to nursing mothers.

Immunizations for Foreign Travel

Contact the Health Unit as soon  as you know  you're going
overseas on official business. Some shots have to be given 60
days ahead; all have to be given  at least  30 days ahead.

Tetanus Shots

Available on request.

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Counseling	

Room M2117, Waterside Mall
Telephone (202) 382-4420; FTS 382-4420

  Description of Service

  Short-term, in-house counseling, as well as referrals, are
  available concerning any personal or work-related problem.
  Counseling is  conducted by EPA employees who are certified
  counselors.
    Confidentiality is the cornerstone of the counseling
  program. Counselors are bound by professional and legal
  standards of confidentiality. No information about an
  employee's use of the program may be released without prior
  written consent from the employee involved. Client records
  are protected by Federal laws and regulations of the Privacy
  Act which safeguard the rights of employees to privacy. These
  records do not become part of an employee's official
  personnel file.

  Availability: All employees are eligible.

  Appointments: Can be made in person or by phone.

  Fees: None


  Drug and Alcohol Education Seminars

  Lectures are held monthly on such  topics as how to recognize
  alcoholism and how to help an addict. Topics and schedules
  are announced in flyers distributed to all employees.

  Noontime Seminars

  Lectures are held monthly on a wide range of mental health
  topics, including relationship addictions and food addictions.
  Topics and schedules are announced in flyers distributed to
  all employees.

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Fitness

Room M2912, Waterside Mall
Telephone (202) 755-2618; FTS 755-2618

   Description of Service

   The Stress Lab is a coed physical fitness center. An instructor
   is on duty during operating hours, and records of activities
   are maintained.

   Equipment: Universal set, free weights, stationary bicycles,
    inclined benches, treadmills, rowing machine, showers, and
    sauna

   Hours: 6:30 a.m. to 6:30 p.m., Monday through Friday

   Availability: All EPA Headquarters employees

   Restrictions: Persons who wish to use the Stress Lab must
    submit a form completed by their physician stating that they
    have received a  physical within the past 2 years and
    approving their  participation in a  fitness program. Forms
    are available at the Stress Lab and Health Unit.

   Fees: None
   Aerobics Classes

   Held every day at 11:00 and 1:00.

   Slimnastics Classes

   Held every day at 5:00.

   Cyclists and Joggers

   May use the Stress Lab for showers (but must first pass
   physical exam as explained above).

   Physical Fitness Counseling

   Available from the Stress Lab instructor on request.

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EGION 1
oston, Massachusetts
   Health Services
  J.F.K. Federal Building
  Room E120, Government Center Plaza
  Telephone (617) 565-1041; FTS 835-1041

  Thomas P. O'Neill Building,
  Room 197, 10 Causeway Street
  Telephone (617) 565-5090; FTS 835-1041

  J.W. McCormack Building,  Post Office & Courthouse,
  Room 404, Post Office Square
  Telephone (617) 223-9073; FTS 223-9073
     Physicals

     • Employee health maintenance examinations (EHME)
     • Occupation surveillance health examinations (OSHE)
     • Employee preplacement examinations

     EHME

     Tests Given: Very comprehensive blood and urinalysis work,
       EKG, hemoccult slides, vision, hearing, glaucoma, ear,
       nose, throat, abdomen, monoVac (tubercular test), breast
       and Pap exams for women, rectal proctology and testicular
       exams for men. Hands-on physical 2 weeks after the above
       listed workup, at which time the physician reviews the tests
       and all pertinent information, and consults and advises the
       patient as appropriate.

     Fees: None


     OSHE

     Tests Given: Same as above, with the exception of additional
       blood work, spirometry, and possible chest x-rays.

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Availability: A physician is available twice a week at the
  O'Neill and four days a week at the JFK Building. Physicals
  are available to all employees. In September, a signup sheet
  is circulated to employees; depending on how many slots
  are available,  appointments are set up with the  individual
  employee.

Appointments:  Call the Health Unit. Physical exams are set
  up in advance by appointment; other needs are met as soon
  as possible.

Fees: None
Screenings

Tests Given: Cancer, hypertension, diabetes, glaucoma,
  cholesterol, vision, hearing, Pap smear, flu shots (free for
  employees over 40 years of age), blood pressure testing
  (1-3:30 p.m. daily), weight scale available at all times.

Availability: Health screenings are available to all employees.
  Blood pressure testing and monitoring are available
  continually. Other screenings are announced by flyers
  distributed to employees.

Appointments:  Call the Health Unit.

Fees: None
Health Education Programs

Subjects: Lectures on a wide variety of topics; education,
  training, programs directed toward behavioral modification,
  health promotion and disease prevention. Topics include
  AIDS, physical fitness, weight, and CPR training. Specific
  areas of concern may be addressed upon request. Ready to
  implement a new approach to stress management in the
  workplace.

Availability: Seminars and training classes are announced by
  flyers distributed to all employees.

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Allergy Immunizations

Employees must bring in their serum. Health Unit personnel
will administer the shots.

Immunizations

Contact the Health Unit as soon as you know you're going
overseas. Some shots have to be given 60 days ahead; all have
to be given 30 days ahead.

Compliance with Private Physician Standing Orders

Health Unit personnel can often administer private
physician's orders.

Prenatal Monitoring

If private physician requires, Health Unit personnel can
monitor monitor blood sugar and blood pressure on a regular
basis.

Postoperative Surveillance and Monitoring

Health Unit personnel can carry out monitoring prescribed by
the employee's private physician.

Sick Call

Employees who become ill or are injured during work may
report to the Health Unit for help.

Bed Rest Area

Three beds are available for resting. There is a limit of 1 hour
for any rest period. Employees may utilize these rest areas for
the following reasons:
• An employee who is not feeling well can rest up to 1 hour
so that the Health Unit staff can determine if the employee is

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capable of going back to work, should go home, or needs
medical attention.

