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Providence Occupational MedicineClackamas9290 SE Sunny brook Blvd., Suite 220 Clacks, OR 97015Appointment scheduling: 5032152890Clinic hours: 7 a.m. to 6 p.m., MondayFridayClinic phone: 5032153116Walkin
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01
Obtain the occupational medicine authorization form from the appropriate department or website.
02
Read the instructions provided on the form carefully.
03
Fill out personal information including name, address, and contact details.
04
Provide details about the job position for which the authorization is needed.
05
Complete any medical history questions as required.
06
Sign and date the form acknowledging the information is correct.
07
Submit the completed form to your employer or designated medical office.

Who needs occupational medicine authorization form-clackamas?

01
Employees who are required to undergo a medical evaluation for occupational health.
02
Employers who need to ensure compliance with workplace safety regulations.
03
Individuals applying for jobs that require medical clearance.
04
Workers returning to duty after a medical leave of absence.
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The occupational medicine authorization form-clackamas is a document used to authorize medical evaluations and treatments for employees in Clackamas County. It is typically required for pre-employment screenings, ongoing health assessments, or return-to-work evaluations.
Employers in Clackamas County who require occupational health services for their employees must file the occupational medicine authorization form-clackamas.
To fill out the occupational medicine authorization form-clackamas, follow the provided instructions carefully, entering the required information about the employee, the nature of the medical assessment needed, and any relevant medical history. Ensure all fields are completed and submit the form to the appropriate occupational health provider.
The purpose of the occupational medicine authorization form-clackamas is to obtain consent for medical evaluations and treatments related to work-related health issues, ensuring both compliance with legal requirements and the health and safety of employees.
The information required includes the employee's personal details, the employer's information, the specifics of the medical evaluation or treatment requested, and any existing medical conditions that may be relevant.
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