Forms

Answers to questions about care

Your time is valuable. WORKNET understands that and strives for punctuality with its appointments. Completion of the following forms and other required documents prior to scheduled visits helps our providers stay on schedule and complete services without delay.

Walk in visits for new injuries, drug screens and purified protein derivative (PPD) tests are expected. However, scheduled appointments for physicals and follow-up appointments are preferred and receive priority. Providing your employees with forms ahead of time will help us provide a better employee/patient experience.

Authorization and consent on behalf of a minor form

DOT forms:

OSHA-required medical surveillance:

Employer forms:

Drug and alcohol: