The best way to diminish the effects of any diseases, illnesses or injuries is to detect them as early as possible. This is especially true for firefighters who, in many cases, are at greater risk than the general population. Annual physicals, based upon testing criteria for the increased health risks faced by firefighters, have proven to lead to early detection and prevention of long-term illnesses. This session will look at three separate departments (career, volunteer and combination) that have successfully implemented physical fitness programs and the lessons learned along the way.