Occupational Health
Forms
Forms
Employer Forms
Employer
Authorization Form
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Telemedicine
Authorization Form
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Injury
Information Form
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Patient Forms
Patient Information &
Medical History Form
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COVID-19
Medical History Form
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COVID-19
Test Consent Form
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Patient DOT Forms
Medical Examination
Report (MER)
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This form is a sample of what patients can expect. The MER will be completed at the clinic and does not need to be printed and completed prior to your visit.
Insulin-treated Diabetes Assessment
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