• An employee who has been out of work with a serious
illness and may only return to limited work (according to the
private physician) can rest for 1/2 to 1 hour per day; and
• Pregnant women whose private physicians so require can
get off their feet for up to 1 hour per day.

Environmental Control
(for Agency and managerial purposes)

Worksite environment surveillance: Ambient air quality,
  closed building syndrome, evaluation of environmental
  stressors, and asbestos monitoring.

Hazard assessment control: Initial consultation, qualitative
  diagnostics, and quantitative diagnostics. Surveillance
  systems for high-risk management.

Safety and health: Accident prevention,  workmen's
  compensation review, comprehensive industrial hygiene
  audits,  hazardous materials communication protocols,
  NIOSH/OSHA reporting and compliance, loss time analysis,
  and industrial hygiene protocols.

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Counseling	

J.F.K. Federal building
Room E120, Government Center Plaza
Telephone (617) 565-1041; FTS 835-1041
Thomas P. O'Neill Building,
Room 197, 10 Causeway Street
Telephone (617) 565-5090; FTS 835-1041
J.W. McCormack Building, Post Office & Courthouse
Room 404, Post Office Square
Telephone (617) 223-9073; FTS 223-9073

   Description of Service

   Provides professional counseling services consisting of
   diagnostic and referral counseling and community resources
   development. Capable of handling all immediate needs. Can
   handle short-term, in-house counseling but leans toward
   referrals to local community facilities.
     The primary function is to provide advice to Federal
   managers on occupational health and to provide general
   advice and consultation to managers and employees.

   Consultative assistance provided to managers consists of:
   • Planning evaluation/operation of comprehensive  occupational
   health program

   • Safe worksite  planning
   • Surveillance of worksite hazards

   • Response to hazards and surveillance information
   • Promotion/prevention-oriented clinical assessment and
   intervention services

   • Education/training/programs directed toward behavioral
   modification/ health promotion/disease prevention
   • Occupational health administrative, analytic, and liaison
   services

   • Respond to urgent need for care/crisis intervention
   • Rehabilitative  or followup care fitness for duty

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       Confidentiality is the cornerstone of the counseling program.
       Counselors are bound by professional and legal standards of
       confidentiality. No information about an employee's use of
       the program may be released without prior written consent
       from the employee involved. Client records are protected by
       Federal laws and regulations of the Privacy Act which
       safeguard the rights of employees to privacy.

       Availability: All employees are eligible.

       Appointments: Can be made in person or by phone. Lectures
        and seminars are announced by flyers to all employees.
        Topics consist of a wide variety of subjects, and specific topics
        can be addressed upon request.

       Fees: None

       The Health Unit does not have an Employee Assistance
       Program in Region 1; it is run independently by Judy Hubert
       at the Thomas P. O'Neill Building. Ms. Hubert can be reached
       at (617) 565-6533 or 6534.
    Fitness
       The J.F.K. Fitness Center opened the first week of January
       1989 in the garage level of the J.F.K. Federal Building. The
       Fitness Center is for employees of the J.F.K. Building only.
       The EPA contact person for the Fitness Center is Susan Zoino;
       she can be reached at FTS 835-3390. The Fitness Center phone
       number is 617-565-1493. EPA employees should contact Susan
       Zoino for necessary medical and application forms which are
       required by the  Fitness Center in order to attain membership.
         The Fitness Center costs  EPA $60 per employee, whether
       the employee joins it or not. The more  employees that take
       advantage of the Fitness Center, the more cost efficient it will
       be for EPA. The individual employee is required to pay a $30
       annual fee upon being accepted for membership.
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  The Fitness Center is open from 7a.m. to7p.m., Monday
through Friday. The Center is closed on holidays and
weekends.
  There is an exercise specialist available at all times to
monitor exercise activity and to answer members'
questions.The Fitness Center requires a medical clearance by
the employee's own physician. Following a medical clearance,
the employee will go for an assessment by the Fitness Center.
This assessment includes testing:

• Cardiovascular strength;

• Blood pressure and heart rate;
• Skin composition for body fat;

• Muscular endurance;
• Muscular strength; and

• Flexibility.
The exercise specialists will set up a workout program for
each employee, and the employee keeps a workout record for
weights and aerobic activity.

The Fitness Center has Heart Racer (Wind Racer) bikes,
Bodyguard treadmills, and weight training with Nautilus and
Universal machines.

There is a men's locker room with showers and women's
locker room with showers. These are used by both members
of the Fitness Center and by nonmembers who wish to
exercise outside.

Future plans of the Fitness Center include competitions
between agencies, group weight loss,  running clubs, and
brown-bag lunch seminars on back problems, stress, etc. The
Fitness Center also promotes overall wellness, corporate
fitness, reducing hypertension  and cholesterol, and quitting
smoking.

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       Other Services

       Weight control groups are available, but are provided by
       private organizations which change hands periodically.
       Information on clubs or groups of this nature is posted on
       bulletin boards and lavatory facilities throughout the
       buildings.
       Walking groups, led by EPA employees, meet at preset
       locations during lunch hours. These details are also posted on
       bulletin boards.
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REGION 2
New York, New York
   Health Services
   26 Federal Plaza, Room 103
   Telephone (212) 264-2553 or -9177; FTS 264-2553 or -9177

      Physicals

      Tests Given: Complete blood studies, urinalysis, audiometry,
        EKG, glaucoma, pulmonary function, visual acuity, Pap
        smear, proctology exam, physical examination.

      Availability: All Federal employees of a participating agency.

      Appointments: Call the Health Unit.

      Fees: None

      Screenings

      Tests Given: Hearing, visual acuity, EKG, glaucoma,
        pulmonary function, Pap smear, blood pressure (testing and
        monitoring), blood sugar, blood cholesterol.

