Printable Forms for Employers and Employees
Employee/Patient Forms

English and Spanish forms are available here to fill out prior to your visit. Save time by having them completed & ready when you check-in.

Misc. Forms

Audiometric Evaluation Record

(Registro de Evaluation Audiometrica)

 

OSHA Recommended Questions for Respirator Evaluations - English or Spanish

Seasonal Influenza Vaccine Consent Form

Physicals and Screenings

Drug/Alcohol Screening Consent Form - English or Spanish

Pre-Placement Physical Consent Form - English or Spanish

Consent to Release Medical Information

(Consentimiento Para Traspasar Informacion Medical)

ALL PATIENTS/EMPLOYEES

AUTHORIZATION AND REQUEST FORM

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