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Occupational Health
AUTHORIZATION FOR EXAMINATION OR TREATMENT
Patient name:DOB:Employer:Work related:o Injury Illness To be determinate of Injury:Drug/Alcohol Testing (check all that apply):
o NIDA
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What is work related injury illness?
Work related injury or illness refers to any injury or illness that occurs as a result of an individual's work activities.
Who is required to file work related injury illness?
Employers are required to file work related injury or illness reports.
How to fill out work related injury illness?
Work related injury or illness reports can be filled out online or submitted through the appropriate reporting system provided by the relevant authority.
What is the purpose of work related injury illness?
The purpose of work related injury or illness reports is to ensure that workplace incidents are properly documented and investigated to prevent future accidents.
What information must be reported on work related injury illness?
Work related injury or illness reports must include details such as the date and time of the incident, the nature of the injury or illness, and the names of those involved.
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