Occupational Medicine
Taking care of Employees is how we take care of Business

Occupational Medicine Forms

[ Drug Screening & Toxicology ]

[ Pre-Employment/Post Offer Evaluations ]

[ Medical Surveillance Evaluations ]

[ Workers Compensation Care ]

[ Occupational Medicine Forms ]

[ Map and Location ]

We have compiled and number of useful forms for employers and patients in order to make the Occupational Medicine experience more efficient and cost effective to our customers.

OccMed New Patient Form & Treatment Authorization Form

Drug Screen Release Form

OccMed HIPAA Form

Injured Worker Registration Form

Medical Respirator Use Form

Copyright © 2001
Ponderosa Medical  All Rights Reserved.
Century Washington Center 1558 S.W. Nancy Way Suite 101 Bend, OR 97708-6779
Phone: 541-312-8679 / Fax: 541-312-8665