      Availability: Health screenings are available to all employees.

      Appointments: Call the Health Unit.

      Fees: None

      Health Education Programs

      Subjects: Lectures on a wide variety of topics:  assertiveness
        training, women in transition, smoking cessation, AIDS,
        making anger work for you,  working parents, weight
        management, job  advancement, time management,
        alcoholism, cocaine and crack, psychological  effects of
        retirement, a survival guide for family members of alcohol
        and drug abusers.

      Availability: Workshops last for one hour and are held at 26
        Federal Plaza.
                                                                    13

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      Other Programs

      The U.S. Public Health Service, the U.S. Department of
      Labor, and the Adelphi University School of Social Work
      present various conferences, such as Drugs in the Workplace,
      addressing the following issues: drugs: the problem, the cost
      to business, the solution, legal issues,  drug testing and illegal
      drug use, how to identify and rehabilitate the drug-abusing
      employee.
   Counseling

   Federal Employee Counseling Service
   26 Federal Plaza, Room 23-100
   Telephone (212) 264-HOPE; FTS 264-HOPE


      Description of Service

      On-site employee assistance program provided by the Adelphi
      University School of Social Work. Sponsored by the Division
      of Federal Employee Occupational Health.

      Availability: The program provides initial assessment, crisis
       intervention, and short-term counseling. If appropriate,
       referrals will be made.

      Appointments: On an as-needed basis.

      Fees: None
   Fitness

      No programs are available.
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REGION 3
Philadelphia, Pennsylvania
   Health Services
   Basement, 841 Chestnut Street
   Telephone (215) 597-8668; FTS 597-8668

       Physicals

       Tests Given: Complete blood studies, urinalysis, audiometry,
         EKG (age 35 +), tonometry (glaucoma), pulmonary function
         (if required by the Agency), visual acuity, Pap smear,
         proctology exam (age 50 +), physical exam by Health Unit
         physician.

       Availability: All Federal employees at any grade level who
         work at the 841 Chestnut building. The Health Unit does
         have one restriction: Only 15 percent  of the Agency's
         population is allowed each year so that everyone has an
         equal chance.  Employees receive an examination every 3
         years.

       Appointments: Flyers are sent to a contact person within the
         personnel section. The employee has  to complete a Health
         Risk Appraisal Form to be placed on a waiting list for an
         appointment.

       Fees: None
       Screenings

       Tests Given: Skin cancer, blood sugar, cholesterol, breast
         cancer.

       Availability: Available to all Federal employees in the 841
         Chestnut Building. Appointments: Information about the
         screenings is sent to the employees via the personnel
         section. The employees go to the Health Unit to make an
         appointment for the screening.
                                                                    15

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       Health Education Programs

       Subjects: Lectures and literature are provided on a
        wide range of topics including headaches, diabetes, skin
        cancer, and high blood pressure. EPA has also sponsored
        health programs such as smoking cessation.

       Availability: The lectures, films, literature, and Health
        Fair are provided by the Health Unit and available to all
        Federal employees. EPA-sponsored health programs are
        available to all EPA employees.

       Allergy Shots

       Employees must bring their serum. Health Unit personnel will
       administer the shots.

       Sick Call

       Employees who become ill  or are injured during work may
       report to the Health  Unit for help.

       Pregna ncy/Matern ity

       Pregnant women may lie down in the Health Unit for a half
       hour per day with a  note from their physician. Assistance is
       also offered to nursing mothers.

       Immunization for Foreign  Travel

       Contact the Health Unit as  soon as you know you are going
       overseas. The shots have to be administered at different times
       prior to departure to avoid  overlapping of medication.

       Tetanus Shots

       Available upon request.
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Counseling

Oakland, California
Telephone 1-800-227-1060

    Description of Service

    Occupational Health Services, Inc., a professional counseling
    organization, is contracted by the Mid-Atlantic Federal
    Employee Counseling Services Consortium, which includes
    EPA, to monitor a toll-free hotline for Federal employees with
    any problems they may have at work or home such as
    marital, drug or alcohol abuse, and stress-related problems. If
    additional counseling is needed in person, OHS will refer the
    person to a counselor within the Philadelphia area. This is
    covered by the employee's health benefits. Also, the staff
    members of the Health Unit are competent to handle
    psychiatric emergencies which occur during working hours.
    Arrangements will be made  for private psychiatric
    consultations.

    Availability: The counseling services are available to all
     employees at the 841 Chestnut building.

    Appointments: Appointments for further counseling services
     are arranged by the employee based upon OHS' referral.
Fitness

Basement, 841 Chestnut Street
Telephone 215-597-6642; FTS 597-6642

   Description of Service

   Med-Fit of America has been contracted to operate the
   Wellness Center. Med-Fit will be responsible for
   implementing the physical fitness program to the physical
   specifications of each individual. The program is a unique
   combination of health intervention and education programs,
   topics of interest, and a personalized health and fitness
   assessment before beginning the program.
                                                                  17

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        Equipment: Motorized treadmills, stationary bicycles,
         computerized rowers, stairclimbers, approximately 12
         individual Nautilus-type exercise stations, hand-held
         dumbbell weights.

        Hours: 6:00-9:00 a.m.; 11:00-2:00 p.m.; 4:00-7:00 p.m.

        Availability: The Wellness Center is available to all Federal
         employees located in the 841 Chestnut Building.

