Occupational Medicine Forms and ResourcesBaptist Health 2026

1. Click ‘Get Form’ to open the Occupational Medicine Authorization Form in the editor.
2. Begin by entering the appointment date and time, ensuring you select either AM or PM as applicable.
3. Fill in the employee's name, ID number, and driver's license number to identify the individual being screened.
4. Select the location where the screening will take place by checking one of the provided options for either BH Occupational Health Campus Clinic or River Port Clinic.
5. Indicate the type of screening required by checking all relevant boxes such as Pre-Employment, Return to Work, Random, etc.
6. Complete sections for drug screens, alcohol testing, lab injections, physicals, compliance screenings, and work injury conditions as necessary.
7. Ensure that an authorized employer representative signs and dates the form before submission.

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