Occupational Medicine Services
Establish an Employer Account
Employer Health Services pdf 10.20.09
Authorization for Treatment
Req For Med Svcs web 1.10.pdf
Patient Registration
D.O.T. Drug Screen Collection
Employer Screening - English
Employer Screening - Spanish
Work Comp Injury – English
Work Comp Injury – Spanish
Physical Exam or Screening
Pre-Placement Physical Examination – English (PDF 52kb)
Pre-Placement Physical Examination – Spanish (PDF 52kb)
OSHA Respirator Medical Evaluation Questionnaire – English (PDF 76kb)
OSHA Respirator Medical Evaluation Questionnaire – Spanish (PDF 92kb)
In-Office Drug Screen Consent – English (PDF 40kb)
In-Office Drug Screen Consent – Spanish (PDF 40kb)
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