        Restrictions

        Before an employee can join the Wellness Center, he or she
        has to complete a Wellness Center Enrollment and Interest
        Survey Form. When the form has been completed, the   .
        employee has to submit it with a check for the first quarterly
        usage fee of $20. The fees are to be paid on a quarterly basis
        and are due on the 20th of the month preceding each calendar
        quarter (3/20, 6/20, 9/20, 12/20). Agency employees enrolling
        after the beginning of any calendar quarter will pay a prorated
        fee of $1.50 per week for the balance of the quarter. Following
        receipt of the enrollment  form and check, the employee is
        sent a medical screening form along with instructions on how
        to complete the health screening process. Once the completed
        health screen and medical certification forms have been
        received, the employee will be scheduled for a fitness
        assessment with one of the Wellness Center professional staff.
        The results of these tests, along with information the staff
        obtains concerning the individual's exercise preferences,  will
        be used to develop a personal exercise program specifically
        tailored to his or her needs and desires. The Wellness Center
        staff may have to place a restriction on the number of persons
        who can join based on the amount of interest generated.

        Exercise Classes

        Aerobics, yoga, slimnastics, jazzercise, stretch.

        Physical Fitness Counseling

        The Wellness Center will provide a wide variety of individual
        health and fitness services and programs, including testing,
        orientations, nutrition and weight control counseling, and
        recommendations for healthful recreational activities.
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REGION 4
Atlanta, Georgia
    Health Services
   Health Unit—Ground Floor
   345 Courtland Street, N.E.
   Telephone (404) 347-7072; FTS 257-7072

       Physicals

       Tests Given: EKG, chest X-ray, blood (full-scale series),
        pulmonary function, liver function, renal function,
        urinalysis, audiometry, eye, heart status.

       Availability: Physical examinations are available to
        approximately 80 percent of all employees in Region 4,
        especially employees who are in Field Safety Categories 1-4
        and those over 40 years of age in all categories.

       Appointments: All employees who are  active in Field Safety
        Categories 1-4 are required  to establish an appointment for
        medical monitoring (physical examinations). AH employees
        who are 40 years and older may set an appointment for a
        complete physical examination. Call the Health Unit.

       Fees: None

       Screenings

       Tests Given: Glaucoma and visual acuity, blood pressure,
        cholesterol, sickle cell anemia, flu shots,  diabetes.

       Availability: These screenings are available to all EPA
        employees and all contractor personnel.

       Appointments: Appointments are not required; service is on a
        first-come, first-served basis.

       Fees: None

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        Health Education Programs

        Subjects: AIDS, stress management, defensive driving, etc.

        Availability: Programs are offered periodically either as 1 or
          more hour presentations, l/2 day sessions, or 1- or 2-day
          workshops. Programs are announced through the Region 4
          Training Institute.

        Sick Call
        Allergy Shots
        First Aid Services

        Services are generally available as needed or on a first-come,
        first-served basis.
     Counseling

     Health Unit—Ground Floor
     345 Courtland Street, N.E.
     Telephone (404) 347-7072; FTS 257-7072

        Description of Service

        An Employee Assistance Program is available to provide
        counseling to EPA Region 4 employees. Counseling is
        available for a wide range of employee problems including
        drug and alcohol abuse and any emotional/behavioral
        problems which may adversely impact on job performance or
        behavior. Confidentiality is maintained in accordance with
        applicable regulations. Referrals may be either
        employee-initiated or supervisor-initiated. Emergency
        counseling is available on a 24-hour basis. Referral to private
        or community treatment resources will be made where
        appropriate. Services are provided by an external consultant,
        currently EMPACT, a division of Steve Watson and
        Associates.
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     Availability: All EPA Region 4 employees can participate.

     Appointments: Counselors are available for a minimum of 12
       hours per week. Appointments can be arranged through
       contacting the Health Unit at (404) 347-7072 or FTS 257-7072.
       On-site counseling is also provided at the EPA
       Environmental Services Division, College Station Road,
       Athens, Georgia, for a minimum of 4 hours per month.

     Fees: None

     Education Services

     Training sessions are offered periodically to employees on
     stress management or other similar topics.

     Orientation

     Orientation  to the Employee Assistance Program is provided
     during new employee orientation training and to other groups
     of employees, supervisors, and managers when needed.
Fitness
2nd Floor Tower Building
345 Courtland Street, NE
Telephone (404) 347-3486; FTS 257-3486

     Description of Services

     Organized aerobic classes, jogging, stationary exercise

     Equipment: Nautilus, bench press, bar bells, showers, lockers

     Hours: Through building access

     Availability: All employees may participate as space permits.

     Restrictions: No activities after normal working hours (6:30 p.m.)

     Fees: None
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REGION 5
Chicago, Illinois

    Health Services
    Room 365, 230 South Dearborn Street
    Telephone (312) 353-2535; FTS 353-2535
    First Floor, 536 South Clark Street
    Telephone (312) 353-0307; FTS 353-0307

       Physicals

       Tests Given: Complete blood studies, urinalysis, EKG,
         tonometry (glaucoma), pulmonary function (only for
         smokers), visual acuity, Pap Smear, proctology exam (age
         40 + ), physical examination by Health Unit physician.

       Availability: Physicals are available to only a limited number
         of employees. An application with a questionnaire is
         distributed to all employees once a year. Employees are
         required to send the completed form to the EPA Safety
         Officer. The  Safety Officer will exclude from selection any
         employees who (1) had a physical exam during the previous
         24 months, (2) have physical exams covered by health
         insurance, and (3) are exposed to hazardous materials or
         waste (these employees are provided continuous medical
         monitoring by the Health Unit). After excluding the
         employees who do not qualify, the Safety Officer makes a
         selection using an index developed by incorporating such
         factors as age, health history, heredity, and job-related
         conditions (stress).

       Appointments: The Safety Officer will send the applications of
         the employees selected to the Health Unit. The Health Unit
         will contact the employees and schedule an appointment.

       Fees: None

       Screenings

       Tests Given: Hearing (upon request), visual acuity,
         tonometry, Pap smear, blood pressure (testing and
         monitoring), blood sugar, blood cholesterol.
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Availability: Health screenings are available to all employees.
  Blood pressure testing and monitoring are available
  continuously. Other screenings are announced by flyers
  distributed to all employees.

