Employer Request & Authorization
Please ensure your employee brings a valid photo ID
  • General Information

  • / /
  • Drug and Alcohol Testing

  • Xray Services

  • Vaccinations

  • Physical Exam

  • Please Upload applicable Job Description
  • Special Examination

  • It is important to test the mask the employee will be wearing on the job. Please have your employee bring their mask with them.
  • Workers Compensation

  • Other Services

  • File Upload

    Upload any additional Protocols or Authorization forms as needed
  • Billing

  • Claim Number
  • Authorization