Completing the form
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Printing the form
If you have any questions regarding these forms, please call us at 908-442-1674.
If you are new to Occupational Health Services or have changes to information previously provided to us, please complete a Client Registration Form to ensure we have all the required information for your company on file.
A completed Employer Authorization for Treatment Form is required for each employee visit to ensure your employees are provided all necessary services based on your company’s specific needs. This form can be faxed to Occupational Health Services prior to an employee visit or employees can provide this form at the time of their visit.
If you are interested in any of our Occupational Health Services, please click the link below. We would be happy to send you additional information.