Appointments: Employees must fill out the flyers and send
  them to the Health Unit. The Health Unit will contact
  employees and schedule an appointment.

Fees: None

Health Education  Programs

Subjects: Lectures including a wide variety of topics (sickle
  cell anemia,  breast cancer, AIDS, blood pressure,  office
  ergonomics, physical fitness) are offered. The Health Unit
  coordinates mental health presentations with the Employee
  Counseling Service.

Availability: Seminars are held between noon and 1:00 p.m.
  on the dates indicated on flyers  that are distributed to all
  employees.

Allergy Shots

Employees must bring in their serum. Health Unit personnel
will administer the shots. The Health Unit also needs a signed
authorization from the employee's local physician.

Flu Shots

Given to people 65 years or older  and to people with chronic
illnesses.

Sick Call

Employees who become ill or are injured during work may
report to the Health Unit for help.

Pregnancy/Maternity

Pregnant women may lie down in the Health Unit for 1 hour
per day with a note from their physician approved by their
supervisor. Assistance is also offered to nursing mothers.
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         Immunizations for Foreign Travel

         To obtain the shots on time, employees should contact the
         Health Unit as soon as they know they are going to a foreign
         country.

         Tetanus Shots

         Available on request to employees who have suffered a
         puncture wound.

         Emergencies

         In case of emergencies, someone from the Health Unit will try
         to determine if paramedics should be called immediately.
         They will provide first aid until paramedics arrive, or if
         paramedics are not needed.
     Counseling

     Room 1419, South Dearborn Street
     Telephone 353-5467 in Illinois;
     1-800-367-7378 out of State

         Description of Services

         Short-term, in-house counseling and referrals are available to
         help employees with their personal, job, or family problems
         (marital, children, alcohol, drugs, rape,  battered spouse,
         financial, legal, persistent anxiety, depression, eating
         disorders, job dissatisfaction, emotional, and other personal
         problems). Counseling is provided by EPA contractors who
         are certified counselors. If a referral is needed, counselors will
         recommend appropriate services and will consider financial
         factors to assure that the services are affordable. Followup is
         provided to verify employees are receiving quality
         assistance.Use of the program is confidential. Information will
         not be released without prior written consent from the
         employee. Counseling records will not become part of an
         employee's official personnel file.
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    Availability: All employees are eligible.

    Appointments: Can be made in person or over the phone.

    Fees: None

    Noontime Seminars

    Lectures on mental health and job-related topics are held in
    coordination with the Health Unit.

    Orientation to New Employees

    The counseling service provides a 1-hour presentation and
    movie to new EPA employees to inform them of the services
    available.

    Quarterly Newsletters

    Informational newsletter (health and wellness topics)
    distributed to all employees.
Fitness
Room 1600, 230 South Dearborn Street
Telephone (312) 353-1527; FTS 353-1527


    Description of Service

    The Wellness Center is a health maintenance and
    enhancement service center. A health professional is on duty
    during operating hours, and records of activities are
    maintained.

    Hours: 9:00 a.m.  to 5:00 p.m.

    Availability: All EPA employees.

    Fees: None
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         Training

         Provided in cooperation with the Klucinsky Building Fitness
         Center. Diverse exercise programs are provided to suit
         different physical training needs.

         Nutrition

         Nutrition program for weight control, by appointment only.

         Stress Management

         Muscle relaxation and mental visualization techniques (twice a
         week). Qualifies as on-duty time with supervisor's approval.

         Healthy Backs

         Fundamentals of proper back care and reconditioning of
         abdominal and  back muscles (once a week).

         Other Services
         (topics and/or schedules announced by flyer)
         • CPR—Written and practical exam required for certification
         • Smoking cessation
         • Lecture series devoted to special topics in wellness
         • Weight loss contests
         Personal fitness counseling is provided on request. Skinfold
         tests, flexibility tests, endurance tests, weight, and
         measurements are available.A personal progress record is
         kept.
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REGION 6
Dallas, Texas

    Health Services
    PHS Health Unit 1200 Main Tower, Room 1250
    Telephone (214) 767-3287; FTS 729-3287
    Region 6 Health and Safety Officer
    Telephone (214) 655-6570; FTS 255-6570

        Physicals

        Tests Given: Vital signs, vision screening, glaucoma (40 and
          over), electrocardiogram (40 and over), blood chemistry
          profile, hematology profile, urinalysis, hemoccult (test
          results provided to employee for evaluation and
          consultation with employee's physician).

        Availability: 15 percent of Agency employees. Priority given
          to employees over 40.

        Appointments: Regional Health and Safety Officer sends out
          requests for interested employees. Selected individuals are
          contacted by the Health Unit to set up appointment (usually
          2 or 3 months later).

        Fees: None
       Screenings

       Tests Given: Hypertension, diabetes, glaucoma, visual acuity,
         cancer (Pap smear, breast examinations, prostate and
         testicular exams, and hemoccult screens)

       Availability: All employees

       Appointments: Through Regional Health and Safety Officer.

       Fees: None
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        Health Education Programs

        Subjects: Nutrition, weight management, behavior
         modification, stress management, cardiovascular risk
         reduction. Lectures including a wide variety of topics (sickle
         cell anemia, breast cancer, AIDS, blood pressure, office
         ergonomics, physical fitness) are offered. The Health Unit
         coordinates mental health presentations with the Employee
         Counseling Service.

        Availability: All employees. Seminars are held between noon
         and 1 p.m. Flyer announcements are distributed to all
         employees.

        Allergy Shots

        Employees must bring in their serum. Health Unit personnel
        will administer the shots. The Health Unit also needs a signed
        authorization from the employee's local physician.

        Sick Call

        Employees who become ill or are injured during work may
        report to the Health Unit for help.

