Some healthcare facilities require physical or fit-to-work evaluations. Facilities may require this evaluation at different times: before starting a job (in some facilities), when a healthcare professional has had an illness or injury, or when it is suspected that someone's ability to work may be compromised. The results can vary between fit-for-work, fit-for-work with adjustments (meaning the healthcare professional needs some modifications to be able to work), and unfit-for-work. An individual has the right to appeal the results. The evaluation usually includes the individual's medical history, a physical examination, a review of the job requirements, and an evaluation to perform the specific tasks for that job. The evaluation results are confidential, and each individual may discuss their medical problems with the occupational health professional who conducted the evaluation.