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.
Injury Forms
Health Questionnaire - English or Spanish
Authorization for Release of X Rays and Medical Records
Consent to Release Medical Information
(Consentimiento Para Traspasar Informacion Medical)
Misc. Forms
(Registro de Evaluation Audiometrica)
OSHA Recommended Questions for Respirator Evaluations - English or Spanish
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)