        Prenatal Program

        Blood pressure testing, weight monitoring, and prenatal
        health education are provided to augment care provided by
        private physician. Pregnant women may lie down in the
        Health Unit for one hour per day with a note from their
        physician approved by their supervisor. Assistance is also
        offered to nursing mothers.

        Immunizations for Foreign Travel

        To obtain the shots on time, employees should contact the
        Health Unit as soon as they know they are going to a foreign
        country.

        Tetanus Shots

        Available on request to employees who have suffered a
        puncture wound.
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Counseling	

Through contract with PHS, Human Affairs International (HAI)
Southland Center
Dallas, Texas (214) 263-3001

   Description of Service

   The service comprises short-term counseling as well as
   referrals. A 24-hour, toll-free number (1-800-624-6185) is
   professionally staffed at all times. The service is strictly
   confidential. Employees normally see an HAI counselor. The
   service provides assistance with alcohol and drug abuse,
   marital and family problems, stress or life crises, and legal
   and financial problems.

   Availability: All employees. Located in major cities
     throughout Region 6.

   Appointments: In person or by phone.

   Fees: None
Fitness
   No programs.
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REGION 7
Kansas City, Kansas

     Health Services
    Business and Industry Health Group
    30 Funston Road
    Telephone (913) 321-2420

        Physicals

        Tests Given: Physical examination, blood studies, audiometry,
          EKG,  tonometry (glaucoma), pulmonary functions, eye
          exam, Pap smear. Doctor administers test and does blood
          work on site.

        Availability: Ten percent of the workforce (40 people) are
          eligible for physicals. Selection of participants is based upon
          such factors as the date of the last physical (longest period
          without a physical is a priority). Requests for physical must
          be submitted by the employee in writing.  Region 7 is
          required to make one half of the 40 slots available to
          bargaining employees, and the other half to nonbargaining
          employees. The final determination for participation is made
          by EPA Region 7.

        Appointments: Contact the Health Clinic.

        Fees: None

        Screenings

        Tests Given: Blood pressure, blood cholesterol, blood sugar,
          Pap smear, hearing, EKG, eye exam, pulmonary functions,
          blood chemistry profile, diabetes screening, glaucoma,
          hemoccult, immunization (influenza, tetanus), breast
          examination, protology exam, vision. Tests are given by
          nurses and assistants. Blood  work is sent out for evaluation.

        Availability: All employees are eligible to receive this service.
          Some tests are offered daily and others on a more limited
          basis.

        Fees: None

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    Health Education Programs

    Subjects: Topics of discussion at lectures include AIDS, stress,
      physical fitness, and proper nutrition.

    Availability: Employees are notified of "brown bag lunches"
      by public announcement (memos, etc.), monthly bulletin
      board postings, and the quarterly training schedule. The
      luncheons, which are held weekly, cover a wide range of
      topics. They do not always concern health matters.

    Allergy Shots

    If employees supply their serum, the Health Clinic will
    administer the shots.

    On-the-Job Illness

    Employees who become ill while at work may lie down at the
    Health Clinic for 1 hour. After this, they must take sick leave
    and go home or seek medical care.

    Pregnancy/Maternity

    Pregnant women may lie down to rest if they become ill while
    at work.
Counseling

Employee Assist Program
Telephone 1-800-227-1060

    Description of Service

    Counseling and self-help programs are available for both work
    and personal problems. Anything discussed in the counseling
    program is confidential. No information about an employee's
    use of the program may be released without prior written
    consent from the employee involved. Any information
    obtained from the counseling service cannot become a part of
    the employee's official personnel file.
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       Availability: The service is paid by EPA and allows for four
         free visits to a local physician or appropriate counselor,
         designated by the program. Dependents and spouse of the
         employee are included in the coverage. Counseling services
         offered by the program include, but are not limited to,
         financial, psychiatric, marriage, weight control, substance
         abuse, and alcohol abuse.

       Appointments: Can be made in person or by phone.

       Fees: None
    Fitness

        A fitness program has not yet been started, but walking and
        weight loss are encouraged. The CFC and local agency
        officials sponsor $0.10 for every pound lost and $0.10 for
        every lunch time mile walked during July through October.
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REGION 8
Denver, Colorado
    Health Services
    Public Health Services (PHS) units available in EPA Region 8
    area:
    Federal Building
    1961 Stout Street
    Denver, Colorado
    Telephone (303) 844-3786; FTS 564-3786
    PHS/DFEOH
    (Department of Federal Employees Occupational Health)
    Denver Federal Center
    Buildings 25 and 40
    Lakewood, Colorado
    Telephone (303) 236-3333; FTS 776-3333
    PHS/DFEOH
    Federal Building and U.S. Courthouse
    316 N. 26th, Room 3419
    Billings, Montana
    Telephone (406) 657-6550; FTS 585-6550
    PHS/DFEOH
    Federal Office Building
    125 South State, Room 3103
    Salt  Lake City, Utah
    Telephone (801) 524-5239; FTS 588-5239

    (Note:  Special arrangements for EHME and OSHEE physicals
    required at this location.)

    Fees: None

      Physicals

      Three types of physicals are provided to employees through
      EPA and performed by contractors or the Public Health
      Service (PHS). The first two physicals are available to most
      employees within the following guidelines.
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         1. Employee health medical exam (EHME): given by Health
         Unit physician.

         2. "Maxi" physical examination: given by Health Unit
         registered nurse.

         Tests Given: Complete blood studies, urinalysis, audiometry,
           EKG, tonometry (glaucoma), pulmonary function, visual
           acuity.

         Availability: EHMEs are available to 10 percent of EPA
           employees based on the Region's established age and
           medical priorities and on a first-come, first-served basis.
           Only one physical is permitted  annually.

