The Birmingham region grew around heavy industry, including coal mining and steel production. These industries, which still employ thousands today, can pose hazards to workers’ health and others in the community. The UAB Environmental Lung Disease Clinic provides comprehensive evaluations for patients with respiratory conditions related to work exposure or environmental hazards. Kevin Dsouza, M.D., and Crystal Stephens, CRNP, helped found and lead the clinic. They discuss the scope of their work, when providers should refer patients, and how patients can also self-refer.