Forms & Questionnaires
This form is required for current employees who will be returning to work after contracting COVID-19. This form is to be completed the day prior to the date the
Please complete this questionnaire if you need a hearing screening before employment. Fill it out before your appointment.
This guide is for candidates, detailing pre-employment screening prep, parking info, and clinic directions.
This form is to be completed when requesting patient medical records from our clinic.
This form is to be completed by employees prior to a Return-to-Work appointment.
This form is to be completed by candidates who may operate in or near hazardous environments. This document is to be completed prior to the pre-employment scree
Candidates must complete this form before pre-employment screening to inform the medical provider about their medical history and health.
This form is for candidates needing a respirator for their job. Complete it before the pre-employment screening.
This questionnaire is to be completed by candidates who may be working directly with the public and at-risk populations for tuberculosis.