         Age and Medical Profile Priorities
         • Over age 40 with medical profile (i.e., diabetes, heart
         condition,  etc.)
         • Under age 40 with medical profile.
         • Over age 40, no medical profile.
         • Under age 40, no medical profile.
         Maxis are encouraged since 20 percent of EPA employees are
         allowable.
         3. Occupational  safety and health employee exam (OSHEE):

         The Region requires separate ongoing physicals for employees
         who meet the requirements in Region 8's Medical Monitoring
         Protocol.
           This protocol limits the OSHEE to field and laboratory
         operative employees (i.e., on-scene coordinators and field
         inspectors). These employees are required to participate in the
         medical monitoring program.

         Appointments: Contact the PHS unit for an appointment.

         Screenings

         Miniscreening: Blood pressure, height, weight, urinalysis,
         blood workup.
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Availability: There is no Agency quota on the number of
  these mini-screenings given; therefore, employees are
  charged a lower contract fee for lab workups than if they
  were to have the work done through their own physicians.
  The employees are billed directly by the lab at the
  contracted price.

Appointments: Call the Health Unit.

Regional Office  Miniscreening: Blood pressure, hearing,
  vision,  diabetes.

On Walk-in Basis:
(PHS prefers that appointments be made)

  Allergy Shots

  Employees must bring in their own serum and instructions
  from their personal physician. After the first few injections are
  performed by  the personal physician, the Health Unit
  personnel will then administer the shots.

  Diabetic Injections

  Employees must bring in their own serum and instructions
  from their personal physician. After the first few injections are
  performed by  the personal physician, the Health Unit
  personnel will then administer the shots.

  Blood  and Other Tests

  The tests in this category are for those employees who have
  been exposed  to heavy metals. The availability of these tests is
  limited to field operative employees who are part of Region
  8's budget.

  Pregnancy/Maternity

  Some prenatal care is performed when  requested by patient's
  own doctor  (e.g., blood pressure).
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        By Appointment:

          Male/Female Cancer Exam
          Performed by PHS doctor; no Agency quota.

          Flu Shots

          Open to all employees; no Agency quota.

          Tetanus, Cholera Immunization

          Immunizations for overseas travel, limited to those vaccines
          the PHS has available at the Health Units.

          Strep Tests

          Available at most PHS locations in Region 8.

          Pneumonia Shots

          Agency quota, based on criteria—age, medical history, etc.

          Measles

          Agency quota, based on criteria—age, medical history, etc.

        Emergency Services

        Call ambulance.

        Outreach Programs: Nurses go out in vans to areas outside of
         Denver where there are fairly large concen trations of
         Federal employees. They do various workups and make
         referrals to local doctors as necessary.

        Other Programs

        Tests Given: Treadmill, chest X-rays, and mammograms are
         at the individual's own expense with the exception of
         employees participating in the medical monitoring program
         (for field operative employees). These are extra services that
         the Agency  must pay for; they must be authorized by the
         Agency ahead of time.
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    Health Education Programs

    Subjects: "Lunch and Learn" lectures on a wide variety of
      health-related topics.

    Availability: Notice is given by the Health Unit, usually on
      as-needed basis.
Counseling

Federal Building
1961 Stout Street, 6th Floor
Denver, Colorado
Telephone (303) 844-3111
Denver Federal Center
Building 41, Room 299
Lakewood, Colorado
Telephone (303) 236-4357

    Description  of Service

    The Health Unit offers a crisis intervention and referral service
    and provides counseling on drug and/or alcohol abuse,
    marriage, stress management, emotional problems, family,
    financial (debt), legal, medical, social, stop smoking, and
    AIDS.

    Availability: Counseling services performed by PHS staff are
      primarily drug and/or alcohol abuse and AIDs counseling.
      Other services are provided by a contractor.

    Fees: None
Fitness	

999 18th Street
1 Denver Place
Denver, Colorado

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         Description of Services

         A coed Fitness Center recently opened and is located in
         temporary quarters on the Denver Place Mezzanine level (2nd
         floor) of the regional office until construction of its permanent
         location (to be completed after March 1989). The permanent
         location of the Fitness Center will be on the Mezzanine level,
         located in the Region's conference center (room 213). The
         center employs managers who provide some instruction on
         machine use and fitness counseling.
           For more  information on the status of the Fitness Center,
         contact:

         Alvine Yorke
         Chairman Fitness Center Committee
         Telephone (303) 293-1730; FTS 564-1730
         Jack McLaughlin
         AARP Fitness Center Employee
         Telephone (303) 293-1710; FTS 564-1710
         (Hours 10 a.m.-2 p.m.)

         Equipment: Universal set, stationary bicycle, weights, inclined
           benches, jogging pads.

         Availability/Fee: All employees, including OIG employees
           and those visiting from other areas, are eligible. Annual
           dues are charged on a sliding scale from $5.00 to $20.00,
           depending on the employee's grade level. Due to limited
           space, the Center is operated on an "Aerobic Super Circuit"
           concept during peak periods; i.e., usage is usually limited to
           1/2 minute per machine/station with a "jogging pad"
           provided for running in place while waiting to use next
           machine.  The Center is available from 6:00 a.m. to 6:00
           p.m., with the doors opened from 10:00 to 2:00 and with
           key-card access the other 8 hours. The key cards would be
           furnished when the employee pays his/her annual dues and
           provides a medical certificate and liability waiver. For
           liability purposes, a visiting employee must furnish proof
           that he  or she is already a member of his or her home
           region/Headquarters fitness center.

         Restrictions: Employees must have their personal physicians
           complete  a medical certificate form before they can use the
           Center.
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REGION 9
San Francisco, California
   Health Services
   211 Main, Room 211
   Telephone (415) 974-0703; FTS 454-0703

      Physicals

      Tests Given: Complete blood studies, urinalysis, audiometry,
        EKG, tonometry (glaucoma),  pulmonary function, visual
        acuity, Pap smear, proctology exam (age 50 + ), physical
        examination by Health Unit physician.

