Occupational Health
Patient Services
Patient Services
Click on the images below to open each in PDF format for your use:
Patient Information Forms
DOT Forms
Resources
Patient Information
Forms
Comprehensive services for all your work-related health care needs.
If you need a DOT physical or drug test or are injured on the job, please visit us. Our clinicians can help keep work injuries and illnesses from interrupting your life. Our goal is to get you back to work when you have regained your strength and endurance. Please see our list of services below. If you have questions or need to make an appointment, please contact us at 636-220-1470, option 7 or email at ochealth@urgentspecialists.com.
Patient Information 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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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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Insulin-treated Diabetes Mellitus Assessment (To be completed by your Physician)
Resources
What to bring to
your DOT Physical
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What to expect at
your DOT Physical
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Checklist to help you
Pass Your DOT Physical
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What to Expect at a
Pre-Employment Physical
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