On this page you will find the basic forms and documents you’ll need for your company. Just click on it, download it, save it and print it. Simple ways are huge time savers!
This document has our clinics information, directions, hours of service and phone numbers
Emergency Card | Transportation Card
This card is to be posted on the job-site. It tells your employees what to do in case of an emergency and the easy process to report an injury, get an authorization slip and either call to arrange complimentary transportation or how to get to the clinics in case of an emergency.
This is the form you need to open a new account. Just print it, fax it and we’ll do the rest. With this form we ensure there is no waiting time for your employees. It contains all information needed, contact person(s) and insurance information from your company. There is no need to have your employee filling-up paperwork for hours while injured. We don’t do that!
We will provide you with enough Authorization Slips for you to give to any injured employee or simply when an employee is sent to our clinics for any of our services. Although, we believe that you should have an electronic version of this form “just in case” you don’t have them at hand.