      Availability: Physicals are available to all EPA employees on a
        first^come, first-served basis.  The Region contracts 50
        physicals per year for the work force. There is no restriction
        on the number of physicals one may have; however, only
        one physical is permitted annually.
          The Region also requires separate, ongoing physicals for its
        on-scene coordinators and  field inspectors. They are
        required to participate in the  medical monitoring program.

      Appointments: Call the Health Unit or the EPA Region 9
        Personnel Office. (Personnel  keeps the master list of
        names.)

      Fees: None

      Screenings

      Tests Given: Hearing, visual acuity, EKG, tonometry,
        pulmonary function, Pap smear, blood pressure (testing and
        monitoring), blood sugar, blood cholesterol,  diabetes,
        tuberculosis.

      Availability: Health screenings are available to all employees.
        Blood pressure testing and monitoring are available
        continually; other screenings  are announced  by flyers
        distributed to all employees.

      Appointments: Call the Health  Unit.

      Fees: None
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        Health Education Programs

        Subjects: The Health Unit offers lectures on a wide variety of
          topics, including AIDS, physical fitness, weight, office
          ergonomics, hypertension, stress, and stop smoking. In
          addition, the Region sponsors sessions on stress
          management, CPR, infant CPR, and AIDS, and invites
          outside speakers to speak on topics such as sports medicine.

        Availability: Seminars are held between 11:30 a.m.-12:30
          p.m., one Tuesday every month. Flyers on upcoming health
          education programs are distributed to each employee.

        Allergy Shots

        Employees must bring in their serum. Health Unit personnel
        will administer the shots.

        Sick Call

        Employees who become ill or are injured during work may
        report to the Health Unit for help.

        Pregnancy/Maternity

        Pregnant women may lie down in the Health Unit for 1 hour
        per day with a note  from their physician. Assistance is also
        offered to nursing mothers.

        Tetanus Shots

        Available on request.

        Flu Shots

        Available on request.

        Other Services: Limited health service by a PHS nurse is
          available by appointment for the Sacramento EPA Office at
          the Federal Building.
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Counseling

Health Unit
211 Main Street, Room 211
Telephone (415) 974-0703; FTS 454-0703
EPA Region 9
215 Fremont Street
Telephone (415) 974-8495; FTS 454-8495

   Description of Service                           •'•

   The Health Unit offers a Crisis Intervention and Referral
   Service.

   Fees: None

   The Region has two programs:

   1. Employee Assistance Program (EAP). The Human
   Resources Development Officer is the coordinator. Employees
   with alcohol, drug, or other personal problems (e.g., family)
   may go to the HRD Officer for referral sources.

   Fees: None

   2. Employee Counseling Services Program. The Employee
   Counseling Service is available to provide confidential
   counseling services for a variety of problems. OHS
   (Occupational Health Services, Inc.) is an independent
   organization providing assistance to employees and their
   immediate family members. EPA is one of the agencies
   participating in this program.

   Fees: The services provided by this program are contracted
   with Occupational Health Services, Inc. (OHS), and cannot be
   done on an individual basis. EPA Region 9 has contracted
   with OHS, paying $10.00 per person per year for these
   services. However, EPA OIG employees are not included on
   this contract.
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     Fitness

     YMCA
     166 The Embaradero
     Telephone (415) 392-2191
     Contact: Paul Helliker
     Telephone (415) 974-8385; FTS 454-8385
        Description of Services

        The Health Unit offers a weight support program.

        The Region has a corporate membership at the nearby YMCA
        providing all employees a discount membership. Due to the
        pending construction/renovation at the YMCA (anticipated in
        the summer of 1989),  it is unclear at this time what services
        will be available under the corporate membership.
          The Region subsidizes  annual memberships at the YMCA for
        all 25 field inspectors. Because their jobs require a great deal
        of physical effort and they are often required to wear a
        respirator, the Region requires the inspectors to go to the "Y"
        on  a regular basis. Their  participation and progress are
        monitored with this program.

        Fees: For more information on the available corporate rates,
          contact Paul Helliker (see above for telephone number).
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REGION 10
Seattle, Washington
    Health Services
    Medical services are not available at this location.

       Health Education Programs

       Region 10 has an employee wellness program which is part of
       the Employee Assistance Program that offers health education
       programs.

       Subjects: The wellness program provides lectures, seminars
        and workshops on a monthly basis on various topics,
        including fitness, nutrition,  stress management, burnout,
        financial  planning, stretching,  imagery and relaxation skills,
        weight training, AIDS, back problems. (Suggestions for
        additional topics are welcome.) In addition, workshops are
        scheduled on various topical issues once or twice a year.  For
        example, the Health Promotion Program included a written
        lifestyle risk assessment, a play about stress in the
        workplace, and workshops on stress management, fitness,
        and nutrition.

       Availability: All EPA employees, including visiting EPA
        employees.

       Fees: None
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    Counseling
    1200 6th Avenue, MD-107
    Telephone (206) 442-1795; FTS 399-1795

    Contact: Mike Manor                        ^,.

       Description of Service

       The Employee Assistance Program provides crisis intervention
       and referral service with confidential and professional
       assistance to all employees and families concerning matters
       related to work and/or personal problems.A professionally
       trained counselor is available on staff. The counselor has a
       broad background in problem assessment, as well as skills in
       counseling and consulting.

       Availability: All EPA employees and their immediate family
         members are eligible for this service.
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Fitness	


Plans are being made to establish a fitness program fiscal
1989.  It will be coordinated with  the regional Employee
Assistance Program.  The following equipment and programs
are proposed:
   Equipment:Cardiovascular equipment—stationary bicycles and
     rowing machines, weight training equipment, Universal
     gym set, aerobics workout area; shower facilities.

   Programs: Aerobics classes, stretching and yoga (or relaxation)
     classes, fitness and weight training.

   Fees: To be announced

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